Republic of the Philippines

Dmpartment of Education
Negros Island Region
GUIHULNGAN CITY DIVISION

NUTRITIONAL STATUS RECORD

District: ____________________________
School: ____________________________
Grade & Section:____________________
Date of Weighing:___________________

Age of Weight Height Body

No. Name Birthday Date of (in Kg) (in meters) Mass NS
Weighing Index
12/26/200513.506/10/2019 16 1.04
 BODY MASS INDEX ( BMI )
Grade Enrolment Pupils Weight Severely Wasted Normal Overweight Obese
Level Wasted
No. % No. % No. % No. % No. % No. %
Male
Female
Total

Prepared by: Noted:

___________________________________ __________________________________
Adviser School Head
 Republic of the Philippines
Dmpartment of Education
Negros Island Region
GUIHULNGAN CITY DIVISION

NUTRITIONAL STATUS RECORD

Distric NABUA WEST DISTRICT
School: NABUA WEST CENTRAL SCHOOL
Grade & Sectio GRADE 5 JACINTO
Date of Weighing:___________________

Age of Weight Height Body

No. Name Birthday Date of (in Kg) (in meters) Mass NS
Weighing Index
1 AGAPITO, REY R. 12/26/200513.506/10/2019 16 1.04
2 BABILA, JEMEL B.
3 BABILA, ULYCESS F.
4 BAENO, CARL ADRIAN S.
5 BELTRAN, ARJAY J.
6 BENICO,JAKE P.
7 BENICO, JOHN CEDRIC D.
8 BONOT, JOSHUA D.
9 BOLIVAL, EMMANUEL M.
10 CORTES, KRIS FROILAN G.
11 DAYUPAY, JONEL L.
12 DELATADO, SHIYAN JAMES R.
13 GUMAPANG, GERALD A.
14 HALABAS, JHON MARC B.
15 LAMADO, BRYAN D.
16 LOMEDA, TERENCE G.
17 LOMENARIO, JORENCE FRANCIS D.
18 MORANTE, VINCENT
19 NAGALES, LUIS ANDREW P.
20 PARANAL, JORGE ANGELO L.
21 SALES, JOHN JOSEPH P.
22 APONDAR, DIANE JOY D.
23 AZUR, MARY FRANCE B.
24 BALDOZA, ANNA C.
 25 BEROIN, ALEXA R.
26 CEPE, ZAIRA B.
27 ENCINAS, PRINCESS DIANE B.
28 MADRIGAL, JADE C.
29 MIRANDA, JULIE ANN P.
30 NUNEZ, MARY JOY R.
31 ORCALES, KAYE P.
32 PALLEGA, ANGEL A.
33 ROMERO, ABEGAIL A.
34 SILVANO, VERONICA D.
35 VELITARIO, KIM A.

BODY MASS INDEX ( BMI )

Grade Enrolment Pupils Weight Severely Wasted Normal Overweight Obese
Level Wasted
No. % No. % No. % No. % No. % No. %
Male
Female
Total

Prepared by: Noted:

___________________________________ __________________________________
Adviser School Head