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REPUBLIC OF THE PHILIPPINES

PROVINCE OF TARLAC
MUNICIPALITY OF CAPAS

Supplemental Feeding Program Weight Monitoring for SEVERELY UNDERWEIGHT, UNDERWEIGHT, OVERWEIGHT

DATE:___________________

WEIGHT REPORT IN KILOGRAM

NAME OF DCC/CDC NAME of UNDERWEIGHT CHILDREN 3 MONTHS AFTER 6 MONTHS AFTER

BASELINE SEVERE UNDERWEIGHT NORMAL SEVERE UNDERWEIGHT NORMAL

CUT-CUT I CHILD Aruelo, Cristal Jane L. 12


DEVELOPMENT Aruelo, Rozan S. 11.5
Bautista, Janella M. 12
CENTER
Dula Mary Grace S. 13
Gatchalian, Karylle Jane P. 12
Lazano, Carl Andrea A. 12
Martilliana, Shaeen Rose B. 12
Padilla, Raiza Mae L. 12
Panlilio, Franzel M. 11
Salunga, Alliana C. 12
Santos, Desiree 12
Aruelo, Mark Anthony 12
Bermudez, Jusstine Nielle M 13
Dela Cruz, Jhon Lyod T. 13
Doria, Alden L. 13
Flores, John Andrei E. 13
Jorvina, Honesto Aaron C. 13
Lacsina, Franz S. 13.5
Medianesta, El Mckenziel L. 12.5
Nacpil, Dhenz Iane T. 12
Pedranza, Rhione Carl 13
PREPARED BY: REVIEWED BY:
GLAIZALYN D. NOLASCO _____________________________
CHILD DEVELOPMENT WORKER

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