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

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Department of Education

School Form 8 Learner's Basic Health and Nutrition Report (SF8)


(For All Grade Levels)

School Name LUPANG PANGAKO ELEM. SCHOOL District VII Division QUEZON CIT Y Region NCR

School ID 136545 Grade III Section MYNA T rack/Strand (SHS) School Year 2019-2020

Learner's Name Birthdate Weight Height Height² Nutritional Status Height for Age
No. LRN Age Remarks
(Last Name, First Name, Name (DD/MM/YYYY) (kg) (m) (m²) BMI BMI Category (HFA)
MALE
1 136545160114 Apolonio, Anthony 05/25/2011 8.00 21.00 1.20 1.44 14.58 Normal Normal
2 136545160430 Balag, Jefferson 03/29/2009 10.00 26.00 1.26 1.59 16.38 Normal Normal
3 136545150745 Borromeo, Jefferson 04/11/2008 11.00 26.00 1.26 1.59 16.38 Normal Normal
4 136545140169 Cabadongga, Jhared 09/21/2009 9.00 21.00 1.15 1.32 18.65 Normal Normal
5 136545160160 Cabuslay, Jhon Rai 08/21/2010 8.00 20.00 1.18 1.39 14.36 Normal Stunted
6 136545160203 Cadores, Vaynard Jhairuz 08/06/2010 8.00 18.00 1.21 1.46 12.29 Severely Wasted Normal
7 136545140368 Caña, Joyby 06/29/2009 9.00 29.00 1.37 1.88 15.45 Normal Normal
8 222503110083 Castro, Angelo 11/11/2005 13.00 35.00 1.49 2.22 15.77 Normal T all
9 136545130893 Dela Cruz, Raymart 05/06/2005 14.00 30.00 1.35 1.82 16.46 Normal Normal
10 136545150166 Doller, King Shelmer 08/21/2010 8.00 24.00 1.24 1.54 15.61 Normal Normal
11 136542160261 Laviña, Lance 09/26/2009 9.00 24.00 1.24 1.54 15.61 Normal Normal
12 136545160634 Locsin, Ryzin Karl 04/21/2009 10.00 27.00 1.27 1.61 16.74 Normal Normal
13 136545160121 Managbanag, Albert Norman 02/28/2011 8.00 27.00 1.27 1.61 16.74 Normal Normal
14 136545160196 Nasayao, IJ 11/14/2010 8.00 23.00 1.22 1.49 15.45 Normal Normal
15 136545150735 Pastor, Charlz 04/12/2010 9.00 28.00 1.26 1.59 17.64 Normal Normal
16 136545160216 Poy, Shian Rain 05/14/2010 9.00 25.00 1.27 1.61 15.50 Normal Normal
17 136545160639 Ramal, Romeo III 03/08/2011 8.00 20.00 1.23 1.51 13.22 Wasted Normal
18 160519160007 Rosco, Junlie 06/22/2010 8.00 20.00 1.20 1.44 13.89 Normal Normal
19 136545141076 Rufino, Vicente Jr 05/03/2008 11.00 25.00 1.30 1.69 14.79 Normal Normal
20 136545120882 Soliman, Mar Benjamin 05/07/2005 14.00 29.00 1.28 1.64 17.70 Normal Normal
21 136545160645 Teodoro, Reymond 04/17/2010 9.00 35.00 1.28 1.64 21.36 Overweight Normal
FEMALE
1 136545170631 Alcayde, Krystal 08/16/2011 7.00 20.00 1.19 1.42 14.12 Normal Normal
2 406552150010 Binay, Elthea 04/30/2011 8.00 22.00 1.22 1.49 14.78 Normal Normal
3 136502150079 Bongay, Aira 07/07/2010 8.00 22.00 1.20 1.44 15.28 Normal Normal
4 136545160230 Buzeta, Angel 06/11/2011 7.00 21.00 1.18 1.39 15.08 Normal Normal
5 107886160331 Cordano, Princess April 04/22/2011 8.00 21.00 1.20 1.44 14.58 Normal Normal
6 136545150465 Delos Santos, Shiela Mae 07/06/2010 8.00 21.00 1.16 1.35 15.61 Normal Stunted
7 136545160546 Enojas, Kristel Marie 10/06/2010 8.00 18.00 1.18 1.39 12.93 Normal Normal
8 136545160419 Fabian, Francine Mae 09/18/2010 8.00 21.00 1.28 1.64 12.82 Wasted Normal
9 136545160523 Fernandez, Jeremy 04/28/2010 9.00 22.00 1.16 1.35 16.35 Normal Stunted
10 136545160549 Galan, Maria Alexandra 12/20/2010 8.00 23.00 1.22 1.49 15.45 Normal Normal
11 136545160444 Posadas, Julia 06/07/2011 8.00 17.00 1.14 1.30 13.08 Normal Stunted
12 136545150265 Vicario, Maria Kristina 12/31/2008 10.00 22.00 1.26 1.59 13.86 Normal Normal

SUMMARY TABLE

Nutritional Status Height for Age (HFA)


Summary Table Summary Table
SEX
Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal Tall Total
Wasted Stunted
MALE 1 1 18 1 0 21 0 1 19 1 21
FEMALE 0 1 11 0 0 12 0 3 9 0 12
TOTAL 1 2 29 1 0 33 0 4 28 1 33

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


10/09/2019 LEVIE ANN L. T ORRICER
SFRT 2017

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