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Names: Nutritional Status Report
Names: Nutritional Status Report
Names: Nutritional Status Report
sirronnie69@yahoo.com JERMIE M. R
Adviser
Grade 7: BENJAMIN
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UNDERWEIGHT STUNTED
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TOTAL Body Mass Index =
39 Weight (kgs)
0 Height squred(m2)
9
30
0
JERMIE M. RUGA
Adviser
NUTRITIONAL STATUS REPORT
SEBITANAN INTEGRATED SCHOOL
SASMUAN DISTRICT
S.Y 2019-2020
Height-For-Age
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TERESA L. HERAÑA
Adviser
NUTRITIONAL STATUS REPORT
SEBITANAN INTEGRATED SCHOOL
SASMUAN DISTRICT
S.Y 2019-2020
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
School Name SEBITANAN INTEGRATED SCHOOL District SASMUAN Division PAMPANGA Region III
School ID 344521 Grade 11 Section GARNET Track/Strand (SHS) TVL- HE School Year 2019-2020
FEMALE
1 106267050010 GUEVARRA, RUTH OCAMPO 10/8/1998 20 42 1.49 2.2201 18.918067 NORMAL NORMAL
2 106273080024 MANLICLIC, JEMIMA MERTO 10/17/2002 16 41.5 1.54 2.3716 17.498735 UNDERWEIGHT NORMAL
3 106273080031 SIMBUL, ROCHELLE TUBO 7/3/2003 15 58.5 1.54 2.3716 24.666892 NORMAL NORMAL
4 106273080037 YAMBAO, CHERRY CEL UMLAS 9/14/2002 16 70 1.68 2.8224 24.801587 NORMAL NORMAL
SUMMARY TABLE
Nutritional Status Height for Age (HFA)
Summary Table Summary Table
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal Tall Total
Wasted Stunted
MALE 0 3 4 1 0 8 0 0 8 0 8
FEMALE 0 1 3 0 0 4 0 0 4 0 4
TOTAL 0 4 7 1 0 12 0 0 12 0 12
SFRT 2017
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
School Name SEBITANAN INTEGRATED SCHOOL District SASMUAN Division PAMPANGA Region III
School ID 344521 Grade 12 Section RUBY Track/Strand (SHS) TVL- HE School Year 2019-2020
FEMALE
1 106273070014 MAGPAYO, JHANA ANDREI 2/3/2002 17 65 1.56 2.4336 26.709402 NORMAL NORMAL
2 106273080020 VELASCO, LYCA SANTOS 3/18/2002 17 47.5 1.62 2.6244 18.099375 UNDERWEIGHT NORMAL
SUMMARY TABLE
Nutritional Status Height for Age (HFA)
Summary Table Summary Table
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal Tall Total
Wasted Stunted
MALE 0 1 3 0 1 5 0 0 5 0 5
FEMALE 0 1 1 0 0 2 0 0 2 0 2
TOTAL 0 2 4 0 1 7 0 0 7 0 7
SFRT 2017
Document Code:
Republic of the Philippines SDO-QF-SGOD-HNU-011
Department of Education Revision:
Region III
Schools Division Office of Pampanga Effectivity date: 05-08-2018
Name of Office:
School Nutritional Status Form 2 - Secondary
Health and Nutrition Unit
M 21 21 100.00 0 0.00 7 33.33 14 66.66 0 0.00 0 0.00 0 0.00 7 33.33 14 66.66 0 0.00 21 100.00
Grade 7 F 18 18 100.00 0 0.00 2 11.11 16 88.88 0 0.00 0 0.00 0 0.00 2 11.11 16 33.33 0 0.00 18 100.00
Total 39 39 100.00 0 0.00 9 23.07 30 76.92 0 0.00 0 0.00 0 0.00 9 23.07 30 76.92 0 0.00 39 100.00
M 24 24 100.00 0 0.00 18 75.00 6 25.00 0 0.00 0 0.00 0 0.00 2 8.33 22 91.66 0 0.00 24 100.00
Grade 8 F 16 16 100.00 0 0.00 9 56.25 7 43.75 0 0.00 0 0.00 0 0.00 0 0.00 16 100.00 0 0.00 16 100.00
Total 40 40 100.00 0 0.00 27 67.50 13 32.50 0 0.00 0 0.00 0 0.00 2 5.00 38 95.00 0 0.00 40 100.00
M 15 15 100.00 0 0.00 1 6.66 14 93.33 0 0.00 0 0.00 0 0.00 1 6.66 14 93.33 0 0.00 15 100.00
Grade 9 F 17 17 100.00 0 0.00 0 0.00 17 100.00 0 0.00 0 0.00 0 0.00 0 0.00 17 100.00 0 0.00 17 100.00
Total 32 32 100.00 0 0.00 1 3.12 31 96.87 0 0.00 0 0.00 0 0.00 1 3.12 31 96.87 0 0.00 32 100.00
M 10 10 100.00 0 0.00 0 0.00 9 90.00 1 10.00 0 0.00 0 0.00 0 0.00 10 100.00 0 0.00 10 100.00
Grade 10 F 9 9 100.00 0 0.00 0 0.00 9 100.00 0 0.00 0 0.00 0 0.00 0 0.00 9 100.00 0 0.00 9 100.00
Total 19 19 100.00 0 0.00 0 0.00 18 94.73 1 5.26 0 0.00 0 0.00 0 0.00 19 100.00 0 0.00 19 100.00
M 8 8 100.00 0 0.00 3 37.50 5 62.50 1 12.50 0 0.00 0 0.00 0 0.00 8 100.00 0 0.00 8 100.00
Grade 11 F 4 4 100.00 0 0.00 0 0.00 4 100.00 0 0.00 0 0.00 0 0.00 0 0.00 4 100.00 0 0.00 4 100.00
Total 12 12 100.00 0 0.00 3 25.00 9 75.00 1 8.33 0 0.00 0 0.00 0 0.00 12 100.00 0 0.00 12 100.00
M 5 5 100.00 0 0.00 1 20.00 4 80.00 0 0.00 0 0.00 0 0.00 0 0.00 5 100.00 0 0.00 5 100.00
Grade 12 F 2 2 100.00 0 0.00 1 50.00 1 50.00 0 0.00 0 0.00 0 0.00 0 0.00 2 100.00 0 0.00 2 100.00
Total 7 7 100.00 0 0.00 2 28.57 5 71.42 0 0.00 0 0.00 0 0.00 0 0.00 7 100.00 0 0.00 7 100.00
M 83 83 100.00 0 0.00 30 36.14 52 63.85 2 2.41 0 0.00 0 0.00 10 12.04 73 87.95 0 0.00 83 100.00
GRAND
TOTAL F 66 66 100.00 0 0.00 12 18.18 54 81.81 0 0.00 0 0.00 0 0.00 2 3.03 64 96.97 0 0.00 66 100.00
Total 149 149 100.00 0 0.00 42 28.18 107 71.81 2 1.34 0 0.00 0 0.00 12 8.05 137 91.95 0 0.00 149 100.00
Noted by: Prepared by:
ELENA D. ACORDON JERMIE M. RUGA
Principal Nutrition Leader