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Department of Social Welfare and Development SFP FORM 3-A

Field Office V (BICOL)


Supplementary Feeding Program
WEIGHT MONITORING REPORT
Province: Camarines Norte City/Municipality: Basud Barangay: Mangcamagong
Name of Day Care Center: Name of Child Development Worker: Aileen Borgonia Total No. of Children: 22
UPON ENTRY 1 MONTH AFTER ENTRY
NO. Name of Child Birthdate Sex Dewormi Vitamin A Date of Age in Weight Height Nutritional Date of Age in Weight Height Nutritional
ng Supplemen Weighing Months in Kilos in cm Status Weighing Months in Kilos in cm status
(1st Dose) tation (1st
Dose) W H
1. Jay-em P. Credo 8-11-2019 M Oct. 19, 2023 53 14.0 98.0 N N N
2. Lucas Janzel Era 11-2-2019 M
3. Lucas A. Jardinero 7-17-2019 M Jan. 18, 2024 54 15.0 101 N N N
4. Skylar Bendicio Lowell 5-4-2019 M Oct. 19,2023 56 20.0 110 N N N
5. Liam P. Penaredondo 12-24-18 M Jan. 18, 2024 61 17.0 113 N N N
6. Ziyhane A. Pulido 7-2-2019 M Jan. 18, 2024 54 16.0 106 N N N
7. Kyle D. Rumbawa 7-3-2019 M Jan. 18, 2024 54 16.0 101.2 N N N
8. Wren Kyle Sarsaba 1-11-2019 M Jan. 18, 2024 60 16.0 101.2
9. Ian D. Vega 10-5-2018 M Jan. 18, 2024 63 15.0 101.3 N N S
10. Jerson Kion Villar 10-19-19 M Jan. 18, 2024 51 12.0 94 UW N S
11. Jain Zaviona Bana 4-24-2020 F Jan. 18, 2024 45 15.0 91 N N N
12. Atasha Zoey Bayani 4-18-2019 F Jan. 18, 2024 57 14.0 101 N N N
13. Aicelle M. Bendicio 3-28-2020 F Jan. 18, 2024 36
14. Shendy Yen Bermas 9-22-2019 F Jan. 18, 2024 52 15.0 101.1 N N N
15. Alliah Rose Binaohan 9-23-2019 F Jan. 18, 2024 52 15.0 99.3 N N N
16. Mennisa Caballero 2-5-2019 F Jan. 18, 2024 59 11.0 95 SUW S W
17. Shannara Encinas 9-29-2019 F Jan. 18, 2024 52 16.0 96 N N S
18. Catriona A. Fuentes 1-3-2019 F Jan. 18, 2024 60 15.0 103 N N N
19. Fiona Jamito Guasa 1-14-2020 F Jan. 18, 2024 48 14.0 94 N N S
20. Mheavie Mabeza 1-7-2020 F Jan. 18, 2024 48 15.0 94.4 N N N
21. Jonalyn Penaredondo 6-14-2019 F Jan. 18, 2024 55 16.0 100 N N N
22. Khloe Keon S. Sacriz 3-8-2019 F Jan. 18, 2024 58 16.0 104 N N N
Page_of __ Prepared by: Noted by:
CDW C/MSWDW Date:

N- normal UW- underweight SUW- severe OW- overweight S- stunted W- wasted


Department of Social Welfare and Development SFP FORM 3-A
Field Office V (BICOL)
Supplementary Feeding Program
WEIGHT MONITORING REPORT
Province: Camarines Norte City/Municipality: Basud Barangay: Mangcamagong
Name of Day Care Center: Name of Child Development Worker: Aileen Borgonia Total No. of Children: 22
UPON ENTRY 1 MONTH AFTER ENTRY
NO. Name of Child Birthdate Sex Dewormi Vitamin A Date of Age in Weight Height Nutritional Date of Age in Weight Height Nutritional
ng Supplemen Weighing Months in Kilos in cm Status Weighing Months in Kilos in cm status
(1st Dose) tation (1st
Dose) W H
1. Jay-em P. Credo 8-11-2019 M Oct. 19, 2023 53 14.0 98.0 N N N
2. Lucas Janzel Era 11-2-2019 M
3. Lucas A. Jardinero 7-17-2019 M Jan. 18, 2024 54 15.0 101 N N N
4. Skylar Bendicio Lowell 5-4-2019 M Oct. 19,2023 56 20.0 110 N N N
5. Liam P. Penaredondo 12-24-18 M Jan. 18, 2024 61 17.0 113 N N N
6. Ziyhane A. Pulido 7-2-2019 M Jan. 18, 2024 54 16.0 106 N N N
7. Kyle D. Rumbawa 7-3-2019 M Jan. 18, 2024 54 16.0 101.2 N N N
8. Wren Kyle Sarsaba 1-11-2019 M Jan. 18, 2024 60 16.0 101.2
9. Ian D. Vega 10-5-2018 M Jan. 18, 2024 63 15.0 101.3 N N S
10. Jerson Kion Villar 10-19-19 M Jan. 18, 2024 51 12.0 94 UW N S
11. Jain Zaviona Bana 4-24-2020 F Jan. 18, 2024 45 15.0 91 N N N
12. Atasha Zoey Bayani 4-18-2019 F Jan. 18, 2024 57 14.0 101 N N N
13. Aicelle M. Bendicio 3-28-2020 F Jan. 18, 2024 36
14. Shendy Yen Bermas 9-22-2019 F Jan. 18, 2024 52 15.0 101.1 N N N
15. Alliah Rose Binaohan 9-23-2019 F Jan. 18, 2024 52 15.0 99.3 N N N
16. Mennisa Caballero 2-5-2019 F Jan. 18, 2024 59 11.0 95 SUW S W
17. Shannara Encinas 9-29-2019 F Jan. 18, 2024 52 16.0 96 N N S
18. Catriona A. Fuentes 1-3-2019 F Jan. 18, 2024 60 15.0 103 N N N
19. Fiona Jamito Guasa 1-14-2020 F Jan. 18, 2024 48 14.0 94 N N S
20. Mheavie Mabeza 1-7-2020 F Jan. 18, 2024 48 15.0 94.4 N N N
21. Jonalyn Penaredondo 6-14-2019 F Jan. 18, 2024 55 16.0 100 N N N
22. Khloe Keon S. Sacriz 3-8-2019 F Jan. 18, 2024 58 16.0 104 N N N
Page_of __ Prepared by: Noted by:
CDW C/MSWDW Date:

N- normal UW- underweight SUW- severe OW- overweight S- stunted W- wasted


Department of Social Welfare and Development SFP FORM 3-A
Field Office V (BICOL)
Supplementary Feeding Program
WEIGHT MONITORING REPORT
Province: Camarines Norte City/Municipality: Basud Barangay: Mangcamagong
Name of Day Care Center: Name of Child Development Worker: Aileen Borgonia Total No. of Children: 22
UPON ENTRY 1 MONTH AFTER ENTRY
NO. Name of Child Birthdate Sex Dewormi Vitamin A Date of Age in Weight Height Nutritional Date of Age in Weight Height Nutritional
ng Supplemen Weighing Months in Kilos in cm Status Weighing Months in Kilos in cm status
(1st Dose) tation (1st
Dose) W H
1. Jay-em P. Credo 8-11-2019 M Oct. 19, 2023 53 14.0 98.0 N N N
2. Lucas Janzel Era 11-2-2019 M
3. Lucas A. Jardinero 7-17-2019 M Jan. 18, 2024 54 15.0 101 N N N
4. Skylar Bendicio Lowell 5-4-2019 M Oct. 19,2023 56 20.0 110 N N N
5. Liam P. Penaredondo 12-24-18 M Jan. 18, 2024 61 17.0 113 N N N
6. Ziyhane A. Pulido 7-2-2019 M Jan. 18, 2024 54 16.0 106 N N N
7. Kyle D. Rumbawa 7-3-2019 M Jan. 18, 2024 54 16.0 101.2 N N N
8. Wren Kyle Sarsaba 1-11-2019 M Jan. 18, 2024 60 16.0 101.2
9. Ian D. Vega 10-5-2018 M Jan. 18, 2024 63 15.0 101.3 N N S
10. Jerson Kion Villar 10-19-19 M Jan. 18, 2024 51 12.0 94 UW N S
11. Jain Zaviona Bana 4-24-2020 F Jan. 18, 2024 45 15.0 91 N N N
12. Atasha Zoey Bayani 4-18-2019 F Jan. 18, 2024 57 14.0 101 N N N
13. Aicelle M. Bendicio 3-28-2020 F Jan. 18, 2024 36
14. Shendy Yen Bermas 9-22-2019 F Jan. 18, 2024 52 15.0 101.1 N N N
15. Alliah Rose Binaohan 9-23-2019 F Jan. 18, 2024 52 15.0 99.3 N N N
16. Mennisa Caballero 2-5-2019 F Jan. 18, 2024 59 11.0 95 SUW S W
17. Shannara Encinas 9-29-2019 F Jan. 18, 2024 52 16.0 96 N N S
18. Catriona A. Fuentes 1-3-2019 F Jan. 18, 2024 60 15.0 103 N N N
19. Fiona Jamito Guasa 1-14-2020 F Jan. 18, 2024 48 14.0 94 N N S
20. Mheavie Mabeza 1-7-2020 F Jan. 18, 2024 48 15.0 94.4 N N N
21. Jonalyn Penaredondo 6-14-2019 F Jan. 18, 2024 55 16.0 100 N N N
22. Khloe Keon S. Sacriz 3-8-2019 F Jan. 18, 2024 58 16.0 104 N N N
Page_of __ Prepared by: Noted by:
CDW C/MSWDW Date:

N- normal UW- underweight SUW- severe OW- overweight S- stunted W- wasted

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