DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT

MONTHLY WEIGHING AND NUTRITIONAL STATUS

MASTERLIST OF BENEFICIARIES

Name of CDC: CHILD DEVELOPMENT CENTER

Name of CDW:
Location: BARANGAY
City/Municipality/Province: Date of Weighing:

Name of Child Birthday

Nutrional Nutrional Nutrional Name of
No First Name Middle Last Name Sex Year Month Date Date of Age (In Height Weight Status Status Status Parents /
. Name Weighing Mos.) (In cm.) (on (using (using (using Guardian
Kilos) weight-for- Height-for- weight-for-
age) age) height)
1.
2.
3.
4.
5.
6.
7.
8.
9
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.

Legend for Nutrional Status

SU – Severely Underweight Prepared by:
UW – Underweight - CDW
OW – Overweight Name/Position