Department of Education

Caraga Administrative Region

Division of Surigao del Norte
SURIGAO DEL NORTE NATIONAL HIGH SCHOOL

SCHOOL NUTRITIONAL STATUS

DISTRICT: Date of Weighing:
SCHOOL: Year & Section:

DATE
Name of Students WEIGHT HEIGHT NUTRITIONAL
OF AGE BMI
(Kg) (m) STATUS
MALE BIRTH
Lastname Firstname MI
. 90 1.6 35.16 Obese
. 51 1.56 20.96 Normal
. 55 1.7 19.03 Normal
. 47 1.63 17.69 Underweight
. 45 1.67 16.14 Underweight
. 48 1.69 16.81 Underweight
. 50 1.58 20.03 Normal
. 43 1.62 16.38 Underweight
. 56 1.61 21.60 Normal
. 48 1.6 18.75 Normal
. 55 1.65 20.20 Normal
. 42 1.68 14.88 Underweight
. 47 1.64 17.47 Underweight
. 46 1.63 17.31 Underweight
. 57 1.69 19.96 Normal
. 48 1.67 17.21 Underweight
. 51 1.72 17.24 Underweight
. 46 1.6 17.97 Underweight
. 42 1.54 17.71 Underweight
. 51 1.58 20.43 Normal
. 80 1.58 32.05 Obese
. 88 1.58 35.25 Obese
. 34 1.58 13.62 Underweight
. 27 1.58 10.82 Underweight
. 78 1.58 31.24 Obese
. 90 1.58 36.05 Obese
. 105 1.58 42.06 Obese
. 37 1.58 14.82 Underweight
. 45 1.58 18.03 Underweight
. 56 1.58 22.43 Normal
SUMMARY WEIGHT HEIGHT
MALE FEMALE MALE FEMALE
No. % No. % No. % No. %
Below Normal Short
Normal Normal
Above Normal Tall
TOTAL: TOTAL:

Prepared by:
 Nutritional Status
Underweight Normal Overweight Obese
<18.5 18.5-24.9 25-29.9 >=30
 Department of Education
Caraga Administrative Region
Division of Surigao del Norte
NAME OF SCHOOL HERE

SCHOOL NUTRITIONAL STATUS

DISTRICT: Date of Weighing:
SCHOOL: Year & Section:

DATE
Name of Students WEIGHT HEIGHT NUTRITIONAL
OF AGE BMI
(Kg) (m) STATUS
MALE BIRTH
Lastname Firstname MI
. 67.5 1.6 26.37 Overweight
. 51 1.56 20.96 Normal
. 55 1.7 19.03 Normal
. 47 1.63 17.69 Underweight
. 45 1.67 16.14 Underweight
. 48 1.69 16.81 Underweight
. 50 1.58 20.03 Normal
. 43 1.62 16.38 Underweight
. 56 1.61 21.60 Normal
. 48 1.6 18.75 Normal
. 55 1.65 20.20 Normal
. 42 1.68 14.88 Underweight
. 47 1.64 17.47 Underweight
. 46 1.63 17.31 Underweight
. 57 1.69 19.96 Normal
. 48 1.67 17.21 Underweight
. 51 1.72 17.24 Underweight
. 46 1.6 17.97 Underweight
. 42 1.54 17.71 Underweight
. 51 1.58 20.43 Normal
. 80 1.58 32.05 Obese
. 88 1.58 35.25 Obese
. 34 1.58 13.62 Underweight
. 27 1.58 10.82 Underweight
. 78 1.58 31.24 Obese
. 90 1.58 36.05 Obese
. 105 1.58 42.06 Obese
. 37 1.58 14.82 Underweight
. 45 1.58 18.03 Underweight
. 56 1.58 22.43 Normal
SUMMARY WEIGHT HEIGHT
MALE FEMALE MALE FEMALE
No. % No. % No. % No. %
Below Normal Short
Normal Normal
Above Normal Tall
TOTAL: TOTAL:

Prepared by:
 Nutritional Status
Underweight Normal Overweight Obese
<18.5 18.5-24.9 25-29.9 >=30