Sandatag Bmi Form

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INDIVIDUAL BMI MONITORING FORM ANNEX “C”

Rank/Name: Pat Darnell Keith A Rosales UNIT/OFFICE: PRO2 RPHAS


Age: 24
Height: 162cm
Weight: 60kg
Waist: 30inch
Hip: 32inch
Wrist: 8inch

Gender: Male
Date Taken:
BMI Result:
Normal Weight: Normal (Refer to PNP BMI Chart <29 y/o)

Right View Front View Left View Weight Lose Normal (Refer to PNP BMI Chart <29y/o)
BMI CLASSIFICATION Intervention Package: Certified Correct
PNP BMI WHO Standard: (Refers to Signature:
Acceptable WHO Classification) Package "B"
Standard Normal
Acceptable by
Large Frame
Size

MONTHLY WEIGHT MONITORING


YEAR 2022
MONTH Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec
WEIGHT (kg) 58 57 58 57 58 57 58 57 58 59 60
INDIVIDUAL BMI MONITORING FORM ANNEX “C”
Rank/Name: Pat Jovani B Caronan UNIT/OFFICE: PRO2 RPHAS
Age: 27
Height: 161cm
Weight: 56kg
Waist: 29inch
Hip: 31inch
Wrist: 8inch

Gender: Male
Date Taken:
BMI Result:
Normal Weight: Normal (Refer to PNP BMI Chart <29 y/o)

Right View Front View Left View Weight Lose Normal (Refer to PNP BMI Chart <29y/o)
BMI CLASSIFICATION Intervention Package: Certified Correct
PNP BMI WHO Standard: (Refers to Signature:
Acceptable WHO Classification) Package "B"
Standard Normal
Acceptable by
Large Frame
Size

MONTHLY WEIGHT MONITORING


YEAR 2022
MONTH Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec
WEIGHT (kg) 57 57 57 57 57 57 57 57 57 57 56
INDIVIDUAL BMI MONITORING FORM ANNEX “C”
Rank/Name: Pat Ivan B Salengua UNIT/OFFICE: PRO2 RPHAS
Age: 26
Height: 163cm
Weight: 59kg
Waist: 29inch
Hip: 32inch
Wrist: 8inch

Gender: Male
Date Taken:
BMI Result:
Normal Weight: Normal (Refer to PNP BMI Chart <29 y/o)

Right View Front View Left View Weight Lose Normal (Refer to PNP BMI Chart <29y/o)
BMI CLASSIFICATION Intervention Package: Certified Correct
PNP BMI WHO Standard: (Refers to Signature:
Acceptable WHO Classification) Package "B"
Standard Normal
Acceptable by
Large Frame
Size

MONTHLY WEIGHT MONITORING


YEAR 2022
MONTH Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec
WEIGHT (kg) 59 59 59 59 59 59 59 59 59 59 59

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