DEPARTMENT OF EDUCATION

REGION - III CENTRAL LUZON

DIVISION OF TARLAC PROVINCE
SCHOOL NUTRITIONAL STATUS RECORD
DISTRICT:
GRADE:

SANTA IGNACIA
FOUR

NAME OF PUPILS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

.
.
.
.
.
.
.
.
.
.
.
.
.

.
.
1 .
2 .
3 .
4 .
5 .
6 .
7 .
8 .
9 .
10 .

SUMMARY

SCHOOL: BOTBOTONES ELEMENTARY SCHOOL

DATE OF WEIGHING:
JUNE 18, 2014
DATE OF BIRTH
mm/dd/yyyy
07 - 2003
12 - 2005
06 - 2007
04 - 2003
05 - 2004
08 - 2005
12 - 2003
12 - 2004
12 - 2002
11 - 2008
- 2007
- 2002
- 2008
2007
- 2002
2008
- 2007
- 2002
- 2008
- 2007
- 2002
- 2008
- 2007
- 2002
- 2008
2007
2002
2008
2007
2002
2008
2007
2002
2008
2007
2002
2008

AGE
11.11
9.06
8.00
12.02
11.01
9.10
11.06
10.06
12.06
6.07
8.06
13.06
7.06
8.06
13.06
7.06
8.06
13.06
7.06
8.06
13.06
7.06
8.06
13.06
7.06
8.06
13.06
7.06
8.06
13.06
7.06
8.06
13.06
7.06
8.06
13.06
7.06

WEIGHT
(kg.)
25
22
20
20
20
23
25
19
22
26
24
20
24
19
18
12
28
21
35
32
20
20
20
23
15
19

WEIGHT

Below Normal
Normal
Above Normal
Total:

HEIGHT
(cm.)
117
112
113
119
113
111
121
113
121
123
119
111
120
111
110
110
117
120
132
114
114
116
111
116
105
113

(Height)2
1.3689
1.2544
1.2769
1.4161
1.2769
1.2321
1.4641
1.2769
1.4641
1.5129
1.4161
1.2321
1.4400
1.2321
1.2100
1.2100
1.3689
1.4400
1.7424
1.2996
1.2996
1.3456
1.2321
1.3456
1.1025
1.2769
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000

NS

BMI

Weight

Height

18.26
17.54
15.66
14.12
15.66
18.67
17.08
14.88
15.03
17.19
16.95
16.23
16.67
15.42
14.88
9.92
20.45
14.58
20.09
24.62
15.39
14.86
16.23
17.09
13.61
14.88
#DIV/0!
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#DIV/0!

HEIGHT
MALE
No.
0
12
1
13

%
0
92
8
100

FEMALE
No.
0
9
2
11

MALE
No.
%

%
0
82
18
100

FEMALE
No.
%

Short
Normal
Tall
Total:
PREPARED BY:
CLASS ADVISER