Department of Education

DIVISION OF ILOILO
NUTRITIONAL STATUS RECORD
Town/City/Province: San Joaquin
2015
Grade/Year and Section: I Jade
Elementary School
Names

1. Dulana, Kurt Nove

2. Hervas, Jhon Mark
3. Macasio, Marko
Antonio
4. Mondragon, Dwight
Stifler
5. Pitong, Nick Arthur
6. Sarad, Ranel Jun
7. Sararaa, Lawrence
8. Sayson, Colliveand
Klien
9. Verano, Antonio Jr.
10.Aparija, Trixie Faye
11.De Asis, Shaira Ruth
12.Menor, Samantha
Louise
13.Nogas, Michaela Jane
14.Portario, Aljean
15.Salazar, Angel Rose
16.Sandig, Darlene
17.Sansaet, Geralyn

Date of Weighing: June 4,

School: Balbino Seron
Weig
ht
(kg)

Heig
ht
(m.)

Heigh
t2
(m2)

11/4/0
8
05/11/
09
12/21/
08
9/21/0
9
2/9/09

19

1.14

15

1.07

11

1.11

26

1.17

14

1.08

5/27/0
9
6/11/0
9
11/8/0
8
12/22/
08
3/20/0
9
4/17/0
9
7/6/09

15

1.09

16

1.07

21

1.23

20

1.2

15

1.05

16

1.14

17

1.1

4/16/0
9
12/10/
08
03/19/
09
12/26/
08
1/14/0
9

19

1.13

14

1.13

16

1.08

18

1.19

12

1.03

1.299
6
1.144
9
1.232
1
1.368
9
1.166
4
1.188
1
1.148
9
1.512
9
1.440
0
1.102
5
1.299
6
1.210
0
1.276
9
1.276
9
1.166
4
1.416
1
1.060
9

Birthd
ay

Se
x

Age
y
m

6,7

6,0

6.5

68

6,3

6,0

71

6,6

6,5

6,2

6,1

70

6,1

6,5

6,2

6,5

6,4

BMI

14.6
0
13.1
0
8.90

Nutritiona
l Status

Normal
Normal
Severely
Normal

12.0
0
12.6
0

Wasted
Normal

13.8
0
13.8
0
13.6
0
12.3
0

Normal
Normal
Normal
Wasted
Normal

14.8
0
10.9
0
13.7
0
12.7
0
11.3
0

Normal
Severely
Normal
Normal
Severely

18.Seidel, Jeosel

6/5/09

05/01/
09
10/25/
09
21.Valaquio, Alscen
11/04/
Avonne
08
Body Mass Index + weight (in kg.)
height2 (in m.)
19.Sermonia, Jermnie
May
20.Servano, Trixie

M
No. of Cases (N) 9
CRUZ
Severely Wasted/SU
Wasted/U
1
Normal
6
Overweight
0
Obese

T
12

F
21

2
1
8
0
0

3
2
14
0
0

16

1.07

16

1.04

13

1.04

21

1.18

1.144
9
1.144
9
1.081
6
1.392
4

71

6,1

67

6,7

Normal
13.9
0

Normal
Severely

15.0
0

normal

Prepared by:

JOSEPHINE S. DELA
5

Teacher III