Department of Education

NUTRITIONAL STATUS RECORD

Name of School KATIPUNAN VILLAGE ES School ID 117684 Region VI WESTERN VISA
Grade Level TWO Section ROXAS District III #VALUE!
Date of Weighing September 1, 2022 S.Y 2022-2023 Division ROXAS CITY

Height (In
NAMES BIRTHDAY SEX Weight (In Kg) meters) NS HS
Body Mass
Index*
1 . AGUILLON, XYRUZ C. 6/5/2016 M 30 1.32 17.2 Normal TALL
2 . ALEJAGA, JHON EDUARD A. 2/15/2016 M 24 1.23 15.9 Normal NORMAL
3 . BAYAGA, JATHNIEL B. 5/20/2016 M 23 1.2 16.0 Normal NORMAL
4 . BOLIVER, THIRD A. 6/1/2016 M 23 1.22 15.5 Normal NORMAL
5 . BOMBAES, REDZ O. 9/4/2016 M 39 1.32 22.4 Obese TALL
6 . CABALLERO, JEREMIAH D. 9/23/2015 M 21 1.16 15.6 Normal NORMAL
7 . ESPORMA, CHLARK VINCENT Z. 7/19/2016 M 46 1.36 24.9 Obese TALL
8 . ESTEBAN, CLARK MCKENZIE B. 2/16/2016 M 44 1.41 22.1 Obese TALL
9 . OROLA, NIELSON LUKE A. 3/11/2016 M 20 1.23 13.2 Normal NORMAL

1 . BALGOS, CHRISSAM B. 2/13/2016 F 23 1.24 15.0 Normal NORMAL

2 . BENOSA, BERNA MAE D 11/16/2015 F 24 1.2 16.7 Normal NORMAL
3 . CLAY, LEIANN CRISTINE C. 12/16/2015 F 31 1.42 15.4 Normal TALL
4 . DELA FUENTE, CLENT FR T. 6/8/2016 F 33 1.39 17.1 Normal TALL
5 . DELGADO, SAPPHIRE G. 12/12/2015 F 21 1.21 14.3 Normal NORMAL
6 . DERRAMAS, RHEA ELEXZA A. 11/1/2015 F 23 1.27 14.3 Normal NORMAL
7 . ESTRELLA, CHANDRIA B. 7/21/2016 F 22 1.2 15.3 Normal NORMAL
8 . FAGTANAN, URIEL ANDREA F. 6/28/2016 F 23 1.3 13.6 Normal TALL
9 . FELIPE, JERMAINIE TEREINA D. 7/10/2016 F 20 1.15 15.1 Normal NORMAL
10 . FRANCISCO, HOPE ELIZABETH V. 7/31/2016 F 26 1.24 16.9 Normal NORMAL
11 . MILLARES, KYRA CASSANDRA L. 8/20/16 F 24 1.23 15.9 Normal NORMAL
12 . NAVEA, RELLYZA B. 10-7-2-16 F 20 1.2 13.9 1
13 . NICOLAS, YLOUNA YZABEL D. 1/1/16 F 49 1.28 29.9 Obese NORMAL
14 . SOLIS, MARY MHARGARETTE, E. 4/15/16 F 30 1.26 18.9 Normal NORMAL
15 . VALDEZ, JHAIRAH MAE B. 3/29/16 F 24 1.24 15.6 Normal NORMAL

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BOYS 9 Percentage Class Percentage TALL
Severely Wasted : 0 0% Severely Wasted 0% TALL
Wasted : 0 0% Wasted 0% NORMAL
Normal : 6 67% Normal 71% NORMAL
Overweight : 0 0% Overweight 0% NORMAL
Obese : 3 33% Obese 17% TALL
GIRLS 15 Percentage NORMAL
Severely Wasted : 0 0% NORMAL
Wasted : 0 0% NORMAL
Normal : 11 73%
Overweight : 0 0%
Obese : 1 7% NORMAL
NORMAL
Prepared by: NORMAL

KARLA MAE V. CALIXTO

Adviser
SF 8

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

School Name KATIPUNAN VILLAGE ES District III Division ROXAS CITY Region VI

School ID 117684 Grade TWO Section ROXAS Track/Strand (SHS) School Year 2022-2023

Learner's Name Nutritional Status

Birthdate Weight Height
No. LRN (Last Name, First Name, Name Age Height² (m²) BMI Height for Age (HFA) Remarks
(MM/DD/YYYY) (kg) (m) BMI Category
Extension, Middle Name) (kg/m²)
MALE
1 107887170078 AGUILLON, XYRUZ C. 6/5/2016 6 30 1.32 1.74 17.22 Normal Tall
2 117684170031 ALEJAGA, JHON EDUARD A. 2/15/2016 6 24 1.23 1.51 15.86 Normal Normal
3 117684170011 BAYAGA, JATHNIEL B. 5/20/2016 6 23 1.2 1.44 15.97 Normal Normal
4 114844170008 BOLIVER, THIRD A. 6/1/2016 6 23 1.22 1.49 15.45 Normal Normal
5 117684170014 BOMBAES, REDZ O. 9/4/2016 5 39 1.32 1.74 22.38 Obese Tall
6 117684170036 CABALLERO, JEREMIAH D. 9/23/2015 6 21 1.16 1.35 15.61 Normal Normal
7 117684170030 ESPORMA, CHLARK VINCENT Z. 7/19/2016 6 46 1.36 1.85 24.87 Obese Tall
8 117684170013 ESTEBAN, CLARK MCKENZIE B. 2/16/2016 6 44 1.41 1.99 22.13 Obese Tall
9 443503170012 OROLA, NIELSON LUKE A. 3/11/2016 6 20 1.23 1.51 13.22 Normal Normal
117684170024 12/30/1899
115651170002 12/30/1899
117684170010 12/30/1899
117684170022 12/30/1899
443503160104 12/30/1899

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 Learner's Name Nutritional Status
Birthdate Weight Height
No. LRN (Last Name, First Name, Name Age Height² (m²) BMI Height for Age (HFA) Remarks
(MM/DD/YYYY) (kg) (m) BMI Category
Extension, Middle Name) (kg/m²)

FEMALE
1 438521160002 BALGOS, CHRISSAM B. 2/13/2016 6 23 1.24 1.54 14.96 Normal Normal
4 117684170028 BENOSA, BERNA MAE D 11/16/2015 6 24 1.20 1.44 16.67 Normal Normal
5 117684170017 CLAY, LEIANN CRISTINE C. 12/16/2015 6 31 1.42 2.02 15.37 Normal Tall
6 117662170148 DELA FUENTE, CLENT FR T. 6/8/2016 6 33 1.39 1.93 17.08 Normal Tall
7 443507170017 DELGADO, SAPPHIRE G. 12/12/2015 6 21 1.21 1.46 14.34 Normal Normal
8 117684180051 DERRAMAS, RHEA ELEXZA A. 11/1/2015 6 23 1.27 1.61 14.26 Normal Normal
9 117684170003 ESTRELLA, CHANDRIA B. 7/21/2016 6 22 1.20 1.44 15.28 Normal Normal
10 120267170325 FAGTANAN, URIEL ANDREA F. 6/28/2016 6 23 1.30 1.69 13.61 Normal Tall
11 117684170015 FELIPE, JERMAINIE TEREINA D. 7/10/2016 6 20 1.15 1.32 15.12 Normal Normal
12 117684170025 FRANCISCO, HOPE ELIZABETH V. 7/31/2016 6 26 1.24 1.54 16.91 Normal Normal
13 116232150034 MILLARES, KYRA CASSANDRA L. 12/12/2010 11 24 1.23 1.51 15.86 Normal Normal
### 131152180066 Err:508 7/6/2010 Err:508 Err:508 Err:508 Err:508 Err:508 Err:508 Err:508
15 NAVEA, RELLYZA B. 10-7-2-16 #VALUE! 20 1.20 1.44 13.89 TRUE
16 NICOLAS, YLOUNA YZABEL D. 1/1/2016 6 49 1.28 1.64 29.91 Obese Normal
17 SOLIS, MARY MHARGARETTE, E. 12/30/1899 122 30 1.26 1.59 18.90 Normal Normal
18 VALDEZ, JHAIRAH MAE B. 12/30/1899 122 24 1.24 1.54 15.61 Normal Normal
12/30/1899
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12/30/1899

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 0 6 0 3 9 0 0 5 4 9
FEMALE 0 0 11 0 1 12 0 0 9 3 12
TOTAL 0 0 17 0 4 21 0 0 14 7 21

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

SFRT 2017
 #VALUE!

SCHOOL :KATIPUNAN VILLAGE ES DISTRICT: III, GRADE LEVEL: TWO

Age in Raw Ht. Div. Raw

NO. NAME OF PUPILS BIRTHDAY SEX Mos. Ht./cm. 100cm. Ht. in m2 Wt./kgs. BMI Nut. Status Ht.Status

1 . AGUILLON, XYRUZ C. 6/5/16 M 74 132 1.32 1.7424 30 17.2 Normal TALL

2 . ALEJAGA, JHON EDUARD A. 2/15/16 M 78 123 1.23 1.5129 24 15.9 Normal NORMAL

3 . BAYAGA, JATHNIEL B. 5/20/16 M 75 120 1.2 1.44 23 16.0 Normal NORMAL

4 . BOLIVER, THIRD A. 6/1/16 M 75 122 1.22 1.4884 23 15.5 Normal NORMAL

5 . BOMBAES, REDZ O. 9/4/16 M 71 132 1.32 1.7424 39 22.4 Obese TALL

6 . CABALLERO, JEREMIAH D. 9/23/15 M 83 116 1.16 1.3456 21 15.6 Normal NORMAL

7 . ESPORMA, CHLARK VINCENT Z. 7/19/16 M 73 136 1.36 1.8496 46 24.9 Obese TALL

8 . ESTEBAN, CLARK MCKENZIE B. 2/16/16 M 78 141 1.41 1.9881 44 22.1 Obese TALL

9 . OROLA, NIELSON LUKE A. 3/11/16 M 77 123 1.23 1.5129 20 13.2 Normal NORMAL

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1 . BALGOS, CHRISSAM B. 2/13/16 F 78 124 1.24 1.5376 23 15.0 Normal NORMAL

2 . BENOSA, BERNA MAE D 11/16/15 F 81 120 1.2 1.44 24 16.7 Normal NORMAL

3 . CLAY, LEIANN CRISTINE C. 12/16/15 F 80 142 1.42 2.0164 31 15.4 Normal TALL

4 DELA FUENTE, CLENT FR T. 6/8/16 F 74 139 1.39 1.9321 33 17.1 Normal TALL

5 DELGADO, SAPPHIRE G. 12/12/15 F 80 121 1.21 1.4641 21 14.3 Normal NORMAL

6 DERRAMAS, RHEA ELEXZA A. 11/1/15 F 82 127 1.27 1.6129 23 14.3 Normal NORMAL

7 ESTRELLA, CHANDRIA B. 7/21/16 F 73 120 1.2 1.44 22 15.3 Normal NORMAL

8 FAGTANAN, URIEL ANDREA F. 6/28/16 F 74 130 1.3 1.69 23 13.6 Normal TALL

9 FELIPE, JERMAINIE TEREINA D. 7/10/16 F 73 115 1.15 1.3225 20 15.1 Normal NORMAL

10 FRANCISCO, HOPE ELIZABETH V. 7/31/16 F 73 124 1.24 1.5376 26 16.9 Normal NORMAL

11 MILLARES, KYRA CASSANDRA L. 8/20/16 F 72 123 1.23 1.5129 24 15.9 Normal NORMAL

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12 NAVEA, RELLYZA B. 10-7-2-16 F ### 120 1.2 1.44 20 13.9 1

13 NICOLAS, YLOUNA YZABEL D. 1/1/16 F 80 128 1.28 1.6384 49 29.9 Obese NORMAL

14 SOLIS, MARY MHARGARETTE, E. 4/15/16 F 76 126 1.26 1.5876 30 18.9 Normal NORMAL

15 VALDEZ, JHAIRAH MAE B. 3/29/16 F 77 124 1.24 1.5376 24 15.6 Normal NORMAL
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NO. of Pupils: Prepared by:

Male: 9
Female 15 KARLA MAE V. CALIXTO
Total: 24 Adviser

BMI: Male Female

Severely Wasted 0 0
Wasted 0 0
Normal 6 11
Overweight 0 0
Obese 3 1
Total 9 12