| 1 | 2 | 3 | 4 | 5 | 6 | |
| 主食 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 荤菜 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 素菜 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |
| 水果 | ____________ | ____________ | ____________ | ____________ | ____________ | ____________ |