Republic of the Philippines

Department of Education
Region X - Northern Mindanao
Division of Iligan City
East II District
UBALDO D. LAYA MEMORIAL CENTRAL SCHOOL
Ubaldo Laya, Iligan City

NUTRITIONAL STATUS
Year/Grade level & Section:_______________________________ Date of Weighing:

Date of Weight Height

No. Name of Pupils Age Heigth2
Birth (kg.) (meter)
1 8/14/2004 11.9 59 1.51 2.28
2 116.6 0.00
3 116.6 0.00
4 116.6 0.00
5 116.6 0.00
6 116.6 0.00
7 116.6 0.00
8 116.6 0.00
9 116.6 0.00
10 116.6 0.00
11 116.6 0.00
12 116.6 0.00
13 116.6 0.00
14 116.6 0.00
15 116.6 0.00
16 116.6 0.00
17 116.6 0.00
18 116.6 0.00
19 116.6 0.00
20 116.6 0.00
21 116.6 0.00
22 116.6 0.00
23 116.6 0.00
24 116.6 0.00
25 116.6 0.00
26 116.6 0.00
27 116.6 0.00
28 116.6 0.00
29 116.6 0.00
30 116.6 0.00
31 116.6 0.00
32 116.6 0.00
33 116.6 0.00
34 116.6 0.00
35 116.6 0.00
36 116.6 0.00
37 116.6 0.00
38 116.6 0.00
39 116.6 0.00
40 116.6 0.00
41 116.6 0.00
42 116.6 0.00
43 116.6 0.00
44 116.6 0.00
45 116.6 0.00
46 116.6 0.00
47 116.6 0.00
48 116.6 0.00
49 116.6 0.00
50 116.6 0.00

ENROLMENT: Male 25 Female 20 TOTAL ENROLMEN

Summary:
Male Female
No. % No. %
Severely Wasted
Wasted
Normal Prepared by:
Overweight
Obese
TOTAL Ad
OOL

e of Weighing: 20-Jun-16

Body Mass
NS
Index (BMI)
25.88

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OTAL ENROLMENT: 45

ared by:

Adviser