Department of Education

NUTRITIONAL STATUS RECORD

School:
West City Elementary School
Year/Grade Level & Section: Kinder- Gadiana
Date of Weighing:
June 18, 2013

NAME

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.

Antecristo, John
Caminos, Hyden
Catalan, James Martin
Cimafranca, Jacinto Zhoinne
Cruz, Bryne Jude
Gramatica, Rhey Venedict
Mongcopa, Dirk Nathan
Urciada, James Molech
Torres, Julvir
Villamil, Clybert Adrian Paul
Cataylo, Althea Faith
Lumaya, Ashley Faith
Merano, Michaella Lorraine
Palomar, Mary Grace
Tabares, Keesha Fiona
Tano, Emma Nicole

SEX
(B/G)

B
B
B
B
B
B
B
B
B
B
G
G
G
G
G
G

Birthday

Age as of date
of weighing

Weight
(In Kg)

1/21/2008
3/16/2008
3/26/2008
11/20/2007
4/22/2008
12/1/2007
4/16/2008
7/11/2008
4/10/2008

5 5/12
5 3/12
5 3/12
5 7/12
5 2/12
5 7/12
5 2/12
4 11/12
5 2/12

11/23/2007
2/22/2008

5 7/12
5 4/12

11/29/2007
4/11/2008
12/8/2007

5 7/12
5 2/12
5 6/12

20
17
18
22
16
24
15
17
16
16
18
19
18
17
33
16

Height (In Body Mass

meters)
Index

1.11
1.02
1.11
1.12
1.05
1.13
1.15
1.07
1.12
1.03
1.02
1.07
1.1
1.03
1.26
1.02

16.2
16.3
14.6
17.5
14.5
18.8
11.3
14.8
12.8
15.1
17.3
16.6
14.9
16.0
20.8
15.4

NS
Normal
Normal
Normal
Normal
Normal
Overweight
Severely Wasted
Wasted
Wasted
Normal
Normal
Normal
Overweight
Normal