SF 8

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

School Name Puente Elementary School District Carmen Division Cebu Province Region VII

School ID 119198 Grade V Section Love Track/Strand (SHS) School Year 2022-2023

Learner's Name Nutritional Status

Birthdate Weight Height Height for Age
No. LRN (Last Name, First Name, Name Age Height² (m²) BMI Remarks
(MM/DD/YYYY) (kg) (m) BMI Category (HFA)
Extension, Middle Name) (kg/m²)
MALE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31

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
FEMALE
TOTAL

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

SFRT 2017