Department of Education

NUTRITIONAL STATUS RECORD

Name of School LOKEB NORTE NATIONAL HIGH SCHOOL School ID 300212 Region 1 2022
Grade Level 10 Section DIAMOND District 1 2021
Date of Weighing August 30, 2022 S.Y 2022-2023 Division PANGASINAN I

Weight (In Height (In Body

NAMES BIRTHDAY SEX
Mass NS HS
Kg) meters)
Index*
1. ALMAZAN LORENZ J.
2. BAUTISTA, AL FRANCIS R. 7/3/07 M 40 1.58 16.0 Normal NORMAL
3. CABILANGAN, LEO, JR. V. 5/10/05 M 49 1.55 20.4 Normal STUNTED
4. CASACLANG, JOHN REX O. 9/3/07 M 48 1.57 19.5 Normal NORMAL
5. CEREZO, MAR ANGELO P. 12/27/05 M 60 1.78 18.9 Normal NORMAL
6. GALZOTE, LENARD V. 12/07/06 M 41 1.49 18.5 Normal STUNTED
7. JARILLA, JOHN KENNETH DG. 2/23/07 M 65 1.6 25.4 Normal NORMAL
8. MALONG, JIM MARK DV. 11/6/07 M 51 1.68 18.1 Normal NORMAL
9. MAMARIL, DENVER B. 7/29/07 M 55 1.62 21.0 Normal NORMAL
10 . OMILIO, JIMMUEL F. 8/6/07 M 32 1.38 16.8 Normal SEVERELY STUNTED
11 . OPISTAN, OLIVER A. 12/29/06 M 50 1.57 20.3 Normal NORMAL
12 . PATUNGAN, MARK KENETH 1/17/07 M 54 1.56 22.2 Normal NORMAL
13 . PANGANIBAN, HOMAR B. 12/27/05 M 50 1.56 20.5 Normal STUNTED
14 . RANQUE, JOSHUA O. 1/16/07 M 50 1.63 18.8 Normal NORMAL
15 . REYES, KEN CARLO P. 12/21/06 M 65 1.69 22.8 Normal NORMAL
16 . SAMSON, DANIEL B. 12/26/06 M 52 1.7 18.0 Normal NORMAL
17 . SOLIS, JORIZ O. 7/21/06 M 50 1.51 21.9 Normal STUNTED
18 . VALDEZ, JOHN RAVEN T. 5/25/07 M 61 1.82 18.4 Normal NORMAL
19 . VASQUEZ, JOMEL S. 1/6/06 M 56 1.63 21.1 Normal NORMAL
20 . VINOYA, AZRIEL D. 8/30/07 M 49 1.61 18.9 Normal NORMAL
21 . IDOS, RHEYVEN 10/20/08 M 45 1.65 16.5 Normal NORMAL

22 . ASINAS, KATHLEEN JOY T. 12/13/07 F 44 1.5 19.6 Normal NORMAL

23 . CARRERA, JONALYN U. 1/4/07 F 44 1.61 17.0 Normal NORMAL
24 . DE BELEN, CHRISTINE LEAH A. 9/29/06 F 59 1.5 26.2 Normal NORMAL
25 . DE GUZMAN, ERIKA V. 9/5/06 F 55 1.55 22.9 Normal NORMAL
26 . DE GUZMAN, KAYLA J. 9/4/06 F 60 1.58 24.0 Normal NORMAL
27 . FERNANDEZ, ELIZABETH V. 9/18/07 F 45 1.5 20.0 Normal NORMAL
28 . GARCIA, SHEILA MAY G. 9/24/07 F 40 1.53 17.1 Normal NORMAL
29 . MAGALONG, MARIELLE D. 7/28/07 F 40 1.48 18.3 Normal NORMAL
30 . MANANGAN, STEPHANIE F. 8/2/07 F 57 1.47 26.4 Normal STUNTED
31 . MASCUÑANA, CYRUS JANE B. 12/5/06 F 44 1.49 19.8 Normal NORMAL
32 . OMAGTANG, MARY JOYCE B. 9/21/06 F 37 1.47 17.1 Normal STUNTED
33 . UNTALAN, MA. PRINCESS 3/12/08 F 40 1.5 17.8 Normal NORMAL
34 . VASQUEZ, JIERDY D. 3/12/08 F 48 1.55 20.0 Normal NORMAL
35 . ABENES CHERLY MAY 12/31/06 F 48 1.5 21.3 Normal NORMAL
 Department of Education
NUTRITIONAL STATUS RECORD
Name of School LOKEB NORTE NATIONAL HIGH SCHOOL School ID 300212 Region 1 2022
Grade Level 10 Section DIAMOND District 1 2021
Date of Weighing August 30, 2022 S.Y 2022-2023 Division PANGASINAN I
###
BOYS 19 Percentage Class Percentage ###
Severely Wasted : 0 0% Severely Wasted #VALUE! ###
Wasted : 0 0% Wasted #VALUE! ###
Normal : 19 100% Normal #VALUE! ###
Overweight : 0 0% Overweight #VALUE! ###
Obese : 0 0% Obese #VALUE! ###
GIRLS Percentage ###
Severely Wasted : 0 ###
Wasted : 0 ###
Normal : 14 ###
Overweight : 0 ###
Obese : 0 ###
###
Prepared by: ###
###
PAULO A. BALDELOMAR, RN ###
SCHOOL HEALTH COORDINATOR ###
SF 8

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

School Name LOKEB NORTE NATIONAL HIGH SCHOOL District 1 Division PANGASINAN I Region 1

School ID 300212 Grade 10 Section DIAMOND 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 ALMAZAN LORENZ J. 12/30/1899 122 0 0 0.00
2 BAUTISTA, AL FRANCIS R. 7/3/2007 15 40 1.58 2.50 16.02 Normal Normal
3 CABILANGAN, LEO, JR. V. 5/10/2005 17 49 1.55 2.40 20.40 Normal Stunted
4 CASACLANG, JOHN REX O. 9/3/2007 14 48 1.57 2.46 19.47 Normal Normal
5 CEREZO, MAR ANGELO P. 12/27/2005 16 60 1.78 3.17 18.94 Normal Normal
6 GALZOTE, LENARD V. 12/7/2006 15 41 1.49 2.22 18.47 Normal Stunted
7 JARILLA, JOHN KENNETH DG. 2/23/2007 15 65 1.6 2.56 25.39 Normal Normal
8 MALONG, JIM MARK DV. 11/6/2007 14 51 1.68 2.82 18.07 Normal Normal
9 MAMARIL, DENVER B. 7/29/2007 15 55 1.62 2.62 20.96 Normal Normal
10 OMILIO, JIMMUEL F. 8/6/2007 15 32 1.38 1.90 16.80 Normal Severely Stunted
11 OPISTAN, OLIVER A. 12/29/2006 15 50 1.57 2.46 20.28 Normal Normal
12 PATUNGAN, MARK KENETH 1/17/2007 15 54 1.56 2.43 22.19 Normal Normal
13 PANGANIBAN, HOMAR B. 12/27/2005 16 50 1.56 2.43 20.55 Normal Stunted
14 RANQUE, JOSHUA O. 1/16/2007 15 50 1.63 2.66 18.82 Normal Normal
15 REYES, KEN CARLO P. 12/21/2006 15 65 1.69 2.86 22.76 Normal Normal
16 SAMSON, DANIEL B. 12/26/2006 15 52 1.7 2.89 17.99 Normal Normal
17 SOLIS, JORIZ O. 7/21/2006 16 50 1.51 2.28 21.93 Normal Stunted
18 VALDEZ, JOHN RAVEN T. 5/25/2007 15 61 1.82 3.31 18.42 Normal Normal
19 VASQUEZ, JOMEL S. 1/6/2006 16 56 1.63 2.66 21.08 Normal Normal
20 VINOYA, AZRIEL D. 8/30/2007 15 49 1.61 2.59 18.90 Normal Normal
21 IDOS, RHEYVEN 10/20/2008 13 45 1.65 2.72 16.53 Normal Normal
FEMALE
1 ASINAS, KATHLEEN JOY T. 12/13/2007 14 44 1.50 2.25 19.56 Normal Normal
4 CARRERA, JONALYN U. 1/4/2007 15 44 1.61 2.59 16.97 Normal Normal
5 DE BELEN, CHRISTINE LEAH A. 9/29/2006 15 59 1.50 2.25 26.22 Normal Normal
6 DE GUZMAN, ERIKA V. 9/5/2006 15 55 1.55 2.40 22.89 Normal Normal
7 DE GUZMAN, KAYLA J. 9/4/2006 15 60 1.58 2.50 24.03 Normal Normal
8 FERNANDEZ, ELIZABETH V. 9/18/2007 14 45 1.50 2.25 20.00 Normal Normal
9 GARCIA, SHEILA MAY G. 9/24/2007 14 40 1.53 2.34 17.09 Normal Normal
10 MAGALONG, MARIELLE D. 7/28/2007 15 40 1.48 2.19 18.26 Normal Normal
11 MANANGAN, STEPHANIE F. 8/2/2007 15 57 1.47 2.16 26.38 Normal Stunted
12 MASCUÑANA, CYRUS JANE B. 12/5/2006 15 44 1.49 2.22 19.82 Normal Normal
13 OMAGTANG, MARY JOYCE B. 9/21/2006 15 37 1.47 2.16 17.12 Normal Stunted
14 UNTALAN, MA. PRINCESS 3/12/2008 14 40 1.50 2.25 17.78 Normal Normal
15 VASQUEZ, JIERDY D. 3/12/2008 14 48 1.55 2.40 19.98 Normal Normal
16 ABENES CHERLY MAY 12/31/2006 15 48 1.50 2.25 21.33 Normal Normal

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 19 0 0 19 1 4 14 0 19
FEMALE 0 0 14 0 0 14 0 2 12 0 14
TOTAL 0 0 33 0 0 33 1 6 26 0 33

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

SFRT 2017
 NUTRITIONAL STATUS (Baseline: [ ] Endline: [ ]) S.Y. : 2021 - 2022

SCHOOL :LOKEB NORTE NATIONAL HIGH SCHOOL DISTRICT: 1, GRADE LEVEL: 10

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 . ALMAZAN LORENZ J. 0.0 1472 0 0 0 0

2 . BAUTISTA, AL FRANCIS R. 7/3/07 M 181 158 1.58 2.4964 40 16.0 Normal NORMAL

3 . CABILANGAN, LEO, JR. V. 5/10/05 M 207 155 1.55 2.4025 49 20.4 Normal STUNTED

4 . CASACLANG, JOHN REX O. 9/3/07 M 179 157 1.57 2.4649 48 19.5 Normal NORMAL

5 . CEREZO, MAR ANGELO P. 12/27/05 M 200 178 1.78 3.1684 60 18.9 Normal NORMAL

6 . GALZOTE, LENARD V. 12/7/06 M 188 149 1.49 2.2201 41 18.5 Normal STUNTED

7 . JARILLA, JOHN KENNETH DG. 2/23/07 M 186 160 1.6 2.56 65 25.4 Normal NORMAL

8 . MALONG, JIM MARK DV. 11/6/07 M 177 168 1.68 2.8224 51 18.1 Normal NORMAL

9. MAMARIL, DENVER B. 7/29/07 M 181 162 1.62 2.6244 55 21.0 Normal NORMAL

10 . OMILIO, JIMMUEL F. 8/6/07 M 180 138 1.38 1.9044 32 16.8 Normal SEVERELY STUNTED

11 . OPISTAN, OLIVER A. 12/29/06 M 188 157 1.57 2.4649 50 20.3 Normal NORMAL

12 . PATUNGAN, MARK KENETH 1/17/07 M 187 156 1.56 2.4336 54 22.2 Normal NORMAL

13 . PANGANIBAN, HOMAR B. 12/27/05 M 200 156 1.56 2.4336 50 20.5 Normal STUNTED

14 . RANQUE, JOSHUA O. 1/16/07 M 187 163 1.63 2.6569 50 18.8 Normal NORMAL
15 . REYES, KEN CARLO P. 12/21/06 M 188 169 1.69 2.8561 65 22.8 Normal NORMAL
16 . SAMSON, DANIEL B. 12/26/06 M 188 170 1.7 2.89 52 18.0 Normal NORMAL

17 . SOLIS, JORIZ O. 7/21/06 M 193 151 1.51 2.2801 50 21.9 Normal STUNTED

18 . VALDEZ, JOHN RAVEN T. 5/25/07 M 183 182 1.82 3.3124 61 18.4 Normal NORMAL
19 . VASQUEZ, JOMEL S. 1/6/06 M 199 163 1.63 2.6569 56 21.1 Normal NORMAL
20 . VINOYA, AZRIEL D. 8/30/07 M 180 161 1.61 2.5921 49 18.9 Normal NORMAL
21 . IDOS, RHEYVEN 10/20/08 M 166 165 1.65 2.7225 45 16.5 Normal NORMAL
. 0.0
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22 . ASINAS, KATHLEEN JOY T. 12/13/07 F 176 150 1.5 2.25 44 19.6 Normal NORMAL

23 . CARRERA, JONALYN U. 1/4/07 F 187 161 1.61 2.5921 44 17.0 Normal NORMAL

24 . DE BELEN, CHRISTINE LEAH A. 9/29/06 F 191 150 1.5 2.25 59 26.2 Normal NORMAL

25 DE GUZMAN, ERIKA V. 9/5/06 F 191 155 1.55 2.4025 55 22.9 Normal NORMAL

26 DE GUZMAN, KAYLA J. 9/4/06 F 191 158 1.58 2.4964 60 24.0 Normal NORMAL

27 FERNANDEZ, ELIZABETH V. 9/18/07 F 179 150 1.5 2.25 45 20.0 Normal NORMAL

28 GARCIA, SHEILA MAY G. 9/24/07 F 179 153 1.53 2.3409 40 17.1 Normal NORMAL

29 MAGALONG, MARIELLE D. 7/28/07 F 181 148 1.48 2.1904 40 18.3 Normal NORMAL

30 MANANGAN, STEPHANIE F. 8/2/07 F 180 147 1.47 2.1609 57 26.4 Normal STUNTED

31 MASCUÑANA, CYRUS JANE B. 12/5/06 F 188 149 1.49 2.2201 44 19.8 Normal NORMAL

32 OMAGTANG, MARY JOYCE B. 9/21/06 F 191 147 1.47 2.1609 37 17.1 Normal STUNTED

33 UNTALAN, MA. PRINCESS 3/12/08 F 173 150 1.5 2.25 40 17.8 Normal NORMAL

34 VASQUEZ, JIERDY D. 3/12/08 F 173 155 1.55 2.4025 48 20.0 Normal NORMAL

35 ABENES CHERLY MAY 12/31/06 F 188 150 1.5 2.25 48 21.3 Normal NORMAL
0.0
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NO. of Pupils: Prepared by:

Male: 19
Female PAULO A. BALDELOMAR, RN
Total: 19 Adviser

BMI: Male Female

Severely Wasted 0 0
Wasted 0 0
Normal 19 14
Overweight 0 0
Obese 0 0
Total 19 14