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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

Date Date