DIVISION OF CITY SCHOOLS OF LAS PINAS

SCHOOL NUTRITIONAL STATUS RECORD

School: MES-MIKESELL ANNEX
Grade & Section: Grade V-Optimistic

No.
Girls
1 Surname, Firstname, M.
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

Date of Weighing:

Date of Birth
24-Dec-00

Age as of Date
of Weighing
10.8
111.9
111.9
111.9
111.9
111.9
111.9
111.9
111.9
111.9
111.9
111.9
111.9
111.9
111.9
111.9
111.9
111.9
111.9
111.9
111.9
111.9
111.9
111.9
111.9
111.9
111.9
111.9
111.9
111.9

SUMMARY:
Severly Wasted

Wasted
Normal
Overweight
Obese

Weight
(kg.)
30

Height
(meters)
1.34

Body Mass
Index (BMI)
16.7
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MALE

FEMALE

TOTAL

SW
W
N
OW
OB
Prepared by:
JOYCELYN A. PURIGAY
Class Adviser

16-Oct-11

Findings