SF 8

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

School Name PANGASINAN NATIONAL HIGH SCHOOL District 2 Division 1 Region 1

School ID 300233 Grade 11 Section GAS 2 Track/Strand (SHS) ACAD School Year 2020-2021

Learner's Name (Last Nutritional Status

Birthdate Weight Height Height for
No. LRN Name, First Name, Name Extension, Middle Age Height² (m²) BMI Remarks
(MM/DD/YYYY) (kg) (m) BMI Category Age (HFA)
Name) (kg/m²)
MALE
1 300233080342 AQUINO, GIAN LEE CRUZ 04/14/04 16 50 1.62 2.6244 19.00 Normal Normal
2 300233080455 BAUTISTA, CARLO AGUSTIN 02/14/04 16 60 1.65 2.7225 22.00 Normal Normal
3 300233080765 CRUZ, JOSEPH MABINI 06/16/04 16 63 1.7 2.89 21.00 Normal Normal
4 300233080878 DELOS SANTOS, MARCO LOPEZ 12/19/04 15 54 1.65 2.7225 19.00 Normal Normal
5 300233080101 FERNANDEZ, KEVIN RUIZ 09/17/04 15 50 1.58 2.4964 20.00 Normal Normal
6 300233080503 MARTINEZ, JOASH PEREZ 03/21/04 16 48 1.65 2.7225 17.00 Wasted Normal
7 300233080327 VENTAYEN, ANGELO MANOBAN 11/18/04 15 55 1.65 2.7225 20.00 Normal Normal

FEMALE
1 300233080506 BATUMBAKAL, GISELLE REYES 09/16/04 15 50 1.6 2.56 19.00 Normal Normal
2 300233080375 BYUN, CINDY GONZALES 06/15/04 16 46 1.53 2.3409 19.00 Normal Normal
3 300233080867 FAJARDO, WENDOLINE SHON 9/4/2004 16 48 1.55 2.4025 19.00 Normal Normal
4 300233080585 GARCIA, AVIANNA MARTINEZ 10/5/2004 16 56 1.57 2.4649 22.00 Normal Normal
5 300233080060 GASPAR, LUNINGNING MAE ASISTIO 10/3/2004 16 48 1.57 2.4649 19.00 Normal Normal
6 300233080586 NUNEZ, MAXPEIN GONZALES 11/27/04 15 60 1.5 2.25 26.00 Overweight Normal
7 300233080886 SANTOS, BEATICE MATEO 02/14/04 16 49 1.6 2.56 19.00 Normal Normal
8 300233080653 VENTANILLA, SHEENA SISON 01/23/04 16 47 1.55 2.4025 19.00 Normal Normal

SUMMARY TABLE
Nutritional Status Height for Age (HFA)
Summary Table Summary Table
SEX Severely
Severely Wasted Wasted Normal Overweight Obese TOTAL Stunted Normal Tall Total
Stunted
MALE 0 1 6 0 0 7 0 0 7 0 7
FEMALE 0 0 7 1 0 8 0 0 8 0 8
TOTAL 0 1 13 1 0 15 0 0 15 0 15

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

SFRT 2017

SFRT 2017