Republic of the Philippines

Department of Education
Region III - Central Luzon
Tarlac City Schools Division
Tarlac East

NUTRITIONAL STATUS REPORT

School: San Jose Elementary School Teacher: JUDEA S. TOMAJIN
Grade: Five - Estrada Date: 6/28/2017
Deped Memo No. 165, s 2010

Age Weight( Height(

No. Names Date Taken Birthday BMI REMARKS
kg) cm)
1 ABON, MOISES PANIS 6/28/2017 9/14/2006 10.09 23.5 126.0 14.80 Normal
2 AGUILAR, VINCE JUSTINE LUMBA 6/28/2017 4/9/2007 10.02 23.8 132.0 13.66 Wasted
3 ANDRES, RAVEN PUNO 6/28/2017 8/23/2007 9.10 27 135.0 14.81 Normal
4 ATENDIDO, JERICO MACADANGDANG 6/28/2017 10/15/2006 10.08 29 132.0 16.64 Normal
5 BALICOCO, KYLE LUCIANO 6/28/2017 12/30/2006 10.05 23 124.0 14.96 Normal
6 BUNAO, JUSTINE KENNETH POQUIZ 6/28/2017 11/4/2007 9.07 25 133.0 14.13 Normal
7 CAMISA, ARIEL FRANCIS ROGADOR 6/28/2017 10/4/2007 9.08 27.8 127.0 17.24 Normal
8 CANARIA, ROD ANGELO LUMABE 6/28/2017 7/2/2003 13.11 34.8 150.0 15.47 Normal
9 CRUZ, JHAMIR CASTRO 6/28/2017 5/21/2007 10.01 31.5 132.5 17.94 Normal
10 DEL ROSARIO JR., FEDY JAVIER 6/28/2017 10/21/2006 10.08 38 136.0 20.54 Normal
11 DE OCAMPO, JAYMARK LALU 6/28/2017 4/10/2007 10.02 45 138.0 23.63 Overweight
12 DIONISIO, JEREMY SABADO 6/28/2017 4/6/2006 11.02 21 128.0 12.82 Severely Wasted
13 FERNANDEZ, ANGELO CAMBE 6/28/2017 4/16/2007 10.02 27 136.5 14.49 Normal
14 FERNANDEZ, CHRISTIAN CAMBE 6/28/2017 3/13/2006 11.03 29.5 139.5 15.16 Normal
15 GARCIA, JOHN REY SAPAD 6/28/2017 8/6/2007 9.10 31 132.0 17.79 Normal
16 GASPAR JR., LORENZO MENDOZA 6/28/2017 5/30/2007 10.00 24 128.5 14.53 Normal
17 GONZALES, PAUL BENIDICT LALU 6/28/2017 9/15/2007 9.09 26 132.0 14.92 Normal
18 LAJOM, JOHN LEE DULAY 6/28/2017 5/1/2007 10.01 25 131.0 14.57 Normal
19 LALU, ANGHEL TANDA 6/28/2017 10/18/2007 9.08 28 133.0 15.83 Normal
20 LOCRE, RAILEY SANTIAGO 6/28/2017 6/28/2007 10.00 23.5 125.0 15.04 Normal
21 LUNDANG, JOHN GABRIELLE LUMANLAN 6/28/2017 4/7/2007 10.02 22.5 120.0 15.63 Normal
22 MACAPIL, DUSTIN DILEN MANDANI 6/28/2017 7/8/2007 9.11 25 128.5 15.14 Normal
23 MALLARI, JOHN ZENON SICAT 6/28/2017 12/18/2007 9.06 23 124.0 14.96 Normal
24 PASCUA, RYAN JAY VALENTINO 6/28/2017 9/21/2007 9.09 21.5 121.0 14.68 Normal
25 PASCUA, JOHN CRIS CARREON 6/28/2017 8/27/2007 9.10 24 122.0 16.12 Normal
26 RAZON, CHRISTIAN JAY DAVID 6/28/2017 12/21/2006 10.06 26 130.0 15.38 Wasted
27 REYES, ALDRIN PASCUA 6/28/2017 9/7/2007 9.09 22 135.0 12.07 Normal
28 SANTIAGO, STEVEN MAALAC 6/28/2017 8/11/2007 9.10 21 118.0 15.08 Normal
29 SANTOS, JOHN AEZEN GAMIT 6/28/2017 2/1/2007 10.04 27 132.0 15.50 Normal
30 SAPON, DANIEL HALILI 6/28/2017 4/19/2004 13.02 26.5 141.0 13.33 Normal
31 TURLA, MIKE BRYAN GUIAO 6/28/2017 4/21/2007 10.02 27 131.0 15.73 Normal
32 VALERIO, GENESIS LAUSA 6/28/2017 12/30/2006 10.05 21 124.0 13.66 Normal
SUMMARY BMI
MALE FEMALE TOTAL
Severely Wasted 0
Wasted 0
Normal 0
Overweight 0
Obese 0
 Total 0 0 0
Prepared by:

JUDEA S. TOMAJIN Noted:

Adviser
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

School: San Jose Elementary School Teacher: JUDEA S. TOMAJIN
Grade: Five - Estrada Date: 6/28/2017
Deped Memo No. 165, s 2010

Age Weight( Height(

No. Names Date Taken Birthday BMI
kg) cm)
1 ADRIANO, ANGEL LYKA TAGARA 6/28/2017 11/16/2005 11.07 39 148.0 17.80
2 ADRIANO, BABES CARREON 6/28/2017 12/26/2006 10.06 29.5 134.0 16.43
3 AGUSTIN, KYLA MAE MARIMLA 6/28/2017 12/20/2006 10.06 27 131.0 15.73
4 BOTIO, CAMIKHAILA ROSE GALVAN 6/28/2017 4/28/2007 10.02 42 142.0 20.83
5 CAPULONG, AURHEA LAZARO 6/28/2017 12/15/2006 10.06 28 141.0 14.08
6 CAYANAN, ANA MARIE TALENO 6/28/2017 10/23/2006 10.08 37.5 145.0 17.84
7 DELA CRUZ, RISSEL JOY MALLARI 6/28/2017 3/30/2005 12.02 39 142.0 19.34
8 FLORES, JASMINE GONZALES 6/28/2017 4/22/2007 10.02 37 132.0 21.24
9 GARCIA, THEA MARIE GRANADOZO 6/28/2017 3/2/2007 10.03 21.5 120.0 14.93
10 IGLESIA, SALLY INGAR 6/28/2017 9/1/2004 12.09 38 148.0 17.35
11 LEGASPI, LYCA SIGUE 6/28/2017 3/15/2007 10.03 32 141.0 16.10
12 MAGNO, ALAMAY TABORLUPA 6/28/2017 5/18/2007 10.01 31 134.0 17.26
13 MANZANO, LEA VANESSA TABAMO 6/28/2017 12/19/2006 10.06 27.5 130.0 16.27
14 MENDOZA, SELINA PARCASIO 6/28/2017 9/23/2004 12.09 34 138.0 17.85
15 PASCUAL, ABIGAIL TUMANG 6/28/2017 7/21/2007 9.11 29 136.0 15.68
16 TIRASOL, ARIANE JOY MELO 6/28/2017 5/9/2007 10.01 26 129.0 15.62
17 YAP, ZSEAN AGATHA JUANILLO 6/28/2017 9/21/2007 9.09 31.5 131.0 18.36
TOMAJIN
7

REMARKS
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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: 0
Teacher: JUDEA S. TOMAJIN
Grade: 0
Date: 6/28/2017
Table A. Tabulated Data Presentation
Boys Girls Total
Nutrition Result Total Percent Total Percent Total Percent
Severely Wasted: 1 4.76 0 1 2.63
Wasted: 1 4.76 0 1 2.63
Normal: 18 85.71 17 35 92.11
Overweight: 1 4.76 0 1 2.63
Obese: 0 0.00 0 0 0.00
Grand Total 21 100.00 0 38 100.00

Table B. Graphical Data Presentation

Nutrition Status Percentage
Severely Wasted: 2.63
Wasted: 2.63
Normal: 92.11
Overweight: 2.63
Obese: 0.00

Prepared by:
JANILLE S. TOMAJIN Noted:
Teacher III CLAUDETTE M. MACABULOS
Principal II