SF 8

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

School Name MALABAGO ELEMENTARY SCHOOL District CALASIAO II Division PANGASINAN I Region I

School ID 151512 Grade 5 Section A Track/Strand (SHS) 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 Barnachea, Denver Heizley M. 09/27/09 9 25 1.27 1.61 15.50 Wasted Normal
2 Bautista, Justine Jay T. 11/25/09 9 26 1.26 1.59 16.38 Wasted Normal
3 Beltran, Edgar Jr. R. 10/09/08 10 31 1.29 1.66 18.63 Normal Normal
4 Caoile, Kobi Carl D. 06/02/09 10 29 1.28 1.64 17.70 Wasted Normal
5 Carcha, Moises Y. 10/22/09 9 31 1.28 1.64 18.92 Normal Normal
6 Dioma, John Paul D. 01/11/09 10 27 1.25 1.56 17.28 Wasted Normal
7 Fernandez, Johncent N. 11/20/09 9 26 1.27 1.61 16.12 Wasted Normal
8 Ginez, Angelo Edzel C. 09/20/09 9 30 1.38 1.90 15.75 Wasted Normal
9 Liquiran, Arvie C. 02/27/09 10 44 1.36 1.85 23.79 Normal Normal
10 Mondares, James M. 01/22/09 10 30 1.29 1.66 18.03 Wasted Normal
11 Pancho, Ezzekiel Geoff M. 03/08/09 10 33 1.31 1.72 19.23 Normal Normal
12 Ramos, Mark Kenneth B. 04/14/08 11 24 1.28 1.64 14.65 Wasted Normal
13 Sim, Yuan Carl B. 07/31/09 9 24 1.31 1.72 13.99 Wasted Normal
14 Tumanan, Carl Matthew C. 03/15/09 10 56 1.43 2.04 27.39 Overweight Tall
15 Tumanan, Mark Daniel A. 09/27/09 9 20 1.18 1.39 14.36 Wasted Stunted
FEMALE
2 Ballesteros, Airish E. 12/01/09 9 31 1.38 1.90 16.28 Wasted Normal
3 Ballesteros, Bernadette L. 06/11/09 10 26 1.33 1.77 14.70 Wasted Normal
4 Ballesteros, Janna Leigh C. 09/30/09 9 27 1.28 1.64 16.48 Wasted Normal
5 Carcha, Josephine M. 01/08/09 10 29 1.39 1.93 15.01 Wasted Normal
6 Gabagaba, Jenny U. 01/20/09 10 24 1.28 1.64 14.65 Wasted Normal
7 Maminta, Rhonalyn C. 06/10/09 10 33 1.3 1.69 19.53 Normal Normal
8 Resuello, Lovelea Joy C. 02/02/09 10 40 1.47 2.16 18.51 Normal Tall
9 Samson, Genesis B. 09/05/09 9 42 1.43 2.04 20.54 Normal Tall
10 Samson, Sheana S. 09/22/09 9 28 1.33 1.77 15.83 Wasted Normal
11 Tandoc, Sandhryne Abegail Louise M. 12/04/09 9 33 1.36 1.85 17.84 Wasted Normal
12 Tumanan, Alyssa Mae C. 12/02/09 9 26 1.35 1.82 14.27 Wasted 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 10 4 1 0 15 0 1 13 1 15
FEMALE 0 8 3 0 0 11 0 0 9 2 11
TOTAL 0 18 7 1 0 26 0 1 22 3 26

Date of Assessment: Prepared by:

10-Jun-19 ZORAIDA C. BERANIA
Adviser