INDIVIDUAL BMI MONITORING FORM

Rank/Name: Pat Jilbert B Borbe

Unit/Office: General Santos City MARPSTA/RMU 12
Birthday: 9/29/1995
Age: 26
Height (m): 1.63 2.6569

Weight (kg): 61
Waist (cm): 85
Hip (cm): 98
Wrist (cm): 15 Female

Body Frame Small Frame Male

Gender: Male 10.866667

Date Taken: 4/15/2022

BMI Result: 23
Normal Weight: 49.2 kgs - 66.2 kgs 66.15681

Ideal Weight if Large Frame:

Right View Front View Left View Weight to Lose: -5.15680999999999

BMI CLASSIFICATION Intervention Package: Certified Correct Signature:
PNP BMI Acceptable Standard: WHO Standard:
PACKAGE B Pat Jilbert B Borbe PLT MARCELINO ANTONIO A NALUS
Normal Normal
Station Chief

Monthly Weight Monitoring

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2020 60 61 61 61 61
2021 59 59 61 61
Signature:
Remarks:
 CONVERT
inches to cm
INCH: 28
CM 71.12