School Level NS-Form 1

Department of Education
Region
Division of
School Nutritional Status Record
District:
School: Date of Weighing: June 15, 2017
Grade & Section:

Date of Weight Height BMI

Learner's Name Age (Height)² (m²) Nutritional Status
Birth (kg) (m) (kg/m²)
MALE
6/15/2001 16.00 30 1.3 1.69 17.75 #REF!
7/6/2002 14.11 28 1.4 1.96 14.29 Severely Wasted
8/22/2003 13.09 26 1.6 2.56 10.16 #REF!
10/6/2003 13.08 37 1.35 1.82 20.33 #REF!
2/25/2002 15.03 20 1.11 1.23 16.26 #REF!
8/14/1999 17.10 40 1.14 1.3 30.77 #REF!
7 test 10/6/2003 13.08 37 1.35 1.82 20.33 #REF!
2/25/2002 15.03 20 1.11 1.23 16.26 #REF!
8/14/1999 17.10 40 1.14 1.3 30.77 #REF!
10/6/2003 13.08 37 1.35 1.82 20.33 #REF!
2/25/2002 15.03 20 1.11 1.23 16.26 #REF!
8/14/1999 17.10 40 1.14 1.3 30.77 #REF!
10/6/2003 13.08 37 1.35 1.82 20.33 #REF!
2/25/2002 15.03 20 1.11 1.23 16.26 #REF!
8/14/1999 17.10 40 1.14 1.3 30.77 #REF!
10/6/2003 #N/A 37 1.35 1.82 20.33 #REF!
2/25/2002 #N/A 20 1.11 1.23 16.26 #REF!
8/14/1999 #N/A 40 1.14 1.3 30.77 #REF!
#N/A
FEMALE
5/15/2003 14.01 10 1.12 1.25 8 #REF!
12/1/2002 14.06 40 1.35 1.82 21.98 #REF!
11/20/2001 15.06 35 1.11 1.23 28.46 #REF!
10/6/2003 13.08 24 1.14 1.3 18.46 #REF!
2/25/2002 15.03 20 1.35 1.82 10.99 #REF!
8/14/1999 17.10 20 1.11 1.23 16.26 #REF!
10/6/2003 13.08 40 1.14 1.3 30.77 #REF!
2/25/2002 15.03 37 1.35 1.82 20.33 #REF!
8/14/1999 17.10 20 1.11 1.23 16.26 #REF!
10/6/2003 13.08 40 3.14 9.86 4.06 #REF!
2/25/2002 15.03 37 2.12 4.49 8.24 #REF!
8/14/1999 17.10 20 5.01 25.1 0.8 #REF!
10/6/2003 13.08 40 1.14 1.3 30.77 #REF!
2/25/2002 15.03 37 1.35 1.82 20.33 #REF!
8/14/1999 17.10 20 1.11 1.23 16.26 #REF!
10/6/2003 13.08 40 1.14 1.3 30.77 #REF!
2/25/2002 15.03 37 1.35 1.82 20.33 #REF!
8/14/1999 17.10 20 1.11 1.23 16.26 #REF!
10/6/2003 13.08 40 1.14 1.3 30.77 #REF!
2/25/2002 15.03 37 1.35 1.82 20.33 #REF!
8/14/1999 17.10 20 1.11 1.23 16.26 #REF!
5/15/2003 14.01 10 1.12 1.25 8 #REF!
12/1/2002 14.06 40 1.35 1.82 21.98 #REF!
11/20/2001 15.06 35 1.11 1.23 28.46 #REF!
10/6/2003 13.08 24 1.14 1.3 18.46 #REF!
 WedzmerDesigns

Severely
Summary Table Wasted Normal Overweight Obese TOTAL
Wasted
MALE 1 0 0 0 0 1
FEMALE 0 0 0 0 0 0
TOTAL 1 0 0 0 0 1

Severely
Percentage Summary Wasted Normal Overweight Obese TOTAL
Wasted
MALE #N/A #N/A #N/A #N/A #N/A #N/A
FEMALE #N/A #N/A #N/A #N/A #N/A #N/A
TOTAL #N/A #N/A #N/A #N/A #N/A #N/A
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SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
School Name WEST CITY CENTRAL SCHOOL District WEST I Division CAGAYAN DE ORO CITY Region X

School ID 127995 Grade THREE Section GRAPES Track/Strand (SHS) NA School Year 2019-2020

Learner's Name Nutritional Status

Birthdate Weight Height Height² Height for Age
No. LRN (Last Name, First Name, Name Extension, Age BMI Remarks
(MM/DD/YYYY) (kg) (m) (m²) BMI Category (HFA)
Middle Name) (kg/m²)
MALE
1 127960150028 BANCURE,CYRUS, DAHALOS 2/26/2010 9.04 21.00 1.23 1.51 13.88 Normal Normal
2 128003160050 CALLAO,PRINCE DARREN, PACLAR 11/19/2010 8.07 22.00 2.27 5.15 4.27 Severely Wasted Tall
3 127959160031 DIAZ,ANTHONY JAMES, DELEGARIO 6/22/2011 8.00 28.00 1.22 1.49 18.81 Normal Normal
4 127995160008 ENOBIO,CLINT JUNE, GERONG 6/26/2010 9.00 31.00 1.27 1.61 19.22 Normal Normal
5 127995160150 GALULA,RONNY BOY, MALAPAD 11/25/2010 8.07 17.00 1.15 1.32 12.85 Wasted Stunted
6 127995150475 GALUPO,GLEN RUSEL, MAPOY 6/30/2010 8.11 1.27 1.27 1.61 0.79 Severely Wasted Normal
7 127995160242 GAMANA,PRINCE JAY, SALVAN 1/27/2011 8.04 27.00 1.29 1.66 16.22 Normal Normal
8 127995160719 LATONIO,PRINCE GABRIEL, ARIOLA 8/8/2009 9.10 34.50 1.30 1.69 20.41 Normal Normal
9 408729170152 MOGNIE,ABDULHAZIB, MINODAR 4/6/2010 9.02 22.00 1.20 1.44 15.28 Normal Stunted
10 127995160663 PALMA,KIRBYKYLE, GABOY 10/15/2010 8.08 23.50 1.22 1.49 15.79 Normal Normal
11 127995160072 RAPADAS,EMMANUEL CARLO, MILAN 12/25/2010 8.06 19.50 1.16 1.35 14.49 Normal Stunted
12 462009160020 SAPAYAN,JACOB, LUSPO 12/28/2010 8.05 21.50 1.27 1.61 13.33 Normal Normal
13 127995160411 TABON,ANTON NICOLAI, FAINGANAN 2/9/2011 8.04 24.20 1.18 1.39 17.38 Normal Normal
14 127995160227 TAGUIC,ERV JUDD, UBA 6/17/2011 8.00 44.00 1.30 1.69 26.04 Obese Normal
15 127995160641 VIBAR,EARL JAY, ZAMORA 5/13/2011 8.01 20.50 1.21 1.46 14.00 Normal Normal
16 127995160658 WIEGAND,AMISH ALTHEO, ZAFICO 6/21/2011 8.00 30.00 1.30 1.69 17.75 Normal Normal
FEMALE
1 127995160161 ANOCHE,MARY KRIS, GAMAYA 11/10/2010 8.07 27.00 1.23 1.51 17.85 Normal Normal
2 127995160594 BERNALDEZ,JULY GRACE MARIE, - 7/5/2011 7.11 20.00 1.15 1.32 15.12 Normal Normal
3 127995170536 BOYLES,PRECIOUS, ETTA 12/28/2010 8.05 22.00 1.23 1.51 14.54 Normal Normal
4 127995160615 BROÑOLA,SAM ERICH, MINDORO 7/14/2011 7.11 30.00 1.32 1.74 17.22 Normal Normal
5 127995160300 CABARDO,SHANI, CABATUAN 3/26/2011 8.03 25.00 1.22 1.49 16.80 Normal Normal
 Learner's Name Nutritional Status
Birthdate Weight Height Height² Height for Age
No. LRN (Last Name, First Name, Name Extension, Age BMI Remarks
(MM/DD/YYYY) (kg) (m) (m²) BMI Category (HFA)
Middle Name) (kg/m²)
6 127995160142 DAHUYAG,SHAIRA FAITH, ABANACION 4/30/2011 8.01 17.50 1.16 1.35 13.01 Normal Normal
7 127977160194 DALAGUIADO,YNNA NICOLE, YAÑEZ 12/28/2010 8.05 28.00 1.30 1.69 16.57 Normal Normal
8 127995160398 DONGUINES,STEPHANIE, PACUIN 11/17/2009 9.07 27.00 1.28 1.64 16.48 Normal Normal
9 127995160264 DURADO,ANDY NICE, PELIGRINO 12/14/2009 9.06 18.50 1.24 1.54 12.03 Severely Wasted Normal
10 127995160491 ENOPIA,LYZA MAE, MAISOG 3/17/2010 9.03 25.00 1.22 1.49 16.80 Normal Normal
11 127995150900 ENOPIA,VER LOVELY ROSE 6/1/2010 9.00 31.50 1.26 1.59 19.84 Normal Normal
12 462009150029 FLORES,CAITLIN BRILLIAN, LINAO 5/28/2011 8.00 27.00 1.25 1.56 17.28 Normal Normal
13 127995160076 HUMADLA,MARNIE JEAN, OLIVAR 5/17/2011 8.01 25.00 1.28 1.64 15.26 Normal Normal
14 127995160100 MAGLAYA,LOREN MAY, CABUGWAS 5/16/2011 8.01 18.00 1.13 1.28 14.10 Normal Stunted
15 127993160137 MAHINAY,ANGEL NICOLE, DANTES 2/5/2010 9.04 23.00 1.23 1.51 15.20 Normal Normal
16 127995160627 MIPRANUM,JELYN, - 2/23/2011 8.04 20.00 1.14 1.30 15.39 Normal Stunted
17 127995160652 ROSAL,JEWEL, BALAMAD 1/3/2011 8.05 29.00 1.22 1.49 19.48 Normal Normal
18 127995160655 TARAYO,ANGEL GRACE, MOSQUEDA 10/25/2010 8.08 21.50 1.17 1.37 15.71 Normal Stunted
19 127995160421 TORINO,ROBELYN, MARTORILLAS 4/19/2011 8.02 17.00 1.11 1.23 13.80 Normal Stunted
20 127995160550 ZAMORA,REBECCA AIKA, ABISO 7/22/2011 7.11 36.00 1.26 1.59 22.68 Overweight Normal

SUMMARY TABLE

Nutritional Status Height for Age (HFA)

Summary Table Summary Table
SEX
Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal Tall Total
Wasted Stunted
MALE 2 1 12 0 1 16 0 3 12 1 16
FEMALE 1 0 18 1 0 20 0 4 16 0 20
TOTAL 3 1 30 1 1 36 0 7 28 1 36

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

6/26/2019 AIREEN M. ABCEDE
 Learner's Name Nutritional Status
Birthdate Weight Height Height² Height for Age
No. LRN (Last Name, First Name, Name Extension, Age BMI Remarks
(MM/DD/YYYY) (kg) (m) (m²) BMI Category (HFA)
Middle Name) (kg/m²)
SFRT 2017
SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
School Name WEST CITY CENTRAL SCHOOL District WEST I Division CAGAYAN DE ORO CITY Region X

School ID 127995 Grade THREE Section GRAPES Track/Strand (SHS) NA School Year 2019-2020

Learner's Name Nutritional Status

Birthdate Weight Height Height² Height for Age
No. LRN (Last Name, First Name, Name Extension, Age BMI Remarks
(MM/DD/YYYY) (kg) (m) (m²) BMI Category (HFA)
Middle Name) (kg/m²)
MALE
5 6/26/2010 8.07
6 6/26/2010 8.11 22.00 1.27 1.61 13.64 Normal Normal
7 6/26/2010 8.04
8 6/26/2010 9.10
9 6/26/2010 9.02 22.00 1.27 1.61 13.64 Normal Normal
10 6/25/2010 8.08
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
 Learner's Name Nutritional Status
Birthdate Weight Height Height² Height for Age
No. LRN (Last Name, First Name, Name Extension, Age BMI Remarks
(MM/DD/YYYY) (kg) (m) (m²) BMI Category (HFA)
Middle Name) (kg/m²)
FEMALE
1
2
3
4
5
6
7
8
9
10
11
12
13
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

SUMMARY TABLE
 Learner's Name Nutritional Status
Birthdate Weight Height Height² Height for Age
No. LRN (Last Name, First Name, Name Extension, Age BMI Remarks
(MM/DD/YYYY) (kg) (m) (m²) BMI Category (HFA)
Middle Name) (kg/m²)

Nutritional Status Height for Age (HFA)

Summary Table Summary Table
SEX
Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal Tall Total
Wasted Stunted
MALE 0 0 2 0 0 2 0 0 2 0 2
FEMALE 0 0 0 0 0 0 0 0 0 0 0
TOTAL 0 0 2 0 0 2 0 0 2 0 2

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

1/31/2018 AIREEN M. ABCEDE

SFRT 2017