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SF 8

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

School Name GRACEVILLE ES District 8 Division SAN JOSE DEL MONTE Region

School ID 162503 Grade 6 Section MALIKHAIN Track/Strand (SHS) NA School Year

Learner's Name Nutritional Status


Birthdate Weight Height Height² Height for Age
No. LRN (Last Name, First Name, Age BMI
(MM/DD/YYYY) (kg) (m) (m²) BMI Category (HFA)
Name Extension, Middle Name) (kg/m²)
MALE
1 119509180189 ALFEREZ, JOHN VINCENT MA 4/19/2013 4.09 16.00 1.05 1.10 14.51 #N/A #N/A
2 ¹9509180033 ALICOS, KYLE STEVEN ABALO 5/24/2013 4.08 20.00 1.12 1.25 15.94 #N/A #N/A
3 119509180019 ASILDO, CRISJAY OBANOS 8/3/2012 5.05 12.00 1.01 1.02 11.76 Severely Wasted Stunted
4 119509180194 CANCERAN, FRANCIS GERALD 5/22/2013 4.08 15.00 1.06 1.12 13.35 #N/A #N/A
5 404374180194 DE CASTRO, ADOLFO III RIVE 9/23/2012 5.04
6 119509180061 DEDICATORIA, NATTHEW SAY 9/12/2012 5.04
Learner's Name Nutritional Status
Birthdate Weight Height Height² Height for Age
No. LRN (Last Name, First Name, Age BMI
(MM/DD/YYYY) (kg) (m) (m²) BMI Category (HFA)
Name Extension, Middle Name) (kg/m²)

FEMALE
Learner's Name Nutritional Status
Birthdate Weight Height Height² Height for Age
No. LRN (Last Name, First Name, Age BMI
(MM/DD/YYYY) (kg) (m) (m²) BMI Category (HFA)
Name Extension, Middle Name) (kg/m²)
Learner's Name Nutritional Status
Birthdate Weight Height Height² Height for Age
No. LRN (Last Name, First Name, Age BMI
(MM/DD/YYYY) (kg) (m) (m²) BMI Category (HFA)
Name Extension, Middle Name) (kg/m²)

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 1 0 0 0 0 1 0 1 0 0 1
FEMALE 0 0 0 0 0 0 0 0 0 0 0
TOTAL 1 0 0 0 0 1 0 1 0 0 1
Learner's Name Nutritional Status
Birthdate Weight Height Height² Height for Age
No. LRN (Last Name, First Name, Age BMI
(MM/DD/YYYY) (kg) (m) (m²) BMI Category (HFA)
Name Extension, Middle Name) (kg/m²)
Date of Assessment: Conducted/Assessed By: Certified Correct By: Reviewed By:
1/31/2018 MICHAEL ANGELO B. PAGARA

SFRT 2017
(For All Grade Levels)
III

2017-2018

Remarks
Remarks
Remarks
Remarks

SUMMARY TABLE

Height for Age (HFA)


Summary Table

Total

1
0
1
Remarks
Growth reference 5-19 years
Links for BMI Tables in PD
z-scores

BOYS http://www.who.int/entity/growthref/sft_bmifa_boys_z_5_19years.pdf?ua=1

GIRLS http://www.who.int/entity/growthref/sft_bmifa_girls_z_5_19years.pdf?ua=1

Growth reference 5-19 years


Links for Height-for-Age Tables
z-scores

BOYS http://www.who.int/entity/growthref/sft_hfa_boys_z_5_19years.pdf?ua=1

GIRLS http://www.who.int/entity/growthref/sft_hfa_girls_z_5_19years.pdf?ua=1

Table retrieved from http://www.who.int/growthref


ference 5-19 years
s for BMI Tables in PDF
precentile
http://www.who.int/entity/growthref/sft_bmifa_boys_perc_5_19year.pdf?ua=1

http://www.who.int/entity/growthref/sft_bmifa_girls_perc_5_19years.pdf?ua=1

ference 5-19 years


Height-for-Age Tables in PDF
precentile
http://www.who.int/entity/growthref/sft_hfa_boys_perc_5_19years.pdf?ua=1

http://www.who.int/entity/growthref/sft_hfa_girls_perc_5_19years.pdf?ua=1

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