Republic of the Philippines Department of Education Region III - Central Luzon Tarlac City Schools Division Tarlac East NUTRITIONAL STATUS REPORT Teacher: JUDEA S. TOMAJIN Date: 6/28/2017
School: San Jose Elementary School Grade: Five - Estrada Deped Memo No. 165, s 2010
No.
Names
Date Taken
Birthday
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32
ABON, MOISES PANIS AGUILAR, VINCE JUSTINE LUMBA ANDRES, RAVEN PUNO ATENDIDO, JERICO MACADANGDANG BALICOCO, KYLE LUCIANO BUNAO, JUSTINE KENNETH POQUIZ CAMISA, ARIEL FRANCIS ROGADOR CANARIA, ROD ANGELO LUMABE CRUZ, JHAMIR CASTRO DEL ROSARIO JR., FEDY JAVIER DE OCAMPO, JAYMARK LALU DIONISIO, JEREMY SABADO FERNANDEZ, ANGELO CAMBE FERNANDEZ, CHRISTIAN CAMBE GARCIA, JOHN REY SAPAD GASPAR JR., LORENZO MENDOZA GONZALES, PAUL BENIDICT LALU LAJOM, JOHN LEE DULAY LALU, ANGHEL TANDA LOCRE, RAILEY SANTIAGO LUNDANG, JOHN GABRIELLE LUMANLAN MACAPIL, DUSTIN DILEN MANDANI MALLARI, JOHN ZENON SICAT PASCUA, RYAN JAY VALENTINO PASCUA, JOHN CRIS CARREON RAZON, CHRISTIAN JAY DAVID REYES, ALDRIN PASCUA SANTIAGO, STEVEN MAÑALAC SANTOS, JOHN AEZEN GAMIT SAPON, DANIEL HALILI TURLA, MIKE BRYAN GUIAO VALERIO, GENESIS LAUSA
6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017
9/14/2006 4/9/2007 8/23/2007 10/15/2006 12/30/2006 11/4/2007 10/4/2007 7/2/2003 5/21/2007 10/21/2006 4/10/2007 4/6/2006 4/16/2007 3/13/2006 8/6/2007 5/30/2007 9/15/2007 5/1/2007 10/18/2007 6/28/2007 4/7/2007 7/8/2007 12/18/2007 9/21/2007 8/27/2007 12/21/2006 9/7/2007 8/11/2007 2/1/2007 4/19/2004 4/21/2007 12/30/2006
MALE
BMI FEMALE
SUMMARY Severely Wasted Wasted Normal Overweight Obese
Height( Age Weight( kg) cm) 10.09 23.5 126.0 10.02 23.8 132.0 27 9.10 135.0 29 10.08 132.0 23 10.05 124.0 25 9.07 133.0 9.08 27.8 127.0 13.11 34.8 150.0 10.01 31.5 132.5 38 10.08 136.0 45 10.02 138.0 21 11.02 128.0 27 10.02 136.5 11.03 29.5 139.5 31 9.10 132.0 24 10.00 128.5 26 9.09 132.0 25 10.01 131.0 28 9.08 133.0 10.00 23.5 125.0 10.02 22.5 120.0 25 128.5 9.11 23 124.0 9.06 9.09 21.5 121.0 24 122.0 9.10 26 130.0 10.06 22 135.0 9.09 21 118.0 9.10 27 132.0 10.04 13.02 26.5 141.0 27 131.0 10.02 21 124.0 10.05 TOTAL 0 0 0 0 0
BMI
REMARKS
14.80 Normal 13.66 Wasted 14.81 Normal 16.64 Normal 14.96 Normal 14.13 Normal 17.24 Normal 15.47 Normal 17.94 Normal 20.54 Normal 23.63 Overweight 12.82 Severely Wasted 14.49 Normal 15.16 Normal 17.79 Normal 14.53 Normal 14.92 Normal 14.57 Normal 15.83 Normal 15.04 Normal 15.63 Normal 15.14 Normal 14.96 Normal 14.68 Normal 16.12 Normal 15.38 Wasted 12.07 Normal 15.08 Normal 15.50 Normal 13.33 Normal 15.73 Normal 13.66 Normal
Total
0
0
0
Prepared by: JUDEA S. TOMAJIN Adviser
Noted: ESTRELITA P. BERMUDO Principal III
Republic of the Philippines Department of Education Region III - Central Luzon Tarlac City Schools Division Tarlac East NUTRITIONAL STATUS REPORT Teacher: JUDEA S. TOMAJIN Date: 6/28/2017
School: San Jose Elementary School Grade: Five - Estrada Deped Memo No. 165, s 2010
No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Names
ADRIANO, ANGEL LYKA TAGARA ADRIANO, BABES CARREON AGUSTIN, KYLA MAE MARIMLA BOTIO, CAMIKHAILA ROSE GALVAN CAPULONG, AURHEA LAZARO CAYANAN, ANA MARIE TALENO DELA CRUZ, RISSEL JOY MALLARI FLORES, JASMINE GONZALES GARCIA, THEA MARIE GRANADOZO IGLESIA, SALLY INGAR LEGASPI, LYCA SIGUE MAGNO, ALAMAY TABORLUPA MANZANO, LEA VANESSA TABAMO MENDOZA, SELINA PARCASIO PASCUAL, ABIGAIL TUMANG TIRASOL, ARIANE JOY MELO YAP, ZSEAN AGATHA JUANILLO
Date Taken
Birthday
6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017 6/28/2017
11/16/2005 12/26/2006 12/20/2006 4/28/2007 12/15/2006 10/23/2006 3/30/2005 4/22/2007 3/2/2007 9/1/2004 3/15/2007 5/18/2007 12/19/2006 9/23/2004 7/21/2007 5/9/2007 9/21/2007
Height( Age Weight( kg) cm) 11.07 39 148.0 10.06 29.5 134.0 10.06 27 131.0 10.02 42 142.0 10.06 28 141.0 10.08 37.5 145.0 12.02 39 142.0 10.02 37 132.0 10.03 21.5 120.0 12.09 38 148.0 10.03 32 141.0 10.01 31 134.0 10.06 27.5 130.0 12.09 34 138.0 9.11 29 136.0 10.01 26 129.0 9.09 31.5 131.0
BMI 17.80 16.43 15.73 20.83 14.08 17.84 19.34 21.24 14.93 17.35 16.10 17.26 16.27 17.85 15.68 15.62 18.36
TOMAJIN 7 REMARKS Normal Normal Normal Normal Normal Normal Normal Normal Normal Normal Normal Normal Normal Normal Normal Normal Normal
Republic of the Philippines Department of Education Region III - Central Luzon Tarlac City Schools Division Tarlac South District A NUTRITIONAL STATUS SUMMARY REPORT School: Teacher: Grade: Date:
0 JUDEA S. TOMAJIN 0 6/28/2017 Table A. Tabulated Data Presentation Boys Nutrition Result Total Severely Wasted: 1 Wasted: 1 Normal: 18 Overweight: 1 Obese: 0 Grand Total 21
Percent 4.76 4.76 85.71 4.76 0.00 100.00
Girls Total Percent 0 0 17 0 0 0
Total 1 1 35 1 0 38
Total Percent 2.63 2.63 92.11 2.63 0.00 100.00
Table B. Graphical Data Presentation Nutrition Status Severely Wasted: Wasted: Normal: Overweight: Obese:
Percentage 2.63 2.63 92.11 2.63 0.00
Prepared by:
JANILLE S. TOMAJIN Teacher III
Noted:
CLAUDETTE M. MACABULOS Principal II