BAGONG BARRIO ELEMENTARY SCHOOL

Department of Education

NUTRITIONAL STATUS RECORD

Year/Grade Level & Section: _____________________Kinder- RED__

Date of Weighing (Baseline/Endline): ___________________________

No.

NAMES

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17

BOYS
Ballesteros, Matt Ghio R.
Bartolome, Charles Dave F.
Cacho, Raymond D.
Daylusan, Kurt Danielle O.
De Guzman, Noah M.
De Leon, Jhon Vic P.
Delos Santos, Eriel John M.
Febreo, Bryan A.
Ferrer, Mharlon B.
Fontanilla, Zeus Thomas V D.
Ladera, Matt Agbriel S.
Lajos, Christian B.
Ocampo, Mark Jarmine
Pajanustan, Andrei John B.
Peralta, Jay-Mark J.
Remollo, Roel M.
Roque, Gerdan B.

1
2
3
4
5
6
7
8
9
10

GIRLS
Abesamis, Jean Carla T.
Bautista, Irish Joy
Boholano, Regn Venice M.
Corpuz, Sophia J.
Devarras, Mary Joy N.
Gebe, Anna May R.
Gillado, Edelyn Mae M.
Llido, Kristine John P.
Malate, Rizza V.
Manzano, Liv Allison E.

Birthday

3/17/2009
10/2/2009
4/3/2009
6/4/2009
3/29/2009
3/21/2009
7/1/2009
1/27/2009
6/15/2009
3/24/2009
11/22/2008
3/16/2009
9/7/2009
7/31/2009
4/30/2009
10/27/2009

7/11/2009
9/19/2009
5/25/2009
10/16/2009
1/29/2009
12/19/2009
1/14/2009
12/31/2008
8/22/2009
3/12/2009

Age as of date of
weighing

11
12
13
14
15
16
17
18
19
20
21
22

Peralta, Angel Ann C.

Remetio, Charize U.
Santos, Jam Maxine J.
Soriano, Alliyah Olivette R.
Viernes, Thea

3/9/2009
8/9/2009
3/2/2009
9/18/2009
7/20/2009

ENTARY SCHOOL
ducation

TUS RECORD

_________Kinder- RED______________________________

______________________________________
Weight Height (in Body Mass
NS
(in kg)
cm)
Index *
14
12
14
12
13
12
22
13
12
14
20
12
12
12
23
12
13

108
96
104
102
110
102
119
105
97
115
122
108
101
101
113
100
103

17

114

13

107
103
116
107
109
99
107
111

20
22
15
14
17
18

15
15
14
24
16

106
106
112
107

BAGONG BARRIO ELEMENTARY SCHOOL

Department of Education

NUTRITIONAL STATUS RECORD

Year/Grade Level & Section: _____________________Kinder- RED___________

Date of Weighing (Baseline/Endline): ____________________________________

No.

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17

1
2
3
4
5
6
7
8
9

NAMES
BOYS
Ballesteros, Matt Ghio R.
Bartolome, Charles Dave F.
Cacho, Raymond D.
Daylusan, Kurt Danielle O.
De Guzman, Noah M.
De Leon, Jhon Vic P.
Delos Santos, Eriel John M.
Febreo, Bryan A.
Ferrer, Mharlon B.
Fontanilla, Zeus Thomas V D.
Ladera, Matt Agbriel S.
Lajos, Christian B.
Ocampo, Mark Jarmine
Pajanustan, Andrei John B.
Peralta, Jay-Mark J.
Remollo, Roel M.
Roque, Gerdan B.
GIRLS
Abesamis, Jean Carla T.
Bautista, Irish Joy
Boholano, Regn Venice M.
Corpuz, Sophia J.
Devarras, Mary Joy N.
Gebe, Anna May R.
Gillado, Edelyn Mae M.
Llido, Kristine John P.
Malate, Rizza V.

Birthday

3/17/2009
10/2/2009
4/3/2009
6/4/2009
3/29/2009
3/21/2009
7/1/2009
1/27/2009
6/15/2009
3/24/2009
11/22/2008
3/16/2009
9/7/2009
7/31/2009
4/30/2009
10/27/2009

7/11/2009
9/19/2009
5/25/2009
10/16/2009
1/29/2009
12/19/2009
1/14/2009
12/31/2008
8/22/2009

Age as of date of
weighing

Weight
(in kg)
14
12
14
12
13
12
22
13
12
14
20
12
12
12
23
12
13

17
13
20
22
15
14
17

10
11
12
13
14
15
16
17
18
19
20
21
22

Manzano, Liv Allison E.

Peralta, Angel Ann C.
Remetio, Charize U.
Santos, Jam Maxine J.
Soriano, Alliyah Olivette R.
Viernes, Thea

3/12/2009
3/9/2009
8/9/2009
3/2/2009
9/18/2009
7/20/2009

18
15
15
14
24
16

SCHOOL

ECORD

___Kinder- RED______________________________

________________________________
Height Body Mass
NS
(in cm)
Index *