Republic of the Philippines

Dmpartment of Education
Negros Island Region
GUIHULNGAN CITY DIVISION

NUTRITIONAL STATUS RECORD

District: ____________________________
School: ____________________________
Grade & Section:____________________
Date of Weighing:___________________

Age of Weight Height Body

No. Name Birthday Date of (in Kg) (in meters) Mass NS
Weighing Index
1 Abapo Jr., Jonathan 12-18-2003 25.9 134.5
2 Abejar, Eduard M. 06-30-2002 51 156
3 Abelo, Jhon Maikho A.
4 Bacus, Axel Jacob T. 02-18-2006 32.3 141.5
5 Baldos, James Joshua D. 3/10/2004 32.9 145.5
6 Balungcas, Jayson D. 05-22-2006 27.7 127
7 Bastida, Stephen 06-30-2005 32.4 141.5
8 Caete, Jecffe F.
9 Casinillo, James Kyle V. 11-21-2004 38.1 147
10 Conde, John Lester M. 4/1/2006 28.7 131.5
11 Dacuma, Rodel D. 06-24-2004 26.9 137.5
12 Daugdaug, Kenneth 12-26-2005 31.4 140
13 Derit, Charles Lawrence A. 09-28-2006 33.2 137.5
14 Dumadapat, Kurt Rusell C. 08-30-2005 39.6 158.5
15 Maranga, Ivan I.
16 Mayaki, Daniel James M. 05-28-2006 23.1 131
17 Noynay, Mike David M. 09-13-2004 25.9 127.5
18 Oroa, Jade C.
19 Pacenabo, Jhunefer B.
20 Pulvera, Michael Lawrence R. 12/4/2006 25.4 134
21 Radam, Juan Miguel A. 10-15-2005 70.3 157.5
22 Repdos, Denmark L. 2/3/2006 27.9 132
23 Soroo, Jhon Lues P. 10-19-2004 32.3 150.5
24 Sumiwan, Ken Troy S. 03-26-2006 28.5 132
25 Tampus, Jhon Kristian P. 5/12/2005 39.8 143
26 Tumabang, Shane P. 4/12/2005 28.9 140
27 Villera, Renzie Jay P. 08-15-2005 31 137

BODY MASS INDEX ( BMI )

Grade Enrolment Pupils Weight
Severely Wasted Normal Overweight Obese
Level Wasted
No. % % No. % % No. %
Male
Female
Total

Prepared by: Noted:

___________________________________
__________________________________
Adviser School Head
 Republic of the Philippines
Dmpartment of Education
Negros Island Region
GUIHULNGAN CITY DIVISION

NUTRITIONAL STATUS RECORD

District: ____________________________
School: ____________________________
Grade & Section:____________________
Date of Weighing:___________________

Age of Weight Height Body

No. Name Birthday Date of (in Kg) (in meters) Mass NS
Weighing Index
1 Abanto, Althea B. 11/5/2005 31.6 137
2 Acabo, Queanne Marie V. 03-16-2005 44.4 124
3 Bolambao, Cleofe Mae A. 03-21-2006 31.5 135
4 Daan, Imee C. 9/6/2003 34.1 139
5 Degollacion, Lian A.
6 Enriquez, Jan Felynn Y. 12-31-2004 30 136
7 Espina, Sophia Bianca N. 07-15-2005 26.6 137.5
8 Genayas, Mary Rose
9 Lape, Rowela Sheen T. 5/8/2006 28.3 144
10 Lara, Precious Kaye R. 7/3/2006 31 130.5
11 Legaspi, Luxe Mae Dave A. 07-21-2004 35.8 149.5
12 Letigio,Prensses Eve E. 9/3/2005 33.1 139
13 Macauyam, Crislyn 9/5/2002 42.1 145
14 Mejaran, Zena Marie D. 11/12/2005 34.6 139
15 Moreno, Kate Angel T. 11-14-2006 37.6 141
16 Padin, Angellyn Faith B. 11/9/2006 26.6 130
17 Samson, Dyan Mae R. 07-21-2006 29.8 132
18 Tadlas, Mary Ann 04-14-2002 37.5 143.9
19 Tubac, Kersteinelle D. 02-14-2006 35.7 139.5
20 Tumalip, Chenzy G. 6/7/2006 33.7 145.5
21 Vallestero, Princess Jacynth 6/8/2006 40.5 148.5

BODY MASS INDEX ( BMI )

Grade Enrolment Pupils Weight
Severely Wasted Normal Overweight Obese
Level Wasted
No. % % No. % % No. %
Male
Female
Total

Prepared by: Noted:

___________________________________
__________________________________
Adviser School Head