Formulir Screening Gizi MUST [PDF]

FORMULIR SCREENING GIZI MUST Nama Ahli Gizi Nama Pasien BB/TB IMT LILA 1 BMI (kg/m2) a. >20 b. 18.5-20 c. 5 hari a. Tida

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FORMULIR SCREENING GIZI MUST Nama Ahli Gizi Nama Pasien BB/TB IMT LILA 1 BMI (kg/m2) a. >20 b. 18.5-20 c. 5 hari a. Tidak b. Ya Skor Kesimpulan: Keterangan: Skor 0: resiko rendah, skor 1: resiko sedang, skor > 2: resiko tinggi

a. Skor 0 b. Skor 1 c. Skor 2 a. Skor 0 b. Skor 1 c. Skor 2 a. Skor 0 b. Skor 2