NUTRITIONAL STATUS RECORD

School: Puerto Princesa Pilot Elementary School

Year/ Grade Level & Section: Grade VI - ROSE (Boys)
Date of Weighing: 5/6/2015
100

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

NAMES

BIRTH DATE

Date of
Weighing

Juan Dela Cruz

B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X

7/21/2001
1/10/2001
8/27/2001
9/11/2002
8/24/2001
4/21/2000
2/20/2002
5/18/2001
4/24/2002
3/27/2001
2/14/2002
5/22/2002
5/28/2002
4/4/2001
5/28/2002
11/24/2001
9/9/2001
12/18/2000
12/17/2001
12/8/2001
2/28/2001
11/6/2001
3/11/2001
12/28/2001

6/8/2014
6/9/2014
6/10/2014
6/11/2014
6/12/2014
6/13/2014
6/14/2014
6/15/2014
6/16/2014
6/17/2014
6/18/2014
6/19/2014
6/20/2014
6/21/2014
6/22/2014
6/23/2014
6/24/2014
6/25/2014
6/26/2014
6/27/2014
6/28/2014
6/29/2014
6/30/2014
7/1/2014

Age as of date WEIGHT (in

of weighing
Kg)

12.9
13.4
12.8
11.7
12.8
14.1
12.3
13.1
12.1
13.2
12.3
12.1
12.1
13.2
12.1
12.6
12.8
13.5
12.5
12.5
13.3
12.6
13.3
12.5

41
35
53
29
31
36
29
39
30
33
27
30
27
33
27
37
27
34
26
30
39
32
50
41

HEIGHT
(in
meters)

1.58
1.58
1.53
1.35
1.39
1.56
1.41
1.52
1.41
1.39
1.39
1.36
1.43
1.44
1.5
1.51
1.42
1.45
1.38
1.43
1.51
1.44
1.55
1.51

SUMMARY
Severely Wasted
Wasted
Normal
Overweight
Obese
Total

8
6
5
3
2
24

Robert B. Nero
Prepared by

BMI

NS

16.4
14.0
22.6
15.9
16.0
14.8
14.6
16.9
15.1
17.1
14.0
16.2
13.2
15.9
12.0
16.2
13.4
16.2
13.7
14.7
17.1
15.4
20.8
18.0

Severely Wasted

bert B. Nero

Prepared by

Wasted
Severely Wasted
Severely Wasted
Wasted
Normal
Severely Wasted
Wasted
Normal
Normal
Severely Wasted
Normal
Severely Wasted
Overweight
Overweight
Overweight
Obese
Severely Wasted
Wasted
Normal
Wasted
Obese
Wasted
Severely Wasted