LEMBAR PENGESAHAN

Pada hari ini Sabtu tanggal 7 Juni 2014Telah dipresentasikan portofolio, oleh:Nama : dr. Tika IndriatiNo ID peserta : 33.2.1.100.1.13.144178Judul : Gangguan Pertumbuhan dan Perkembangan

pada Anak dengan Gizi BurukNama Pendamping : dr. Titien Widyaningsih NIP : 195508051987032002Nama Wahana : Puskesmas Slawi Kabupaten Tegal Propinsi

Jawa Tengah

No

.

Nama Peserta No. ID Peserta Tanda Tangan

1. dr. Tika Indriati

2. dr. Nia Tri Mulyani

3. dr. Fandy Hazzy Alfata

4. dr. M. Gima Faizal Gani

5. dr. Iriany Permatasari

Berita Acara ini ditulis dan disampaikan sesuai dengan sesunggguhnya.

Pendamping,

dr. Titien Widyaningsih NIP. 195508051987032002

DAFTAR ISI

Halaman Pengesahan............................................................................................... i

Daftar Isi.................................................................................................................. ii

BAB I Pendahuluan

A. Latar Belakang......................................................................................... 1

B. Permasalahan............................................................................................

C. Tujuan.......................................................................................................

D. Sasaran......................................................................................................

E. Target Kegiatan........................................................................................

BAB II Laporan Kasus

A. Identitas....................................................................................................

B. Riwayat Penyakit Sekarang......................................................................

C. Riwayat Kehamilan dan Persalinan..........................................................

D. Riwayat Perkembangan............................................................................

E. Riwayat Masa Lampau.............................................................................

F. Riwayat Penyakit Keluarga......................................................................

G. Riwayat Sosial..........................................................................................

H. Riwayat Makanan.....................................................................................

I. Kebutuhan Dasar......................................................................................

J. Pemeriksaan Fisik.....................................................................................

K. Keadaan Kesehatan Saat Ini.....................................................................

BAB III Pelaksanaan Kegiatan

A. Pelaksanaan..............................................................................................

B. Hasil Kegiatan..........................................................................................

BAB IV Pembahasan dan Analisa Kasus................................................................

BAB V Kesimpulan dan Saran

A. Kesimpulan..............................................................................................

B. Saran........................................................................................................

DAFTAR PUSTAKA..............................................................................................