CITY SOCIAL WELFARE AND DEVELOPOMENT OFFICE

Cycle – 11 Supplementary Feeding Program

AFTER 120 FEEDING DAYS CONSOLIDATED DATA PER CDC/SNP

Name of Day Care Center/Home-based: __________________________________________________________

WEIGHT FOR AGE 2 YEARS OLD 3 YEARS OLD 4 YEARS OLD TOTAL:
MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE
Normal
Underweight
Severely Underweight
Overweight
TOTAL

STUNTING (HEIGHT FOR AGE) 2 YEARS OLD 3 YEARS OLD 4 YEARS OLD TOTAL:
MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE
Normal
Stunted
Severely Stunted
Tall
TOTAL

WASTING (WEIGHT FOR HEIGHT) 2 YEARS OLD 3 YEARS OLD 4 YEARS OLD TOTAL:
MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE
Normal
Wasted
Severely Wasted
Overweight
TOTAL

2 YEARS OLD 3 YEARS OLD 4 YEARS OLD TOTAL:

MALE FEMALE MALE FEMALE MALE FEMALE MALE FEMALE
Pantawid Member
PWD
Child of Solo Parent
Lactose Intolerant
TOTAL

Prepared by: Noted by: Approved by:

_____________________________ ______________________________ ______________________________

Child Development Teacher/Worker SFP Clerk C/MSWDO/DISTRICT HEAD