SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)

School Name BINAHAAN INTEGRATED SCHOOL District PAGBILAO II Division QUEZON Region IV-A

School ID 500862 Grade SEVEN Section ARSENIC Track/Strand (SHS) School Year 2017-2018

Learner's Name Nutritional Status

Birthdate Weight Height Height² Height for Age
No. LRN (Last Name, First Name, Name Age Remarks
(MM/DD/YYYY) (kg) (m) (m²) BMI (HFA)
Extension, Middle Name) BMI Category
(kg/m²)
Male
1 Abing, Jhon Ram Paul 5/18/2005 12.07 34.00 1.41 1.9881 17.10 Normal Normal
2 Aganan, Emmanuel J. 3/24/2004 13.09 61.00 1.64 2.6896 22.68 Normal Normal
3 Aguilar, Edison D. 12/17/2004 13.00 42.00 1.47 2.1609 19.44 Normal Normal
4 Atajar, Jonard T. 6/30/2005 12.06 36.00 1.42 2.0164 17.85 Normal Normal
5 Babasa, Leonel A. 9/25/2005 12.03 43.00 1.59 2.5281 17.01 Normal Normal
6 Camarines, John Paul A. 6/21/2004 13.06 40.00 1.48 2.1904 18.26 Normal Normal
7 Catillote, Artemio E. 6/17/2004 13.06 40.00 1.58 2.4964 16.02 Normal Normal
8 Daclitan, Dennis D. 10/5/2003 14.03 43.00 1.54 2.3716 18.13 Normal Normal
9 Dalut, Roger R. 2/5/2004 13.11 47.00 1.54 2.3716 19.82 Normal Normal
10 Estuita, Edrian H. 9/19/2004 13.03 37.00 1.52 2.3104 16.01 Normal Normal
11 Martinez, Vincent G. 4/5/2005 12.09 39.00 1.46 2.1316 18.30 Normal Normal
12 Masaga, Marvin L. 1/13/2002 15.11 44.00 1.57 2.4649 17.85 Normal Stunted
13 Pornasdoro, Fran Joven M. 9/6/2005 12.04 33.00 1.40 1.96 16.84 Normal Normal
14 Rabe, Lorenz Jay M. 11/10/2004 13.01 38.00 1.43 2.0449 18.58 Normal Normal
15 Red, Reymark C. 7/21/2003 14.05 33.00 1.37 1.8769 17.58 Normal Severely Stunted
16 Sollera, Jessie C. 6/8/2004 13.07 49 1.61 2.5921 18.90 Normal Normal
17 Sato, Alvin L. 7/21/2002 15.05 44 1.58 2.4964 17.63 Normal Normal
Female
1 Bautista, Ruffa T. 4/14/2005 12.08 27 1.31 1.7161 15.73 Normal Severely Stunted
2 Datiles, Ruby Joy F. 8/18/2004 13.04 33 1.47 2.1609 15.27 Normal Normal
3 Dela Cruz, Mabel D. 11/3/2003 14.02 41 1.5 2.25 18.22 Normal Normal
DEVELOPED BY: DOMINICK L. DERILO
 4 Dequina, Trizy Jean D. 6/27/2004 13.06 45 1.42 2.0164 22.32 Normal Stunted
5 Dequito, Deanne A. 8/29/2005 12.04 32 1.41 1.9881 16.10 Normal Normal
6 Lucanas, Jennilyn M. 10/30/2003 14.02 32 1.37 1.8769 17.05 Normal Severely Stunted
7 Lustado, Maria Cellyn 12/8/2004 13.01 26 1.29 1.6641 15.62 Normal Severely Stunted
8 Masaga, Jessa L. 8/6/1999 18.05 43 1.45 2.1025 20.45 Normal Stunted
9 Mercado, Miles Charreviel P. 8/10/2004 13.04 40 1.49 2.2201 18.02 Normal Normal
10 Mondiego, Irene Mae 8/25/2004 13.04 31 1.43 2.0449 15.16 Normal Stunted
11 Sim, Nicole D. 9/26/2004 13.03 58 1.57 2.4649 23.53 Normal Normal
12 Solomon, Ruela Jane L. 9/23/2005 12.03 39 1.46 2.1316 18.30 Normal Normal
13 Vinas, Sheryl A. 11/17/2003 14.01 39 1.49 2.2201 17.57 Normal Normal
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SUMMARY TABLE

Nutritional Status Height for Age (HFA)

SEX Severely
Severely Wasted Wasted Normal Overweight Obese TOTAL Stunted Normal Tall Total
Stunted
MALE 17 0 0 17 0 0 17 1 1 15 0 17
FEMALE 13 0 0 13 0 0 13 3 3 7 0 13
TOTAL 30 0 0 30 0 0 30 4 4 22 0 30

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

1/9/2018 FARA FATIMA P. DERILO

SFRT 2017

DEVELOPED BY: DOMINICK L. DERILO

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Automation Developer: Dominick L. Derilo

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