Monthly Weighing For 0 - 23 Months PS

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Gender Date of Birth Initial Weight:( OPT 2020 ) Month: JANUARY 2020

PUROK Age Weight Height Weight Age Weight Height Weight


Name of Child
B G Year Mo Day DOW (mos) (kilo) NS (cm) NS /Height NS DOW (mos) (kilo) NS (cm) NS /Height NS

Monthly Record of Weight and Nutritional Status of 0-23 months Preschool Children

Gender: B – Boy G – Girl ; DOW– Date of Weighing; NS- Nutritional Status;

gender Month: FEBRUARY 2020 Month: MARCH 2020 Month: APRIL 2020
PUROK Name of Child Age Weight Height Weight/ Age Weight Height Weight/ DO Age Weight Height Weight/
B G DOW (mos) (kilo) NS (cm) NS Height NS DOW (mos) (kilo) NS (cm) NS Height NS W (mos) (kilo) NS (cm) NS Height NS

Monthly Record of Weight and Nutritional Status of 0-23 months Preschool Children

Gender Month: MAY 2020 Month: JUNE 2020 Month: JULY 2020
PUROK Name of Child DO Age Weight NS Height Weight/ DOW Age Weight NS Height Weight DO Age Weight NS Height Weight
B G W (mos) (kilo) (cm) NS Height NS (mos) (kilo) (cm) NS /Height NS W (mos) (kilo) (cm) NS /Height NS

Monthly Record of Weight and Nutritional Status of 0-23 months Preschool Children
Monthly Record of Weight and Nutritional Status of 0-23 months Preschool Children
Gender Month: AUGUST 2020 Month: SEPTEMBER 2020 Month: OCTOBER 2020
PUROK Name of Child Age Weight Height Weight/ Age Weight Height Weight/ Age Weight Height Weight
DOW (mos) (kilo) NS (cm) NS Height NS DOW (mos) (kilo) NS (cm) NS Height NS DOW (mos) (kilo) NS (cm) NS /Height NS

Monthly Record of Weight and Nutritional Status of 0-23 months Preschool Children
Gender Month: NOVEMBER 2020 Month: DECEMBER 2020
PUROK
Name of Child NUMBER OF 0-23 MONTHS PS WEIGHED
MONTHLY FROM JANUARY TO DECEMBER
2020

JANUARY - ______________

FEBRUARY - ______________

MARCH - ______________

APRIL - _______________

MAY - _______________

JUNE - _______________

JULY - _______________

AUGUST - _______________

SEPTEMBER - _______________

OCTOBER - _______________

NOVEMBER - _______________

DECEMBER - _______________

Age Weight Height Weight Age Weight Height Weight


B G DOW (mos) (kilo) NS (cm) NS /Height NS DOW (mos) (kilo) NS (cm) NS /Height NS

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