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NUTRITIONAL STATUS RECORD

School: Puerto Princesa Pilot Elementary School


Year/ Grade Level & Section: Grade VI - ROSE (Boys)
Date of Weighing: 4/9/2019
100

Date of Age as of date WEIGHT (in HEIGHT


NAMES BIRTH DATE (in BMI
Weighing of weighing Kg) meters)

1 Juan Dela Cruz 7/21/2001 6/8/2014 12.9 41 1.58 16.4


2 B 1/10/2001 6/9/2014 13.4 35 1.58 14.0
3 C 8/27/2001 6/10/2014 12.8 53 1.53 22.6
4 D 9/11/2002 6/11/2014 11.7 29 1.35 15.9
5 E 8/24/2001 6/12/2014 12.8 31 1.39 16.0
6 F 4/21/2000 6/13/2014 14.1 36 1.56 14.8
7 G 2/20/2002 6/14/2014 12.3 29 1.41 14.6
8 H 5/18/2001 6/15/2014 13.1 39 1.52 16.9
9 I 4/24/2002 6/16/2014 12.1 30 1.41 15.1
10 J 3/27/2001 6/17/2014 13.2 33 1.39 17.1
11 K 2/14/2002 6/18/2014 12.3 27 1.39 14.0
12 L 5/22/2002 6/19/2014 12.1 30 1.36 16.2
13 M 5/28/2002 6/20/2014 12.1 27 1.43 13.2
14 N 4/4/2001 6/21/2014 13.2 33 1.44 15.9
15 O 5/28/2002 6/22/2014 12.1 27 1.5 12.0
16 P 11/24/2001 6/23/2014 12.6 37 1.51 16.2
17 Q 9/9/2001 6/24/2014 12.8 27 1.42 13.4
18 R 12/18/2000 6/25/2014 13.5 34 1.45 16.2
19 S 12/17/2001 6/26/2014 12.5 26 1.38 13.7
20 T 12/8/2001 6/27/2014 12.5 30 1.43 14.7
21 U 2/28/2001 6/28/2014 13.3 39 1.51 17.1
22 V 11/6/2001 6/29/2014 12.6 32 1.44 15.4
23 W 3/11/2001 6/30/2014 13.3 50 1.55 20.8
24 X 12/28/2001 7/1/2014 12.5 41 1.51 18.0
25
26
27
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SUMMARY

Severely Wasted 8
Wasted 6
Normal 5
Overweight 3
Obese 2

Total 24

Robert B. Nero
Prepared by
NS

Severely Wasted
Wasted
Severely Wasted
Severely Wasted
Wasted
Normal
Severely Wasted
Wasted
Normal
Normal
Severely Wasted
Normal
Severely Wasted
Overweight
Overweight
Overweight
Obese
Severely Wasted
Wasted
Normal
Wasted
Obese
Wasted
Severely Wasted

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