Nutritional Status Form

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Department of Education

DIVISION OF ORIENTAL MINDORO


NUTRITIONAL STATUS RECORD

School: Puerto Galera Central School


Year/Grade Level & Section: Two-SSC
Date of Weighing: _______________________________

Age as of date Weight Height Body Mass NB


NAMES Birthday of weighing (in kg) (in meters) Index
1.Alegre, Angelo C. 7-30-02 8.6 225 132
2.Atienza, Justin Benedict V. 03-01-03 7.10 24 125
3. Barrios, Hendrick Lawrence 11-01-02 8.2 22 124.5
4. Baula, Jerick A. 09-11-02 8.4 23 121
5. Buenaflor, Ezekiel 11-18-02 8.2 25 124
6. Caraan, John Mark B. 10-21-02 8.3 18 114.5
7. Cataquis, Hilkiah Michael M 02-03-03 7.11 29 127
8. Francisco Geoffrhey G 01-30-03 8.0 19 117
9. Gumba, Hugh Jugger Q. 02-18-03 7.11 35 130
10. Lerin, Neil Joshua M 02-02-03 8 19 112
11. Manalang, Promise Sam A. 05-05-03 7.8 19 112
12. Manalo, Airon Kristoffer B 11-06-02 8.2 20 120
13. Maniebo, Sherwin Jr. S. 02-16-02 7.11 23 123.5
14. Maranan, Paul Justin B. 08-10-03 8.5 22 118.5
15. Ong, Shallum Yzrael Z. 06-23-03 7.7 24 124
16. Sioco, Walrus John B 12-14-02 8.1 27 124
17. Villaseňor, Reign Francis J 11-01-02 8.2 19 116.5
18. Ylagan, Jhon Kenneth M. 12-05-02 8.1 20 118.5
19. Bagot, Marie Christel A. 04-14-03 7.9 19 120.5
20. De Chavez, Lenneivee T. 01-02-03 8.0 39 132
21. Lao, Asnayra R. 07-03-02 8.6 25 121
22. Magabo, Yja Raezel Q 03-17-03 7.10 26 122
23. Manalo, Symonette Joyce Q. 10-19-02 8.3 24 124.5
24. Manansala,Rhyzaella Anne R. 12-10-02 8.1 33 129.5
25. Maniebo, Aaliyah Beyonce B. 10-26-02 8.3 39 133
26. Marmo, Chianti Kahlua A. 05-08-02 7.8 24 117.5
27. Medrano, Lourdes Diana B. 12-29-03 8.1 23 115
28. Mingay, Alexandra Mae M. 10-26-02 8.3 24 126
29. Moreno, Gwyneth L. 02-23-03 7.11 20 119.5
30. Paelma, Noah Jean Marie V. 03-28-03 7.10 18 113.5
31. Perera Ella Rose G. 06-11-03 7.7 22 117.5
32. Teston Chyrine A. 08-12-03 8.5
33. Torres, Shanica Yvonne 10-12-02 8.3 20 124
34. Villaruel, Lady Andria M 01-03-03 8.0 19 119
35. Voigt, Roxy Ysabelle A 07-16-03 7.6 28 116.5

Body Mass Index = weight (in kilograms)


(height in meters)

Prepared by:_____________________________________________

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