SF 8

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

School Name Tinga Labac Elementary District Six Division Batangas City Region

School ID 109596 Grade Section Track/Strand (SHS) School Year

Learner's Name Nutritional Status
Birthdate Weight Height Height² Height for Age
No. LRN (Last Name, First Name, Name Extension, Age BMI
(DD/MM/YYYY) (kg) (m) (m²) BMI Category (HFA)
Middle Name) (kg/m²)
MALE
1 Barrio, Reydante V. Jr. 22-Jun-13 5.11 12.00 1.09 1.19 10.10 Severely Wasted Normal
2 Borillo, Liam 12-Oct-13 5.07 11.50 1.04 1.08 10.63 Severely Wasted Normal
3 Briones, Adrian Jay G. 9-Nov-12 6.06 15.50 1.15 1.32 11.72 Severely Wasted Normal
4 109595180042 Catapang, Sean Seatiel Fajilan 23-Mar-13 6.02 13.30 1.08 1.17 11.40 Severely Wasted Normal
5 109596180018 Catapang, Ervin Lawrence G. 1-Jul-13 5.11 12.00 1.05 1.10 10.88 Severely Wasted Stunted
6 Samarita, Reyven E. 16-Sep-12 6.08 12.90 1.13 1.28 10.10 Severely Wasted Normal
7 Fallarcuna, Jessriel D. 13-Jun-11 7.11 16.00 1.18 1.39 11.49 Severely Wasted Normal
8 109596160061 Dimmano, Ace Banila 24-Feb-11 8.03 14.00 1.07 1.14 12.23 Severely Wasted Severely Stunted
9 109596140055 Regalario, Ejay S. 23-Oct-09 9.07 19.00 1.23 1.51 12.56 Severely Wasted Stunted
10 Ante, Christopher F. 10-Apr-09 10.01 19.50 1.30 1.69 11.54 Severely Wasted Normal
11 109596130001 Afable, Ephraim Kyle L. 26-Jan-08 11.04 22.00 1.33 1.77 12.44 Severely Wasted Normal
12 Raquiza, Jaylord T. 10-Jun-08 10.11 21.80 1.30 1.69 12.90 Severely Wasted Normal
FEMALE
1 Roque, Rafaela B. 20-May-13 6.00 12.50 1.09 1.19 10.52 Severely Wasted Normal
2 De Castro, Veara Emery 21-May-14 5.00 11.50 1.00 1.00 11.50 Severely Wasted Normal
3 Rosales, Precious Trezh Caroline A. 7-Dec-12 6.05 11.80 1.07 1.14 10.31 Severely Wasted Normal
4 109596180054 Dimaano, Elthea Princess Shaine M. 19-Apr-13 6.01 13.00 1.08 1.17 11.15 Severely Wasted Normal
5 109596180057 Revadillo, Arianny E. 26-Feb-13 6.03 13.00 1.10 1.21 10.74 Severely Wasted Normal
6 109596180035 Dela Silva, Aliyah Baliton 26-Apr-13 6.01 11.20 1.04 1.08 10.36 Severely Wasted Stunted
7 109596170017 Cariman, Kyla Mae A. 28-Aug-11 7.09 14.00 1.17 1.37 10.23 Severely Wasted Normal
8 109596170059 Baliton, Princess Joy B. 24-Aug-11 7.09 13.50 1.12 1.25 10.76 Severely Wasted Stunted
9 109596170051 Badilla, Gabriella A. 12-Jun-12 6.11 12.20 1.09 1.19 10.27 Severely Wasted Stunted
10 107355140090 Sodsod, Rubelyn Patilano 18-Jun-09 9.11 17.70 1.22 1.49 11.89 Severely Wasted Stunted
11 Salvaña, Nicole B. 19-Aug-06 12.09 24.00 1.35 1.82 13.17 Severely Wasted Stunted
12 109596140060 Bolia, Jamaica Lexine S. 15-Sep-09 9.08 19.00 1.26 1.59 11.97 Severely Wasted Normal
13 109596140062 De La Silva, Raiza Baliton 20-Dec-08 10.05 17.00 1.25 1.56 10.88 Severely Wasted Stunted
14 109596140073 Raquiza, Princess Gwyneth T. 13-Jul-09 9.10 18.00 1.23 1.51 11.90 Severely Wasted Stunted
 SUMMARY TABLE

Nutritional Status Height for Age (HFA)

Summary Table Summary Table
SEX
Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal Tall To
Wasted Stunted
MALE 12 0 0 0 0 12 1 2 9 0 1
FEMALE 14 0 0 0 0 14 0 7 7 0 1
TOTAL 26 0 0 0 0 26 1 9 16 0 2

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

6/4/2019 JOSEFINA M. MAGADIA

SFRT 2017
Note: This area is NOT included in printing. Use A4.
SF8 retreived from http://support.lis.deped.gov.ph/support/downloads/schoolforms/School%20Form%208%20SF8%20Learner%20Basic%20Health%20and%20Nutrition%20Report.xlsx
Growth reference retrieved from http://www.who.int/growthref/en/
Developed by Michael Angelo B. Pagara https://www.facebook.com/michaelangelopagara
for questions and suggestions contact me
or All Grade Levels)
IV-A CALABARZON

2019-2020

Remarks

Mam Kaycee
Mam Kaycee
Mam Kaycee
I- Ipil
I- Yakal
I- Narra
III- Sampaguita
III- Rose
V- Rizal
V- Luna
VI- Bonifacio
VI- Del Pilar

Mam Kaycee
Mam kaycee
I- Narra
I- Yakal
I- Yakal
I- Ipil
II- Dao
II- Acacia
II- Acacia
IV- Camia
IV- Daisy
V- Rizal
V- Mabini
V- Mabini
MMARY TABLE

Height for Age (HFA)

Summary Table

Total

12
14
26