OPT Plus Form 1 List of preschoolers with height measurement and identified Nutritional Status
Barangay Municipality: LAL-LO Province : CAGAYAN Year: Date of OPT Plus:
Household Number Name of Household Head Mother/Caregiver Name of Preschooler Sex Date of Birth (Yr-Mo-Day) Age in Months Weight (kg) Length Height (cm) Nutritional Status Birthday Measurement Weight for Age Length/ Ht for Age Weight for Length/Height
Jobelle Jaime, Analyn 1. Jemwel Macarex M 08-3-12 71 17.0 102.0 N St 2. Kevin James Mateo M 09-3-1 59 13.9 100.3 N N N Acer, Emalyn Jobelle 3. Jabey Ramos M 09-3-27 59 18.15 103.5 N N N 4. Jade Malara M 09-4-19 58 15.0 99.8 N N N Reynold, Elizabeth Rodel, Rosemarie 5. Princess Raiza Mateo F 09-8-20 54 14.0 98.0 N N N 6. Rhenz Kashie Domingo F 09-9-19 53 16.4 102.0 N N N Darlito, Edelyn Marikris 7. Darlito Torda Jr. M 09-10-16 52 13.3 98.5 N N N 8. Cristian Cabusi M 09-10-19 52 15.9 100.5 N N N Peps, Crisanto Brandy, Jonalyn 9. Kase Gariando M 09-10-29 51 15.0 97.0 N N N 10. BJ Nino Paguyo M 09-10-29 51 17.0 102.0 N N N Crisaldy, Rowena Joseph, Choralyn 11. Rariel Jade Sobrecarey M 10-1-30 48 13.2 100.0 N N N 12. Achilles Rain Carlos M 10-4-8 46 12.9 98.5 N N N Joey, Fely Jaime, Analyn 13. Jeofel Sobrecarey M 10-8-31 41 15.2 93.5 N N N 14. Zally Anne Mateo F 10-9-17 41 12.0 92.0 N N N Peps, Cristina Vergel, Gerlyn 15. Princess Hell Gariando F 10-10-14 40 13.0 99.0 N N N 16. Jhon Vergel Grajo M 11-3-19 35 11.8 89.0 N N N Codes For nutritional Status Weight For Age N-Normal UW-Underweight SUW-Severely Underweight OW-Overweight Length/Height for Age N-Normal St-Stunting SST-Severely Stunting T-Tall Weight for Length/Height N-Normal W-Wasted SW-Severely Wasted OW-Overweight OB-Obese Age in months always refers to completed number of months i.e. 34 month and 30 days is considered 34 months only
Prepared by Checked by Name & Signature of Barangay Nutrition Scholar Name & signature of Midwife
Date Date
OPT Plus Form 1 List of preschoolers with height measurement and identified Nutritional Status Barangay Municipality: LAL-LO Province : CAGAYAN Year: Date of OPT Plus: Household Number Name of Household Head Mother/Caregiver Name of Preschooler Sex Date of Birth (Yr-Mo-Day) Age in Months Weight (kg) Length Height (cm) Nutritional Status Birthday Measurement Weight for Age Length/ Ht for Age Weight for Length/Height
Riosdado,Bea Wynkee,Ronalyn 1. King Charles Dela Cruz M 11-12-1 26 13.0 94.0 N N N 2. Tweeny Jean Tolentino F 11-12-16 26 10.0 83.5 N N N
Marion,Loren Grace 3. Winkee Jherlyn Tolentino F 11-12-16 26 10.0 84.0 N N N 4. Hyon Miguel Allag M 12-1-26 25 12.0 85.0 N N N Brandy,Jonalyn Jaime,Aralyn 5. Brandy Paguyo Jr. M 12-4-15 22 11.0 88.5 N N N 6. Jeamler Wilmer Mateo M 12-5-29 20 10.0 78.6 N N N Marvin,Marthel Orver,Ruby 7. Vanice Julian Calaycay M 12-7-4 19 11.0 80.0 N N N 8. Prinx Orver Sumabi M 12-8-8 18 10.0 80.0 N N N Clifford,Rochelle Joseph,Chonalyn 9. Ranija Collene Japson F 12-9-3 17 8.6 76.5 N N N 10 Xian Ezra Carlos M 12-10-1 16 10.0 77.0 N N N Alfredo,Criselda Danny,Lea 11. Princes Anya Biscarra F 12-11-17 15 10.0 75.5 N N N 12. Kenzia Alaidine Cruz F 12-12-10 14 9.5 74.0 N N N Rodrigo,Roselyn Jobelle 13. Ma. Jonarose Molero F 13-6-7 8 9.0 68.5 N N N 14. Jnala Mika Malana F 13-8-31 5 7.2 62.5 N N N Orver,Ruby 15. Knight Byver Lumabi M 13-9-13 5 8.0 6.0 N N N
Codes For nutritional Status Weight For Age N-Normal UW-Underweight SUW-Severely Underweight OW-Overweight Length/Height for Age N-Normal St-Stunting SST-Severely Stunting T-Tall Weight for Length/Height N-Normal W-Wasted SW-Severely Wasted OW-Overweight OB-Obese Age in months always refers to completed number of months i.e. 34 month and 30 days is considered 34 months only
Prepared by Checked by Name & Signature of Barangay Nutrition Scholar Name & signature of Midwife
Date Date
OPT Plus Form 1 List of preschoolers with height measurement and identified Nutritional Status Barangay Municipality: LAL-LO Province : CAGAYAN Year: Date of OPT Plus: Household Number Name of Household Head Mother/Caregiver Name of Preschooler Sex Date of Birth (Yr-Mo-Day) Age in Months Weight (kg) Length Height (cm) Nutritional Status Birthday Measurement Weight for Age Length/ Ht for Age Weight for Length/Height
Alwyne, Raquel Roberto, Joymalyn 1. Troxell Wayne Corpuz M 08-8-13 66 21.0 114.0 N N 2. Jayson Acebedo M 08-8-8 66 19.2 113.5 N N Filomeno, Marites ,Jerry 3. Heron Allag M 08-9-7 65 13.4 105.0 UW N 4. Baby Jane Rivera F 08-10-3 64 13.3 102.8 UW N Rionel, Marjorie Wilmar, Michele 5. Aldricks Mhart Bulusan M 08-10-26 64 15.0 106.0 N N 6. Stephanie Capili F 08-12-30 61 15.0 103.0 N N Benito, Shirley Victorino, Jocelyn 7. Jhon Lester Villena M 09-1-20 61 15.5 104.0 N N 8. Renz Ivan Lagudoy M 09-4-22 58 15.2 106.0 N N N Benson, Meussa Nicktor, Norlyn 9. Aira Mae Pacursa F 09-6-12 56 14.8 101.5 N N N 10. Nicko Reyes M 09-9-12 53 16.5 96.0 N St N Mark, Jenelyn Roberto, Joymalyn 11. Mark John Orpilla M 09-10-6 52 16.5 96.9 N N N 12. Ruby Joy Acebado F 10-2-10 48 14.5 98.0 N N N Nelson, Rowena Wilmar, Michele 13. Wendy Cabuya F 10-2-11 48 16.0 100.5 N N N 14. Stephen Kiel Capili M 10-5-7 45 17.0 101.0 N N N Benito, Shirley Abraham, Edelyn 15. John Real Villena M 11-2-25 36 11.3 90.0 N N N 16. Ben Exequel Cabal M 1-3-12 35 13.0 91.5 N N N Codes For nutritional Status Weight For Age N-Normal UW-Underweight SUW-Severely Underweight OW-Overweight Length/Height for Age N-Normal St-Stunting SST-Severely Stunting T-Tall Weight for Length/Height N-Normal W-Wasted SW-Severely Wasted OW-Overweight OB-Obese Age in months always refers to completed number of months i.e. 34 month and 30 days is considered 34 months only
Prepared by Checked by Name & Signature of Barangay Nutrition Scholar Name & signature of Midwife
Date Date
OPT Plus Form 1 List of preschoolers with height measurement and identified Nutritional Status Barangay Municipality: LAL-LO Province : CAGAYAN Year: Date of OPT Plus: Household Number Name of Household Head Mother/Caregiver Name of Preschooler Sex Date of Birth (Yr-Mo-Day) Age in Months Weight (kg) Length Height (cm) Nutritional Status Birthday Measurement Weight for Age Length/ Ht for Age Weight for Length/Height
Benson,Melissa Filomino,Maritex 17. Kathleen Mae Pacursa F 11-5-6 33 14.0 90.0 N N N 18. Princess Alag F 12-5-6 21 11.4 80.0 N N N Gira Mark Paul,Mae 19. ARJ Cesario M 12-6-15 20 13.0 89.0 N N N 20. Mariam Mae Pacleba F 12-8-22 18 12.0 77.0 N N N Jayson,Biberly Jane Virgilio,Florence 21. Renzo Simangan M 12-10-27 16 11.1 75.0 N N N 22. John Reign Barcancel M 13-1-9 13 10.5 73.0 N N N Lilibert,Katherine Abraham,Edelyn 23. Claivan Haceno F 13-2-16 12 `10.0 72.0 N N N 24. Princess Ivon Cabal F 13-4-27 10 9.0 69.0 N N N Edgar,Mary Jane ARJ,Noralyn 25. Princess Siggaoat F 13-5-13 9 8.8 66.0 N N N 26. Mark Jay Cabutaje M 13-7-24 7 8.6 65.0 N N N Edwardo,Frances Jayson,Geraldine 27. Samuel Combate M 13-11-9 3 6.0 59.0 N N N 28. Arvin Jay Cadoy M 14-1-8 1 5.0 55.0 N N N Luciano,Darlia 29. Ruffa Mae Gumary F 14-1-16 1 4.0 54. N N N
Codes For nutritional Status Weight For Age N-Normal UW-Underweight SUW-Severely Underweight OW-Overweight Length/Height for Age N-Normal St-Stunting SST-Severely Stunting T-Tall Weight for Length/Height N-Normal W-Wasted SW-Severely Wasted OW-Overweight OB-Obese Age in months always refers to completed number of months i.e. 34 month and 30 days is considered 34 months only
Prepared by Checked by Name & Signature of Barangay Nutrition Scholar Name & signature of Midwife
Date Date
OPT Plus Form 1 List of preschoolers with height measurement and identified Nutritional Status Barangay Municipality: LAL-LO Province : CAGAYAN Year: Date of OPT Plus: Household Number Name of Household Head Mother/Caregiver Name of Preschooler Sex Date of Birth (Yr-Mo-Day) Age in Months Weight (kg) Length Height (cm) Nutritional Status Birthday Measurement Weight for Age Length/ Ht for Age Weight for Length/Height
Rochele Donia 1. Reymond Sacramento M 08-3-6 71 17.6 112.5 N N N 2. Mark Don, Balansay M 08-3-6 71 18.0 111.0 N N N Filipina Ruben, Terrelyn 3. Ryan Paul Constantino M 08-3-30 70 19.0 107.0 N N N 4. Ivan Carl Conciso M 08-5-11 69 14.0 103.0 UW ST N Noimie 5. Airylle Micko Aquino M 08-7-12 67 20.0 109.0 N N N 6. Aizarylle Nicko Aquino M 08-7-12 67 21.0 109.0 N N N Jaylord, Armida Marivic 7. Jasmine Cortes F 08-7-19 67 14.7 105.0 N N N 8. Menchie Corpuz F 08-10-24 64 17.0 107.0 N N N Michael, Venessa Rizza 9. Von Sayrelle Sayno M 08-10-28 64 16.5 102.5 N N N 10. John Raver Bruno M 08-10-11 63 15.3 99.0 N ST N Basillio, Maricel Helen 11. Jhonloyd Castro M 08-11-11 63 N N N 12. MJ Andres M 08-12-6 N ST N Lea, Marlon 13. Isaac Domingo M 08-12-16 N N N 14. Isah Domingo M 08-12-16 N N N Arnel, Maryjane Elvira 15. Angelique Manuel F 08-12-6 N N N 16 Arielyn Geraldo F 08-12-6 N ST N Codes For nutritional Status Weight For Age N-Normal UW-Underweight SUW-Severely Underweight OW-Overweight Length/Height for Age N-Normal St-Stunting SST-Severely Stunting T-Tall Weight for Length/Height N-Normal W-Wasted SW-Severely Wasted OW-Overweight OB-Obese Age in months always refers to completed number of months i.e. 34 month and 30 days is considered 34 months only
Prepared by Checked by Name & Signature of Barangay Nutrition Scholar Name & signature of Midwife
Date Date
OPT Plus Form 1 List of preschoolers with height measurement and identified Nutritional Status Barangay Municipality: LAL-LO Province : CAGAYAN Year: Date of OPT Plus: Household Number Name of Household Head Mother/Caregiver Name of Preschooler Sex Date of Birth (Yr-Mo-Day) Age in Months Weight (kg) Length Height (cm) Nutritional Status Birthday Measurement Weight for Age Length/ Ht for Age Weight for Length/Height
N N N N N N
N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N
Codes For nutritional Status Weight For Age N-Normal UW-Underweight SUW-Severely Underweight OW-Overweight Length/Height for Age N-Normal St-Stunting SST-Severely Stunting T-Tall Weight for Length/Height N-Normal W-Wasted SW-Severely Wasted OW-Overweight OB-Obese Age in months always refers to completed number of months i.e. 34 month and 30 days is considered 34 months only
Prepared by Checked by Name & Signature of Barangay Nutrition Scholar Name & signature of Midwife
Date Date
OPT Plus Form 1 List of preschoolers with height measurement and identified Nutritional Status Barangay Municipality: LAL-LO Province : CAGAYAN Year: Date of OPT Plus: Household Number Name of Household Head Mother/Caregiver Name of Preschooler Sex Date of Birth (Yr-Mo-Day) Age in Months Weight (kg) Length Height (cm) Nutritional Status Birthday Measurement Weight for Age Length/ Ht for Age Weight for Length/Height
N N N N N N
N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N
Codes For nutritional Status Weight For Age N-Normal UW-Underweight SUW-Severely Underweight OW-Overweight Length/Height for Age N-Normal St-Stunting SST-Severely Stunting T-Tall Weight for Length/Height N-Normal W-Wasted SW-Severely Wasted OW-Overweight OB-Obese Age in months always refers to completed number of months i.e. 34 month and 30 days is considered 34 months only
Prepared by Checked by Name & Signature of Barangay Nutrition Scholar Name & signature of Midwife
Date Date
OPT Plus Form 1 List of preschoolers with height measurement and identified Nutritional Status Barangay Municipality: LAL-LO Province : CAGAYAN Year: Date of OPT Plus: Household Number Name of Household Head Mother/Caregiver Name of Preschooler Sex Date of Birth (Yr-Mo-Day) Age in Months Weight (kg) Length Height (cm) Nutritional Status Birthday Measurement Weight for Age Length/ Ht for Age Weight for Length/Height
N N N N N N
N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N
Codes For nutritional Status Weight For Age N-Normal UW-Underweight SUW-Severely Underweight OW-Overweight Length/Height for Age N-Normal St-Stunting SST-Severely Stunting T-Tall Weight for Length/Height N-Normal W-Wasted SW-Severely Wasted OW-Overweight OB-Obese Age in months always refers to completed number of months i.e. 34 month and 30 days is considered 34 months only
Prepared by Checked by Name & Signature of Barangay Nutrition Scholar Name & signature of Midwife
Date Date
OPT Plus Form 1 List of preschoolers with height measurement and identified Nutritional Status Barangay Municipality: LAL-LO Province : CAGAYAN Year: Date of OPT Plus: Household Number Name of Household Head Mother/Caregiver Name of Preschooler Sex Date of Birth (Yr-Mo-Day) Age in Months Weight (kg) Length Height (cm) Nutritional Status Birthday Measurement Weight for Age Length/ Ht for Age Weight for Length/Height
N N N N N N
N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N
Codes For nutritional Status Weight For Age N-Normal UW-Underweight SUW-Severely Underweight OW-Overweight Length/Height for Age N-Normal St-Stunting SST-Severely Stunting T-Tall Weight for Length/Height N-Normal W-Wasted SW-Severely Wasted OW-Overweight OB-Obese Age in months always refers to completed number of months i.e. 34 month and 30 days is considered 34 months only
Prepared by Checked by Name & Signature of Barangay Nutrition Scholar Name & signature of Midwife
Date Date
OPT Plus Form 1 List of preschoolers with height measurement and identified Nutritional Status Barangay Municipality: LAL-LO Province : CAGAYAN Year: Date of OPT Plus: Household Number Name of Household Head Mother/Caregiver Name of Preschooler Sex Date of Birth (Yr-Mo-Day) Age in Months Weight (kg) Length Height (cm) Nutritional Status Birthday Measurement Weight for Age Length/ Ht for Age Weight for Length/Height
N N N N N N
N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N
Codes For nutritional Status Weight For Age N-Normal UW-Underweight SUW-Severely Underweight OW-Overweight Length/Height for Age N-Normal St-Stunting SST-Severely Stunting T-Tall Weight for Length/Height N-Normal W-Wasted SW-Severely Wasted OW-Overweight OB-Obese Age in months always refers to completed number of months i.e. 34 month and 30 days is considered 34 months only
Prepared by Checked by Name & Signature of Barangay Nutrition Scholar Name & signature of Midwife
Date Date
OPT Plus Form 1 List of preschoolers with height measurement and identified Nutritional Status Barangay Municipality: LAL-LO Province : CAGAYAN Year: Date of OPT Plus: Household Number Name of Household Head Mother/Caregiver Name of Preschooler Sex Date of Birth (Yr-Mo-Day) Age in Months Weight (kg) Length Height (cm) Nutritional Status Birthday Measurement Weight for Age Length/ Ht for Age Weight for Length/Height
N N N N N N
N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N
Codes For nutritional Status Weight For Age N-Normal UW-Underweight SUW-Severely Underweight OW-Overweight Length/Height for Age N-Normal St-Stunting SST-Severely Stunting T-Tall Weight for Length/Height N-Normal W-Wasted SW-Severely Wasted OW-Overweight OB-Obese Age in months always refers to completed number of months i.e. 34 month and 30 days is considered 34 months only
Prepared by Checked by Name & Signature of Barangay Nutrition Scholar Name & signature of Midwife
Date Date
OPT Plus Form 1 List of preschoolers with height measurement and identified Nutritional Status Barangay Municipality: LAL-LO Province : CAGAYAN Year: Date of OPT Plus: Household Number Name of Household Head Mother/Caregiver Name of Preschooler Sex Date of Birth (Yr-Mo-Day) Age in Months Weight (kg) Length Height (cm) Nutritional Status Birthday Measurement Weight for Age Length/ Ht for Age Weight for Length/Height
N N N N N N
N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N
Codes For nutritional Status Weight For Age N-Normal UW-Underweight SUW-Severely Underweight OW-Overweight Length/Height for Age N-Normal St-Stunting SST-Severely Stunting T-Tall Weight for Length/Height N-Normal W-Wasted SW-Severely Wasted OW-Overweight OB-Obese Age in months always refers to completed number of months i.e. 34 month and 30 days is considered 34 months only
Prepared by Checked by Name & Signature of Barangay Nutrition Scholar Name & signature of Midwife
Date Date
OPT Plus Form 1 List of preschoolers with height measurement and identified Nutritional Status Barangay Municipality: LAL-LO Province : CAGAYAN Year: Date of OPT Plus: Household Number Name of Household Head Mother/Caregiver Name of Preschooler Sex Date of Birth (Yr-Mo-Day) Age in Months Weight (kg) Length Height (cm) Nutritional Status Birthday Measurement Weight for Age Length/ Ht for Age Weight for Length/Height
N N N N N N
N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N
Codes For nutritional Status Weight For Age N-Normal UW-Underweight SUW-Severely Underweight OW-Overweight Length/Height for Age N-Normal St-Stunting SST-Severely Stunting T-Tall Weight for Length/Height N-Normal W-Wasted SW-Severely Wasted OW-Overweight OB-Obese Age in months always refers to completed number of months i.e. 34 month and 30 days is considered 34 months only
Prepared by Checked by Name & Signature of Barangay Nutrition Scholar Name & signature of Midwife
Date Date
OPT Plus Form 1 List of preschoolers with height measurement and identified Nutritional Status Barangay Municipality: LAL-LO Province : CAGAYAN Year: Date of OPT Plus: Household Number Name of Household Head Mother/Caregiver Name of Preschooler Sex Date of Birth (Yr-Mo-Day) Age in Months Weight (kg) Length Height (cm) Nutritional Status Birthday Measurement Weight for Age Length/ Ht for Age Weight for Length/Height
N N N N N N
N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N
Codes For nutritional Status Weight For Age N-Normal UW-Underweight SUW-Severely Underweight OW-Overweight Length/Height for Age N-Normal St-Stunting SST-Severely Stunting T-Tall Weight for Length/Height N-Normal W-Wasted SW-Severely Wasted OW-Overweight OB-Obese Age in months always refers to completed number of months i.e. 34 month and 30 days is considered 34 months only
Prepared by Checked by Name & Signature of Barangay Nutrition Scholar Name & signature of Midwife