Enclosure No. # to DepEd Memorandum No. 165, s.

2010 Department of Education Schools Division of the City of Mati NUTRITIONAL STATUS REPORT OF ELEMENTARY SCHOOL CHILDREN IN MATI NORTH DISTRICT TAGABAKID ELEMENTARY SCHOOL Baseline / Endline SY 2012 2013 BODY MASS INDEX (BMI) Enrolment Pupils Weighed Severely Wasted Wasted Normal Overweight No. % No. % No. % No. % No. % M F Total M F Total M F Total M F Total M F Total M F Total M F Total M F Total
Noted by: ALFREDA S. LAGBAWAN ESHT I
NS Form CGS_Elem.xls

Grade Level Pre-Elem

Obese No. %

Grade I

Grade II

Grade III

Grade IV

Grade V

Grade VI

GRAND TOTAL
Prepared by:

SALINA TAMBUCO EST - II

Department of Education Schools Division of the City of Mati NUTRITIONAL STATUS REPORT OF ELEMENTARY SCHOOL CHILDREN IN MATI NORTH DISTRICT TAGABAKID ELEMENTARY SCHOOL Baseline / Endline SY 2012 2013 Pupils Weighed Grade Level Pre-Elem Enrolment M F Total Grade I (below 6) M F Total No. % WEIGHT Underweight No. %

Severely Underweight No. %

Normal No. %

Overweight No. %

Prepared by: SALINA TAMBUCO EST - II

Noted by: ALFREDA S. LAGBAWAN ESHT I

Republic of the Philippines Department of Education Region XI Schools Division of the City of Mati Mati North District

NUTRITIONAL STATUS REPORT

School: TAGABAKID ELEMENTARY SCHOOL Grade Level & Section: Date of Weighing:
Names Birthday Age as of Date Weight of Weighing (Kg.) Height Body Mass (Meters) Index Nutritional Status

SALINA S. TAMBUCO Teacher