School Form 8 SF8 (G5)
School Form 8 SF8 (G5)
School Form 8 SF8 (G5)
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
Learner's Name
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Age
(MM/DD/YYYY) (kg) (m) (m²)
Name Extension, Middle Name)
MALE
1 130604130025 Arellano, John Carl Obedencio 8/11/2008 10 , 7 27.3 1.4 1.96
2 130604130030 Bertolano, John Kineth Oros 9/13/2008 10 , 5 23 1.27 1.6129
3 130604110011 Cablab, Jayson Lanubay 1/17/2006 13 , 1 37.2 1.54 2.3716
4 130604130036 Montong, Razel Flongkay 6/13/2008 10 , 8 27.2 1.3 1.69
5 130590130054 Tiware, Randy Mot 8/13/2005 13 , 6 37.2 1.55 2.4025
6
7
8
9
10
FEMALE
1 130604130019 Arellano, Kristine Oros 5/1/2008 10 , 10 26.6 1.3 1.69
2 130604130046 Baran, Desairee Key Abnaway 1/6/2008 11 , 2 30.1 1.35 1.8225
3 130590130020 Binaton, Aika Jade Dunggon 6/14/2009 10 , 8 26.6 1.28 1.6384
4 130604130050 Dianon, Marian Golalan 2/16/2009 10 , 0 21.2 1.21 1.4641
5 130854130063 Galila, Crisa Mae Lusanda 3/28/2008 10 , 11 30.6 1.35 1.8225
6 130604130053 Garay, Eloisa Jean Tio 5/24/2008 10 , 9 25 1.25 1.5625
7 130604130051 Gargaran, Princeswin Mendoza 10/29/2008 10 , 4 20.8 1.19 1.4161
8 130604130033 Genite, Gracezelle Faith Arellano 8/26/2008 10 , 6 31.2 1.29 1.6641
9 130604130056 Montong, Jannah Calibay 8/22/2008 10 , 6 21.7 1.24 1.5376
10 130604130057 Odi, Lyka Cawag 6/13/2008 10 , 8 23.9 1.29 1.6641
1112 130610130077 Reyes, Irine Labuayan 5/19/2008 10 , 9 32.5 1.32 1.7424
13 130718130008 Tim, Kristine Dianon 7/24/2008 10 , 7 35.2 1.44 1.0736
14 130604120070 Tio, Myla Lantingan 5/10/2007 11 , 10 24.9 1.3 1.69
15 130601130076 Villarias, Princess Pearl Montalbo 11/25/2008 10, 3 24.7 1.24 1.5376
16 ### Magpon, Lyka D. 8/31/2008 NO POST NUTRITIONAL ST
SUMMARY TABLE
Nutritional Status H
Summary Table
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted
Wasted Stunted
MALE 0 0 5 0 0 5 0 0
FEMALE 0 0 14 0 0 14 1 8
Learner's Name
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Age
(MM/DD/YYYY) (kg) (m) (m²)
Name Extension, Middle Name)
TOTAL 0 2 19 0 0 19 6 10
Nutritional Status
Height for Age
BMI BMI Remarks
(HFA)
(kg/m²) Category
5 0 5
5 0 14
Nutritional Status
Height for Age
BMI BMI Remarks
(HFA)
(kg/m²) Category
12 0 19
Reviewed By:
JESSIE S. CAUMBAN
SFRT 2017