NUTRITIONAL STATUS REPORT

SEBITANAN INTEGRATED SCHOOL

SASMUAN DISTRICT
S.Y 2019-2020

Date of Weighing: JUNE 13, 2019

Birthday Weight Height Height2 Age Body Mass
Names mm/dd/yyyy (kg) ( meters) Sex (m2) Index
y ,m
1 BALINGIT, RAYJEN MARK, ZABALA 2/24/2007 42.5 1.44 M 2.0736 12 , 4 20.50
2 DEL ROSARIO, JASZAM, NAVARRO 10/26/2007 31 1.36 M 1.8496 11 , 8 16.76
3 CORONEL, JUSTINE CLARK, G. 01/22/2007 48 1.57 M 2.4649 12 , 5 19.47
4 DIEZ, RANDY JR., RIVERA 12/13/2006 38 1.42 M 2.0164 12 , 6 18.85
5 DULAY, MAYNARD, LIWALAS 08/21/2007 35 1.37 M 1.8769 11 , 10 18.65
6 GUEVARRA, JALEN ROSE, ERROJO 1/26/2001 46.1 1.57 M 2.4649 18 , 5 18.70
7 GUINTO, JOHNRIX, LAXA 5/31/2005 42.9 1.52 M 2.3104 14 , 1 18.57
8 HERAññ A, MICHAEL ROME, BERNALDO 2/5/2007 56 1.55 M 2.4025 12 , 4 23.31
9 LOPEZ, MARK ANGELO M. 8/9/2006 36.9 1.41 M 1.9881 12 , 9 18.56
10 LUNA, JOHN WHESLEY, HERANÑ A 1/27/2007 27 1.31 M 1.7161 12 , 5 15.73
11 LUNA, JOMMEL, HERANÑ A 9/21/2005 31.5 1.4 M 1.9600 13 , 9 16.07
12 MAGPAYO, ALEXIS, CORONEL 7/27/2007 36.5 1.4 M 1.9600 11 , 11 18.62
13 MANUEL, KIM JEREMIE, ANADON 8/20/2007 54 1.51 M 2.2801 11 , 10 23.68
14 PEREZ, KIAN ALAINE, SIMBUL 10/26/2007 33 1.38 M 1.9044 11 , 8 17.33
15 PINLAC, EDDIE BOY, OMOLON 2/15/2007 44.5 1.48 M 2.1904 12 , 4 20.32
16 PINLAC, RILSTY, SALENGA 2/5/2006 37.3 1.39 M 1.9321 13 , 4 19.31
17 REYES, JOHN MOISES, ERROJO 1/9/2007 34 1.45 M 2.1025 12 , 5 16.17
18 REYES, MAZAR, ASIS 4/7/2007 36.5 1.46 M 2.1316 12 , 2 17.12
19 SANTOS, AIVAN JAMES, FAJARDO 9/24/2007 28 1.33 M 1.7689 11 , 9 15.83
20 SANTOS, WIL RONNIE, DELA CRUZ 11/12/2006 36 1.39 M 1.9321 12 , 7 18.63
21 SIMBUL, DOMINGO JOSE, LIMIN 10/9/2007 46 1.5 M 2.2500 11 , 8 20.44
22 ADAVA, ROCHELLE, RED 9/30/2005 52.2 1.51 F 2.2801 13 , 9 22.89
23 BALLARES, DANICA, BONIFACIO 11/11/2004 51.7 1.54 F 2.3716 14 , 7 21.80
24 CUNANAN, MAE JUSTLYN, LUNGAY 5/20/2008 48 1.5 F 2.2500 11 , 1 21.33
25 DELOS SANTOS, ERICA MEI, CARTEJANO 1/19/2007 43.8 1.51 F 2.2801 12 , 5 19.21
26 GADDI, LOUISLY, ALICAYCAY 2/12/2007 31.7 1.37 F 1.8769 12 , 4 16.89
27 GAGUI, PRECIOUS NICOLE, TARUC 2/2/2007 48.2 1.61 F 2.5921 12 , 4 18.59
28 GUEVARRA, FRANCHESCA JOY, LUNA 2/4/2007 43.1 1.51 F 2.2801 12 , 4 18.90
29 GUINTO, JAYCHELLE, SANTOS 5/14/2007 39.3 1.43 F 2.0449 12 , 1 19.22
30 LIMIN, DALIE JULIANA, LOBOS 12/11/2006 44.4 1.53 F 2.3409 12 , 6 18.97
31 LUVINARIO, , RHEA JEAN, ROMUGMA 3/11/2006 46 1.56 F 2.4336 13 , 3 18.90
32 MAGTULOY, MIKAELA, A. 2/16/2005 43.7 1.52 F 2.3104 14 , 4 18.91
33 MANANSALA, MARIANNE, LAXA 2/2/2007 40.1 1.47 F 2.1609 12 , 4 18.56
34 MANANSALA, RHIAN, GAGUI 6/29/2007 43.8 1.53 F 2.3409 11 , 11 18.71
35 SALENGA, RIZZAL MAE, PINLAC 6/7/2007 54.2 1.56 F 2.4336 12 , 0 22.27
36 SANTOS, AVRIL RHIANE, GARCIA 12/30/2005 51.2 1.65 F 2.7225 13 , 6 18.81
37 SIMBUL, GRACE ANN 4/30/2007 30.6 1.43 F 2.0449 12 , 2 14.96
38 MAGPAYO, JADE CATHLEA, MANALANG 9/15/2008 38.1 1.43 F 2.0449 10 , 9 18.63
39 VELASCO, ALLIYAH MAE, MAGCALAS 7/23/2007 42 1.5 F 2.2500 11 , 11 18.67
Body Mass Index M F T HFA M F
No. of Cases 21 18 39 No. of Cases 21 18
Severely Wasted 0 0 0 Sev. Stunted 0 0
Wasted 7 2 9 Stunted 7 2
Normal 14 16 0 Normal 14 16
Overweight 0 0 0 Tall 0 0
Obese 0 0 0
Prepared by:

sirronnie69@yahoo.com JERMIE M. R
Adviser
 Grade 7: BENJAMIN

Nutritional Status Height-For-Age

NORMAL NORMAL
UNDERWEIGHT STUNTED
NORMAL NORMAL
NORMAL NORMAL
NORMAL NORMAL
NORMAL NORMAL
NORMAL NORMAL
NORMAL NORMAL
NORMAL NORMAL
UNDERWEIGHT STUNTED
UNDERWEIGHT STUNTED
NORMAL NORMAL
NORMAL NORMAL
UNDERWEIGHT STUNTED
NORMAL NORMAL
NORMAL NORMAL
UNDERWEIGHT STUNTED
UNDERWEIGHT STUNTED
UNDERWEIGHT STUNTED
NORMAL NORMAL
NORMAL NORMAL
NORMAL NORMAL
NORMAL NORMAL
NORMAL NORMAL
NORMAL NORMAL
UNDERWEIGHT STUNTED
NORMAL NORMAL
NORMAL NORMAL
NORMAL NORMAL
NORMAL NORMAL
NORMAL NORMAL
NORMAL NORMAL
NORMAL NORMAL
NORMAL NORMAL
NORMAL NORMAL
NORMAL NORMAL
UNDERWEIGHT STUNTED
NORMAL NORMAL
NORMAL NORMAL
 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

Date of Weighing: JUNE 13, 2019 Grade 8:

Birthday Weight Height Height2 Age Body
Names mm/dd/yyyy (kg) ( meters) Sex (m2) Mass Nutritional Status
y ,m Index

1 Bonaobra Dante 12/23/2005 40.2 1.51 M 2.2801 14 11 17.63 UNDERWEIGHT

2 . Cortez, Alfred L. 09/02/2005 37 1.56 M 2.4336 14 , 11 15.20 UNDERWEIGHT
3 . Calara, Romar 2/17/2005 45.5 1.57 M 2.4649 14 , 11 18.46 UNDERWEIGHT
4 Guiteirez,Marlon M, 6/13/2005 48 1.58 M 2.4964 14 5 19.23 NORMAL
5 . Gutierez, Justine S. 7/21/2005 48 1.58 M 2.4964 14 , 5 19.23 NORMAL
6 . Guevarra, Mark Jun M. 4/8/2006 40.9 1.5 M 2.25 14 , 8 18.18 UNDERWEIGHT
7 . Fernandez, John Mark A. 5/16/2005 29 1.39 M 1.9321 14 , 7 15.01 UNDERWEIGHT
8 . Herana, Jasper C. 10/5/2006 42.5 1.53 M 2.3409 13 , 2 18.16 UNDERWEIGHT
9 . Jimenez, Allen C. 8/11/2004 58.2 1.65 M 2.7225 14 , 4
21.38 NORMAL
10 . Luvinario, R-jay R. 8/11/2004 47.8 1.63 M 2.6569 14 , 4 17.99 UNDERWEIGHT
11 . Magpayo, Julius 1/17/2006 47 1.65 M 2.7225 14 , 0 17.26 UNDERWEIGHT
12 . Magpayo, Louise Clark 10/30/2006 53.5 1.66 M 2.7556 13 , 2 19.42 NORMAL
13 . Navarro, Kevin Angelo S. 10/9/2005 30 1.52 M 2.3104 14 , 2 12.98 UNDERWEIGHT
14 . Navarro, Tristan Paolo L. 10/25/2005 45 1.65 M 2.7225 14 , 2 16.53 UNDERWEIGHT
15 . Pinlac, John Carlo M. 1/13/2006 49 1.68 M 2.8224 13 , 0 17.36 UNDERWEIGHT
16 . Pinlac, Romel M. 10/16/2006 41 1.47 M 2.1609 13 , 2 18.97 NORMAL
17 . Pring, Emerson L. 9/3/2005 37 1.55 M 2.4025 14 , 3 15.40 UNDERWEIGHT
18 . Santos, Romeo III. S. 5/14/2006 41 1.54 M 2.3716 13 , 7 17.29 UNDERWEIGHT
19 . Tungul, Art Dominic L. 1/10/2006 42.3 1.53 M 2.3409 13 , 0 18.07 UNDERWEIGHT
20 . Tungul, France Dionne S. 11/9/2005 42 1.53 M 2.3409 14 , 1 17.94 UNDERWEIGHT
21 . Vellarde, Jayriel C. 5/31/2004 43 1.54 M 2.3716 15 , 7 18.13 UNDERWEIGHT
22 . Magpayo, Christopher C. 11/8/2005 45 1.54 M 2.3716 14 , 1 18.97 NORMAL
23 . Saguinsin, Ian Jaspher L. 10/22/2006 39 1.54 M 2.3716 13 , 2 16.44 UNDERWEIGHT
24 . Reyes, Kaycee B. 1/22/2006 37 1.45 M 2.1025 13 , 11 17.60 UNDERWEIGHT
25 . Aquino, Micah B. 8/26/2006 32 1.42 F 2.0164 13 , 5 15.87 UNDERWEIGHT
26 . Alicaycay, Jasmine Jade C. 2/23/2005 42.4 1.57 F 2.4649 `4 , 10 17.20 UNDERWEIGHT
27 . Anadon, Jonnalyn M. 1/2/2005 37.5 1.4 F 1.96 14 , 0 19.13 NORMAL
28 . Bonifacio, Aira B. 1/27/2006 57 1.52 F 2.3104 13 , 11 24.67 NORMAL
29 . Cabral, Jonabel T. 7/30/2006 38 1.53 F 2.3409 13 , 5 16.23 UNDERWEIGHT
30 . Cortez, Vanny M. 9/19/2005 61 1.61 F 2.5921 13 , 3 23.53 NORMAL
31 . Cunanan, Alsy Nicole M. 10/11/2006 45 1.63 F 2.6569 13 , 2 16.94 UNDERWEIGHT
32 . Delos Santos, Elmira M. 12/11/2005 45.3 1.57 F 2.4649 13 , 1 18.38 UNDERWEIGHT
33 . Dulay, Karyll L. 2/9/2006 46.7 1.51 F 2.2801 13 , 10 20.48 NORMAL
34 . Guevarra, Kyla H. 11/22/2005 45 1.52 F 2.3104 13 , 1 19.48 NORMAL
35 . Herana, Raiven Joy M. 10/22/2004 48 1.49 F 2.2201 15 , 2 21.62 NORMAL
36 . Magpayo, Jopay 3/2/2005 46 1.35 F 1.8225 13 , 9 25.24 NORMAL
37 . Pantig, Moiselle Faye R. 4/7/2006 38 1.53 F 2.3409 13 , 8 16.23 UNDERWEIGHT
38 . Santos, Prescious Lee 6/6/2006 37.9 1.55 F 2.4025 13 , 6 15.78 UNDERWEIGHT
39 . Tungul, Kyla May L. 9/22/2006 41.1 1.56 F 2.4336 13 , 3 16.89 UNDERWEIGHT
40 . Lagman, Mary Rose E. 9/23/2006 38 1.5 F 16.89
2.25 13 , 3 20.48 UNDERWEIGHT
33 . Dulay, Karyll L. 2/9/2006 46.7 1.51 F 2.2801 13 , 10 NORMAL

Body Mass Index M F T HFA M F TOTAL

No. of Cases 24 16 40 No. of Cases 24 16 40
Severely Wasted 0 0 0 Sev. Stunted 0 0 0
Wasted 6 7 13 Stunted 2 0 2
Normal 18 9 27 Normal 22 16 38
Overweight 0 0 0 Tall 0 0 0
Obese 0 0 0
Prepared by:

sirronnie69@yahoo.com ANA TERESA L. HERAÑA

Adviser
JOSE RIZAL

Height-For-Age

NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
STUNTED
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
 NORMAL
NORMAL
NORMAL
NORMAL
NORMAL

Body Mass Index =

Weight (kgs)
Height squred(m2)

TERESA L. HERAÑA
Adviser
 NUTRITIONAL STATUS REPORT
SEBITANAN INTEGRATED SCHOOL
SASMUAN DISTRICT
S.Y 2019-2020

Date of Weighing: JUNE 13, 2019 Grade 9: DIAMOND

Birthday Weight Height Age Body
Sex Height
2
Names mm/dd/yyyy (kg) ( meters) (m2)
Mass Nutritional Status Height-For-Age
y ,m Index
1 . Baltazar, Whinz Aaron, G. 12/10/2005 55.5 1.59 M 2.53 13 , 0 21.95 Normal Normal
2 . Banting, Mark, A. 9/25/2004 46.3 1.55 M 2.4025 14 , 3 19.27 Normal Normal
3 . Ciocon, Kim Rodel, U. 10/17/2004 49.5 1.61 M 2.5921 14 , 2 19.10 Normal Normal
4 . Cortez, Joshua, L. 7/1/2006 48.6 1.6 M 2.5600 12 , 5 18.98 Normal Normal
5 . Cunanan, Mark Jerny, L. 6/11/2004 51.5 1.63 M 2.6569 14 , 6 19.38 Normal Normal
6 . Gagui, Edner, 8/4/2005 51.1 1.66 M 2.7556 16 , 0 18.54 Normal Normal
7 . Gagui, Mikael Jeremie, S. 4/10/2005 46.8 1.52 M 2.3104 13 , 8 20.26 Normal Normal
8 . Gonzales, Jaycee, C. 6/26/2005 30.5 1.38 M 1.9044 13 , 6 16.02 Underweight Stunted
9 . Guevarra, Nicole 4/25/2004 53 1.57 M 2.4649 14 , 8 21.50 Normal Normal
10 . Limin, Teddy Jr. M. 9/5/2005 43.2 1.52 M 2.3104 13 , 3 18.70 Normal Normal
11 . Mangalindan, Rodolfo Jr., A. 8/25/2004 52 1.59 M 2.5281 14 , 4 20.57 Normal Normal
12 . Manliclic, Matthew, M. 12/26/2004 36.3 1.33 M 1.7689 14 , 0 20.52 Normal Normal
13 . Simbul, Ivan 11/19/2003 48.1 1.58 M 2.4964 14 , 3 19.27 Normal Normal
14 . Santos, Jerald, C. 9/19/2004 52.5 1.58 M 2.4964 14 , 3 21.03 Normal Normal
15 . Santos, Ricky Jr. M. 4/13/2003 44.4 1.53 M 2.3409 15 , 8 18.97 Normal Normal
16 . Adiva, Rosemarie, R . 4/28/2004 48.5 1.53 F 2.3409 14 , 8 20.72 Normal Normal
17 . Aguilar, Althea, D. 12/6/2004 47.3 1.59 F 2.5281 14 , 0 18.71 Normal Normal
18 . Anadon, Jossen, C. 11/24/2005 52 1.51 F 2.2801 13 , 1 22.81 Normal Normal
19 . Asis, Eddielyn, G. 10/19/2003 45 1.5 F 2.2500 15 , 2 20.00 Normal Normal
20 Balingit, Jhenieray, Z. 11/24/2004 52 1.52 F 2.3104 14 , 7 22.51 Normal Normal
21 Baltazar, Princess Jennie Ross T. 5/25/2005 52 1.65 F 2.7225 13 , 7 19.10 Normal Normal
22 Baltazar, Rizeia Claire 12/28/2005 43.2 1.50 F 2.2500 13 , 0 19.20 Normal Normal
23 Bermal, Beaulah Joy, M. 7/22/2005 44.5 1.5 F 2.2500 13 , 5 19.78 Normal Normal
24 Cabral, Micaella, M. 7/12/2005 41.5 1.49 F 2.2201 13 , 5 18.69 Normal Normal
25 Dionaldo, Angela, J. 5/20/2004 45 1.51 F 2.2801 14 , 7 19.74 Normal Normal
26 Pantig, Mary Grace 3/24/2003 42 1.46 F 2.1316 18 , 1 19.70 Normal Normal
27 Laxa, Alicia Mae 5/12/2004 51 1.5 F 2.2500 14 , 7 22.67 Normal Normal
28 Laxa, Angel Anne, S. 2/7/2004 48 1.53 F 2.3409 14 , 10 20.50 Normal Normal
29 Mangalindan, Angel, R. 6/9/2004 49.5 1.52 F 2.3104 14 , 6 21.42 Normal Normal
30 Reyes, Ma. Caezarah, A. 7/27/2005 41 1.47 F 2.1609 13 , 5 18.97 Normal Normal
31 Salenga, Tricxie, L. 8/18/2003 45.5 1.53 F 2.3409 15 , 4 19.44 Normal Normal
32 Velarde, Kyla Mia C. 12/18/2003 42 1.5 F 2.2500 15 , 0 18.67 Normal Normal

Body Mass Index M F T HFA M F TOTAL Body Mass Index =

No. of Cases 15 17 32 No. of Cases 15 17 32 Weight (kgs)
Severely Wasted 0 0 0 Sev. Stunted 0 0 0 Height squred(m2)
Wasted 1 0 1 Stunted 1 0 1
Normal 14 17 31 Normal 14 17 31
Overweight 0 0 0 Tall 0 0 0
Obese 0 0 0
Prepared by:

sirronnie69@yahoo.com IRISH FARRAH I. LIMPIN

ADVISER
 NUTRITIONAL STATUS REPORT
SEBITANAN INTEGRATED SCHOOL
SASMUAN DISTRICT
S.Y 2019-2020

Date of Weighing: JUNE 13, 2019 Grade 10: SOCRATES

Birthday Weight Height Height 2 Age Body
Names mm/dd/yyyy (kg) ( meters) Sex (m2)
Mass Nutritional Status Height-For-Age
y ,m Index
1 CABRAL,NATHANIEL MARUCOT 1/9/2004 40 1.51 M 2.2801 15 , 0 26.49 Normal Normal
2 FUENTES,MARK SIMBUL 5/26/2003 75 1.64 M 2.6896 15 , 7 45.73 Overweight Normal
3 GUEVARRA,JEROME ESPIRITU 10/26/2002 54 1.58 M 2.4964 16 , 2 34.18 Normal Normal
4 MERCADO, MARK VINCENT SUICO 2/7/2004 51 1.66 M 2.7556 15 , 4 30.72 Normal Normal
5 MANLICLIC,ISAAC MERTU 10/13/2003 46 1.6 M 2.5600 15 , 2 28.75 Normal Normal
6 NAVARRO,IAN HAROLD LIMIN 12/16/2003 50.5 1.7 M 2.8900 15 , 0 29.71 Normal Normal
7 PEREZ,LOUIS ANDREI SIMBUL 9/23/2004 46 1.62 M 2.6244 14 , 3 28.40 Normal Normal
8 SANTOS,ANDREI FAJARDO 1/6/2004 54 1.68 M 2.8224 15 , 0 32.14 Normal Normal
9 SALENGA,JOHN ANTHONY 3/13/2004 48 1.61 M 2.5921 15
14, 9 29.81 Normal Normal
10 TUNGUL,EDDIE BOY CUNANAN 9/18/2003 53 1.64 M 2.6896 15 , 3 32.32 Normal Normal
1 ALONZO,ALTHEA MARIE F. 4/22/2004 52.5 1.61 F 2.5921 14 , 8 32.61 Normal Normal
2 BAUTISTA,DANICA ROSE C. 8/31/2002 48 1.62 F 2.6244 16 4 29.63 Normal Normal
3 CUNANAN,AIRA MAE MAGPAYO 10/27/2004 43 1.58 F 2.4964 14 , 2 27.22 Normal Normal
4 MANUEL,ANGEL PALANÑA 6/11/2003 63 1.53 F 2.3409 15 , 6 41.18 Normal Normal
5 PANTIG, MARITONI 12/16/2003 47 1.45 F 2.1025 14 6 32.41 Normal Normal
6 SIMBUL,IVY VELARDE 3/17/2004 45 1.49 F 2.2201 14 , 9 30.20 Normal Normal
7 SIMBUL,PATRICIA PEREZ 12/1/2003 48 1.5 F 2.2500 15 , 0 32.00 Normal Normal
8 SIMBUL,ROSE ANNE TUBO 8/16/2004 49 1.54 F 2.3716 14 , 4 31.82 Normal Normal
9 YUZON,JESSICA ANN BALTAZAR 12/25/2003 51 1.64 F 2.6896 15 , 0 31.10 Normal Normal

Body Mass Index M F T HFA M F TOTAL Body Mass Index =

No. of Cases 10 9 19 No. of Cases 10 9 19 Weight (kgs)
Severely Wasted 0 0 0 Sev. Stunted 0 0 0 Height squred(m2)
Wasted 0 0 0 Stunted 0 0 0
Normal 9 9 18 Normal 10 9 19
Overweight 1 0 1 Tall 0 0 0
Obese 0 0 0
Prepared by:

sirronnie69@yahoo.com MARY GRACE S. MENDOZA

ADVISER
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 11 Section GARNET Track/Strand (SHS) TVL- HE School Year 2019-2020

Learner's Name Nutritional Status

Birthdate Weight Height Height² Height for
No. LRN (Last Name, First Name, Age BMI BMI Remarks
(MM/DD/YYYY) (kg) (m) (m²) Age (HFA)
Name Extension, Middle Name) (kg/m²) Category
MALE
1 106273080001 AQUINO, JAY-ARE BANTING 3/28/2003 16 55.5 1.65 2.7225 20.385675 NORMAL NORMAL
2 106273080004 CIOCON, JOHN REX UMLAS 1/1/2003 16 51 1.69 2.8561 17.856518 UNDERWIEGHT NORMAL
3 106273080008 GAGUI, EDSON SERRANO 2/26/2003 16 75.5 1.66 2.7556 27.398752 OVERWEIGHT NORMAL
4 106273080016 LIMIN, ZEDIE JULES MAGPAYO 6/9/2003 16 49 1.74 3.0276 16.184437 UNDERWIEGHT NORMAL
MAGPAYO, ERVIN JAYSON
5 106273080001 10/17/2003 15 54.5 1.74 3.0276 18.001057 UNDERWIEGHT NORMAL
MAGPAYO
6 106273080001 SANTOS, JOMAR LIMIN 3/4/2003 16 56.5 1.68 2.8224 20.018424 NORMAL NORMAL
7 106273080001 SIMBUL, FERNAND BUSTAMANTE 7/26/2002 16 58 1.59 2.5281 22.94213 NORMAL NORMAL
8 106273080001 VELASCO, RUZZEL UMLAS 9/16/2002 16 61.5 1.84 3.3856 18.16517 NORMAL NORMAL

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

Date of Assessment: Conducted/Assessed By: Certified Correct By: Reviewed By:

13-Jun-19 JEROME T. PANTIG JERMIE M. RUGA

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

Learner's Name Nutritional Status

Birthdate Weight Height Height² Height for
LRN (Last Name, First Name, Age BMI BMI Remarks
(MM/DD/YYYY) (kg) (m) (m²) Age (HFA)
Name Extension, Middle Name) (kg/m²) Category
MALE
1 105168070073 CALANOC, JESTER 8/14/2001 17 47.5 1.64 2.6896 17.660619 UNDERWIEGHT NORMAL
2 105168070075 LIMIN, RENATO 2/6/2002 17 48 1.47 2.1609 22.212967 NORMAL NORMAL
3 105168070008 MAGPAYO, MARK JOSEPH 11/6/2002 16 108 1.78 3.1684 34.086605 OBESE NORMAL
4 106267060018 QUENA, MARVIN 3/19/2001 18 55.5 1.55 2.4025 23.100937 NORMAL NORMAL
5 106273070007 OMOLON, JOHN KENNEDY 1/9/1900 17 55 1.5 2.25 24.444444 NORMAL NORMAL

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

Date of Assessment: Conducted/Assessed By: Certified Correct By: Reviewed By:

13-Jun-19 JEROME T. PANTIG JERMIE M. RUGA

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

Name of School: __________________________________ Cluster: _______________________________________ Date: ______________________________________

BODY MASS INDEX (BMI) HEIGHT-FOR-AGE (HFA)

Grade Pupils Weighed
Enrolment SEVERELY WASTED WASTED NORMAL OVERWEIGHT OBESE SEVERELY STUNTED STUNTED NORMAL TALL Pupils Taken Height
Levels
No. % No. % No. % No. % No. % No. % No. % No. % No. % No. % No. %

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

One DepEd… One Pampanga