Republic of the Philippines

City/Municipality of SANTO TOMAS Province of L

City/Municipal Social Welfare and Developmen

Weight Monitoring Form

CY 2020-2021
Name of DCC/SNP: TUBOD DAYCARE CENTER
Name of DCW/Volunteer: REBECCA G. BALCITA
Location: TUBOD, SANTO TOMAS, LA UNION
Upon Entry 3 Months After
Name of Children (Surname, Given Sex Date of Age in Height Weight Nutritional Status Date of Age in Height
No. Name Middle Initial) Weighing Mos (cm) (kg) Weight Weight for Height for Summary Weighing Mos (cm)
(m/d/y) for Age Height Age of (m/d/y)
Undernou
rished
Children

1 ABORDO, MARCO B. M 09/21/2020 49 89.5 11 SUW N SsT / 52 95

2 ABORDO, NHAJHIR GHIAN A. M 09/21/2020 57 108 16.8 N N N 60 110
3 BALCITA, ALVIN M 09/21/2020 53 100 15 N N N 56 102
4 BALCITA, JOHN PATRICK F. M 09/21/2020 48 101 14.5 N N N 51 103
5 BALCITA, NATHANIEL S. M 09/21/2020 57 116 20 N N N 60 118
6 BALCITA, RAFFY JOHN, A M 09/21/2020 56 110 17.7 N N N 59 112
7 BAMBA, JOHNJEYLO M 09/21/2020 58 105 17 N N N 61 107
8 CAYETANO, ALDEN N. M 09/21/2020 58 101 16 N N N 61 103
9 DE GUZMAN, EZRAH ELLE F. M 09/21/2020 57 115 19 N N N 60 117
10 DE GUZMAN , JONARD C. M 09/21/2020 53 98 16 N N N 56 100
11 DOMINGO, ROBI D. M 09/21/2020 56 102.1 16.5 N N N 59 104
12 GAYO, CRIS IAN B. M 09/21/2020 56 105 15 N N N 59 107
13 LARANANG, GIAN STORM M 09/21/2020 54 104 16 N N N 57 108
14 LAROCO, CYRELL ANDREI L. M 09/21/2020 58 103.2 16.8 N N N 61 104
15 LUCERO, JUSTINE DAVE M 09/21/2020 59 104 14 N N N 62 106
16 MARINO, PRINCE KHALID M 09/21/2020 56 104 15 N N N 59 105
17 MARZO, CHARLES M 09/21/2020 56 101 14.3 N N N 59 102
18 MORALES, TYLER JOHN M. M 09/21/2020 54 102 17 N N N 57 104
19 PAGAR, FRENSTHER DAVE M 09/21/2020 56 102 15 N N N 59 103
20 PINLAC, JOHN CARL A. M 09/21/2020 56 111.8 16 N N N 59 113
21 ROSELLO, ADAH A. M 09/21/2020 56 102.1 16.9 N N N 59 104
22 SABAN, JEFF IVERSON L. M 09/21/2020 55 114 23 OW N N / 58 115
23 SERANILLA, JHAYRU C. M 09/21/2020 44 99 16 N N N 47 101
24 TOLENTINO, MIKE ANDREI G. M 09/21/2020 55 106 17 N N N 58 107
25 APELLIDO, KYLIE SHAINE B. F 09/21/2020 58 108 17 N N N 61 110
26 BARILLO, MC AIEZSHA F 09/21/2020 51 105 15.3 N N N 54 107
27 BARNACHEA, ROSALIE C. F 09/21/2020 58 97 15 N N N 61 101
28 BOADO, MARIANNE JADE F 09/21/2020 50 107 17 N N N 53 108
29 CARRERA, ALEXANDRIA P. F 09/21/2020 59 101 18 N N N 62 102
30 DELOS SANTOS, MARY JOY F 09/21/2020 57 103 16.5 N N N 60 105
31 DELOS REYES, ELOISA MAE F 09/21/2020 52 92 11 SUW W St / 55 95
32 DULAY, MEAGAN F 09/21/2020 59 95 15 N N St / 62 97
33 DULAY, MELAIZA F 09/21/2020 59 95 15.5 N N St / 62 97
34 EDEM, LOUIZA MAE F 09/21/2020 48 99.9 16.1 N N N 51 101
35 GACAYAN, MALAIKA JANE SHAH F 09/21/2020 40 99.1 16 N N N 43 102
36 HUFALAR, PRINCESS RHIAN C. F 09/21/2020 59 112 17.9 N N N 62 114
37 KO, ZHAINA MARITONI F 09/21/2020 58 100 16 N N N 61 102
38 LAGLIVA, COLLENE JOY P. F 09/21/2020 56 99 14 N N N 59 100
39 LANO, MICA ELLA G. F 09/21/2020 51 93 12 N N St / 54 96
40 LARANANG, RHIANNA T. F 09/21/2020 51 99 15 N N N 54 101
41 MALABANA, HAZEL ANN F 09/21/2020 53 99 15 N N N 56 102
42 MARINO, MA. NICOLE F 09/21/2020 57 98 14 N N N 60 100
43 PAMA, UHNNA MAE J. F 09/21/2020 52 102 16 N N N 55 103
44 SERRANO, JESSSA F 09/21/2020 52 99 14 N N N 55 101
 45 TERMINEZ, ZHYRYL KATE F 09/21/2020 56 103 16 N N N 59 105
46 UCOL JANNAH KEITH G. F 09/21/2020 49 96 14 N N N 52 98
47 VILLANUEVA, SOFHIA LOUISE F 09/21/2020 47 96 15.2 N N N 50 97
Total Number of Undernourished Children 6

Nutritional Status Legend: Prepared by:

Weight for Age
N- Normal SUW: Severly Underweight REBECCA G. BALCITA/CDW
UW- Underweight
SUW- Severely Underweight Name/Position
OW- Overweight

Height for Age

N- Normal
St- Stunted
Sst- Severely Stunted
T- Tall

Weight for Age

N- Normal
W- Wasted
SW- Severely Wasted
OW- Overweight
Ob- Obese
e Philippines
OMAS Province of LA UNION
re and Development Office

toring Form
0-2021

3 Months After 6 Months After Remarks

Weight Nutritional Status Date of Age in Height Weight Nutritional Status
(kg) Weight Weight for Height Summary Weighing Mos (cm) (kg) Weight Weight for Height Summary
for Age Height for Age of (m/d/y) for Age Height for Age of
Undernou Undernou
rished rished
Children Children

14 N N St /
18 N N N
17 N N N
16 N N N
21 N N N
19 N N N
19 N N N
18 N N N
20 N N N
18 N N N
18 N N N
17 N N N
18 N N N
16 N N N
17 N N N
17 N N N
16 N N N
19 N N N
17 N N N
18 N N N
18 N N N
23 N N N
17 N N N
18 N N N
18 N N N
16 N N N
16 N N N
18 N N N
19 N N N
17 N N N
14 N N St /
17 N N St /
17 N N St /
18 N N N
17 N N N
19 N N N
17 N N N
16 N N N
14 N N St /
17 N N N
17 N N N
16 N N N
17 N N N
15 N N N
17 N N N
15 N N N
16 N N N
5

Noted by:

ESTELA L. OLARTE

City/Municipal Social Welfare and Development Officer