..... Example of a 24-hour Food Recall r-iame : Juan dcla Cr~z, Jr. Age S. O ~ears old Sex : Male Date : April 1, 2009 Address : 1234 Mahirap St., Lupang T1gang, Manila 15 this a typical diet? Yes_ No_ (If no, Interviewer should go back another day) Twent Yfour hour food recall. rime Description of food and Amount in For Lab Use Only drink household Food Code Amount For processed food, give measures and (grams) brand name if possible portion sizes AM 7:00 Pan de sal 2 pc (5 x 5 cm) A042 Hot dog, fried 1 pc (10 x 4 cm) F252 Milk, powdered, filled 2 tsp powder J019 10:00 Biscuit, Marie 1 pack, 4pcs A092 12:00 Rice, well milled, boiled 1 cup, packed A020 Chicken Tinola with green papaya and sill leaves I Chicken leg 1 small leg, (13 F108 broth 1/2x3cm Banana, lacatan 1 pc (9 x3 cm) EOll PM 3:30 Pan de limon 1 pc (6 x S x4 A040. cm). 7:30 Rice, well-milled boiled l cup, packed A020 Bangus, fried 1 slice (middle) G076 7x3x2 cm Vitllmin/mlnera l supple· ment-brand and dose \. _.. J 335 Sc. :,.., ~ wilh Cam Scan:11:r 