Republic of the Philippines

Department of Education
Region VIII (Eastern Visayas)
DIVISION OF LEYTE
Government Center, Candahug, Palo, Leyte

SBFP RECIPIENTS' NUTRITIONAL STATUS REPORT MID-FEEDING S.Y. 2019-2020

DISTRICT: ____________________________
SCHOOL: _____________________________

No. of Nutritional Status Before

No. of No. of 4Ps Previous Nutritional Status after 60 days Feeding
GRADE ENROLLMENT SBFP SBFP Feeding
SBFP
Recipients Recipients
Recipients
SW Wasted Normal SW Wasted Normal Overweight Obese
Kinder
I
II
III
IV
V
VI
SPED

TOTAL 0 0 0 0 0 0 0 0 0 0 0 0

Noted: Prepared by:

________________________________________ ____________________________________
School Head SBFP Coordinator