Model Bmi

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INDIVIDUAL BMI MONITORING FORM

Rank/Name: PLT NOVELLE J NAT


Unit/Office: PHAU, DPRM
Birthday:
Age:
Height (m):
Weight (kg):
Waist (cm):
Hip (cm):
Wrist (cm):
Body Frame
Gender:
Date Taken:
BMI Result:
Normal Weight:
Ideal Weight if Large Frame:
Right View Front View Left View Weight to Lose:
BMI CLASSIFICATION Intervention Package: Certified
PNP BMI Acceptable Standard: WHO Standard:
PLT
Normal Normal

Monthly Weight Monitoring


Jan Feb Mar Apr May Jun Jul
2021 65 66 65 66 67 65 66
2022 62 65 64 65 65 65 66
Signature:
Remarks:
NG FORM
PLT NOVELLE J NATAVIO
PHAU, DPRM CONVERT
11/25/1986 inches to cm
35 INCH: 6.5
1.64 2.6896 CM 16.51
66
76.2
83.8
16.5 Female

Medium Frame Male

Male 9.9393939

5/21/2021
24.5
49.8 kgs - 68.6 kgs 68.5848

Maintain
Certified Correct Signature:

PLT NOVELLE J NATAVIO

ing
Aug Sep Oct Nov Dec
67 65 62 62 60

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