NUTRITIONAL STATUS REPORT

BINUANGAN NATIONAL HIGH SCHOOL

MISAMIS ORIENTAL
Baseline SY 2022-2023

Date of Weighing: ____________ Grade __:

Birthday Weight Age Body Mass
Sex Height (m )
2 2
Height
Names mm/dd/yyyy (kg) ( meters) Index Nutritional Status Height-For-Age
y , m
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Body Mass Index M F T HFA M F TOTAL Body Mass Index =

No. of Cases No. of Cases Weight (kgs)
Severely Wasted Sev. Stunted Height squred(m2)
Wasted Stunted
Normal Normal
Overweight Tall
Obese
Prepared by:

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Teacher