You are on page 1of 6

SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)

School Name CONGRESS ELEMENTARY SCHOOL District NORTH I Division CALO

School ID 136636 Grade 4 Section PEACOCK Track/Strand (SHS) N

Learner's Name Nutrition


Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Extension, Middle Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Name) (kg/m²)
MALE
1 136636150108 AMORES, FRANCE LORENCE SAYAO 11/12/2009 9.06 36.00 1.35 1.82 19.75
2 136523150119 BANAL, JOHN CARLO CULANG 5/2/2010 9.01 19.00 1.20 1.44 13.19
3 136636160030 BERGONIO, JOHN LENARD TARDECILLA 7/1/2010 8.11 28.00 1.31 1.72 16.32
4 136636150109 CAYABYAB, JEDRIC JUDE LAURIO 5/19/2010 9.00 25.00 1.38 1.90 13.13
5 124394160032 DELMO, JEROME 2/16/2010 9.03 31.00 1.28 1.64 18.92
6 136636150281 EVANGELISTA, CLINT VINCENT OROGO 11/20/2009 9.06 35.00 1.40 1.96 17.86
7 483572150042 FLORES, VINCE AVRIAN 8/3/2009 9.10 40.00 1.33 1.77 22.61
8 406748150054 JUBAY, JAZZ-MIER NORBERTE 3/20/2009 10.02 29.00 1.34 1.80 16.15
9 136636150195 LIRIO, MARK LUOI ESPINIDO 4/3/2010 9.02 21.00 1.28 1.64 12.82
10 136636150304 MAYO, MARK JHERICO NARTATES 8/25/2009 9.09 20.00 1.24 1.54 13.01
11 136636150058 MOLLEJON, LUCKY GENESIS MONTERO 11/8/2009 9.07 44.50 1.39 1.93 23.03
12 136636150152 NIEVA, JAN ALWYN CORALDE 6/19/2010 8.11 19.00 1.22 1.49 12.77
13 112471140277 OMAGA, NIEL JOHN 11/19/2008 10.06 21.00 1.28 1.64 12.82
14 114062150024 PADUA, JOHN ARON GALLANO 10/15/2010 8.07 22.00 1.32 1.74 12.63
15 136855150112 PUYAT, JACOB MANALO 9/27/2010 8.08 36.00 1.35 1.82 19.75
16 136636130361 SUMALPONG, JOHN MARCO ARCILLAS 4/28/2008 11.01 34.00 1.35 1.82 18.66
17 136636150286 TORRES, CALVIN JAMES MONTIL 2/14/2010 9.03 22.00 1.30 1.69 13.02
18 136636160300 VIDAMO, VINCENT MONTENEGRO 9/23/2009 9.08 25.00 1.32 1.74 14.35
FEMALE
1 136636150424 ALCALDE, JHIERAH OPONDA 9/8/2010 8.09 18.00 1.20 1.44 12.50
2 136636150289 CARLIT, PRINCESS RUTH 7/22/2010 8.10 28.00 1.33 1.77 15.83
3 136634150519 DE GUZMAN, LADY EUNAH DORMIDO 3/4/2010 9.03 30.00 1.37 1.88 15.98
4 136636150354 DE GUZMAN, NATHALIE NERI 5/30/2010 9.00 33.00 1.43 2.04 16.14
5 136636150135 DIBDIB, MARY GHIEL ACAYEN 5/6/2010 9.01 38.00 1.45 2.10 18.07
6 136636150313 DUPAL, MARJHORIE TORRES 5/29/2010 9.00 35.00 1.33 1.77 19.79
7 136636140071 GUBOT, PRINCESS MICA ESTAÑO 2/16/2009 10.03 18.00 1.20 1.44 12.50
8 136636150362 ISORENA, ZHAIRA JANE MADRID 12/18/2009 9.05 26.00 1.34 1.80 14.48
9 136636150261 LONGGA, MYRA LHORAINE ABON 4/4/2010 9.02 22.50 1.28 1.64 13.73
10 136636150138 MEDINA, VONELLA DELA CRUZ 8/7/2010 8.10 27.50 1.29 1.66 16.53
11 NOBLE, MONALISA 1/12/2007 9.07 36.00 1.40 1.96 18.37
12 136529150123 PEÑAMORA, ROSEMARIEOCAMPO 10/15/2009 9.07 23.50 1.24 1.54 15.28
13 136654150347 PROTACIO, JEAN LOUIE ANGEL EPA 9/9/2010 8.09 26.00 1.25 1.56 16.64
14 136636150320 SAMOY, JUNALYN YADAO 6/8/2010 9.00 18.00 1.18 1.39 12.93
Learner's Name Nutrition
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Extension, Middle Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Name) (kg/m²)
15 SAN PASCUAL, PRINCESS CARSOL 11/11/2008 10.07 21.00 1.27 1.61 13.02
16 131298150059 SARONA, PRINCES DIANE HUYO 7/12/2010 8.10 36.00 1.33 1.77 20.35

SUMMARY TABLE

Nutritional Status He
Summary Table
SEX
Severely
Severely Wasted Wasted Normal Overweight Obese TOTAL Stunted Normal
Stunted
MALE 0 8 8 2 0 18 0 1 17
FEMALE 0 4 12 0 0 16 1 2 13
TOTAL 0 12 20 2 0 34 1 3 30

Date of Assessment: Conducted/Assessed By: Certified Correct By:


6/11/2019 CRISTINA M. ZAMUDIO
ucation
h and Nutrition Report (SF8)
Grade Levels)
CALOOCAN Region NCR

NA School Year 2019-2020

Nutritional Status
Height for Age
Remarks
BMI Category (HFA)

Normal Normal
Wasted Stunted
Normal Normal
Wasted Normal
Normal Normal
Normal Normal
Overweight Normal
Normal Normal
Wasted Normal
Wasted Normal
Overweight Normal
Wasted Normal
Wasted Normal
Wasted Normal
Normal Normal
Normal Normal
Wasted Normal
Normal Normal

Wasted Normal
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Wasted Severely Stunted
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Wasted Stunted
Nutritional Status
Height for Age
Remarks
BMI Category (HFA)

Wasted Stunted
Normal Normal

ARY TABLE

Height for Age (HFA)


Summary Table

Tall Total

0 18
0 16
0 34

Reviewed By:
Growth reference 5-19 years
Links for BMI Tables in PD
z-scores

BOYS http://www.who.int/entity/growthref/sft_bmifa_boys_z_5_19years.pdf?ua=1

GIRLS http://www.who.int/entity/growthref/sft_bmifa_girls_z_5_19years.pdf?ua=1

Growth reference 5-19 years


Links for Height-for-Age Tables
z-scores

BOYS http://www.who.int/entity/growthref/sft_hfa_boys_z_5_19years.pdf?ua=1

GIRLS http://www.who.int/entity/growthref/sft_hfa_girls_z_5_19years.pdf?ua=1

Table retrieved from http://www.who.int/growthref


ference 5-19 years
s for BMI Tables in PDF
precentile
http://www.who.int/entity/growthref/sft_bmifa_boys_perc_5_19year.pdf?ua=1

http://www.who.int/entity/growthref/sft_bmifa_girls_perc_5_19years.pdf?ua=1

ference 5-19 years


Height-for-Age Tables in PDF
precentile
http://www.who.int/entity/growthref/sft_hfa_boys_perc_5_19years.pdf?ua=1

http://www.who.int/entity/growthref/sft_hfa_girls_perc_5_19years.pdf?ua=1

You might also like