SF 8

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

School Name KABULING LEARNING CENTER INC. District BAGUMBAYAN Division

School ID 205397 Grade 6 Section IST CORINTHIANS Track/Strand (SHS)

Learner's Name
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Extension, Age
(MM/DD/YYYY) (kg) (m) (m²)
Middle Name)
MALE
 Learner's Name
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Extension, Age
(MM/DD/YYYY) (kg) (m) (m²)
Middle Name)

FEMALE
 Learner's Name
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Extension, Age
(MM/DD/YYYY) (kg) (m) (m²)
Middle Name)

SUMMARY TABLE
Nutritional Status
Summary Table
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted
Wasted Stunted
MALE 1 1 7 0 0 9
FEMALE 3 1 6 2 0 12
TOTAL 4 2 13 2 0 21

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

JUNE 29 2008 JEOBERT H. PARCON
 SULTAN KUDARAT Region XII

School Year 2018-2019

Nutritional Status
Height for
BMI BMI Remarks
Age (HFA)
(kg/m²) Category
 Nutritional Status
Height for
BMI BMI Remarks
Age (HFA)
(kg/m²) Category
 Nutritional Status
Height for
BMI BMI Remarks
Age (HFA)
(kg/m²) Category

Height for Age (HFA)

Summary Table
Normal Tall Total

Reviewed By:

SFRT 2017