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Department of Education

Region X
Division of Cagayan de Oro City

SCHOOL NUTRITIONAL STATUS RECORD


DISTRICT: West I
Grade & Section: I-Peace
Name of Pupils

SCHOOL: Macanhan Elem.


Date of Weighing: ______
Date of
Birth

1. Abogaa, John Dave V.

01-16-05

2.
3.
4.
5.
6.
7.
8.

Alcantara, Keith L.
Bano, Christian B.
Bade, Alexis
Basin, Christopher John R.
Brigoli, Bradocks Vienn C.
Cablas, Nhiel Joy
Cainday, Slith John B.

06-14-05

9. Enriquez, Lance Jovan S.


10. Enterina, Jhon Carlo A.
11. Java, Rolan Z.
12. Ladao, Rafael A.
13. Napiere, Excell Greg S.
14. Polinar, Francis Dave R.
15. Rafer, Clint Jeriah N.
16. Rodrigo, Jeuh Janiel E.
17. Ruelan, Reuel Ken Jims
18. Salabit, Angelo Jay S.
19. Salonga, Joseph N.
20. Tacio, John Wilson N.
21. Tomol, Leonard A.
22. Abolario, Mary Jane A.
23. Baga, Yvonne Ly S.
24. Bernasor, Hannah Angelica C.
25. Cabasan, Aiah Jae B.
26. Calabroso, Anshie Mae G.
27. Dacubor, Hasheil Anne N.
28. Hingking, Feona Alexandra M.
29. Kasuyo, May E.
30. Mahusay, Sharmaine S.
31. Manlusoc, Jennefer P.
32. Marquez, Samantha Margaret
33. Maternal, Danielle Alexis P.
34. Maybuena, Anna Marie J.
35. Micabalo, Angel Mae P.
36. Orlanes, Zaira Alexsan
37. Ragmac, Jeasette June K.
38. Salcedo, Keith Mylene C.

06-08-04

39. Sino, Keziah O.


40. Solijon, Lea Jean B.
41. Sotelo, Jhanna Grace S.
42. Turno, Francheska Paula
WEIGHT
Male No. %
Below Normal __________
Normal
__________
Above Normal__________
TOTAL
__________

Age

Weight

Height
(cm)

(Height)2

BMI

NS
Weight

Height

12-14-03
07-19-04
12-27-04
12-20-04
09-10-03
06-15-05

06-04-04
09-23-04
10-12-04
09-10-04
10-23-04
08-30-04
11-19-03
01-17-04
09-13-04
11-12-04
11-20-04
11-05-96
07-07-04
08-16-04
03-21-04
03-02-05
09-23-04
08-26-04
12-24-04
05-31-02
05-28-05
09-27-04
11-04-04
08-12-04
10-13-03
10-21-03
2-27-05
06-07-04
04-30-04
07-23-05
04-15-04
01-29-05
07-14-04

Summary:

Female No. %
__________
__________
__________
__________

HEIGHT
Male No. %
Short ________
Normal ________
Tall
________
TOTAL ________

Female No. %
__________
__________
__________
__________

Prepared By: LUISA R. LLAMOSO


Teacher In-charge

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