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Region IV-A CALABARZON

Division of Laguna
MAMATID- CABUYAO DISTRICT
NUTRITIONAL STATUS REPORT
School: MAMATID ELEMENTARY SCHOOL
Grade: FIVE SIGPAWAN

Teacher:
Date:

Deped Memo No. 165, s 2010

Boys #
Names
1
ABILLA, JOHN PAUL L.
2
AGRAVIADOR, ROEL A.
3
ALCABASA, MARK T.
4
BALBOA, KARL ADRIAN V.
5
BALAZO, JHON ARCHE C.
6
BONDA, JOHN PAUL O.
7
DACILLO, STEPHEN A.
8
DE VILLA, AARON JAY M.
DUEAS, HAROLD D.
9
FLORENCE, RAYMOND JR. M
10
FRIAS, JUSTINE LEE V.
11
GALICIA, ESTEPHEN C.
12
MACAYAN, DAVE C.
13
PAJARILLO, REYMARK E.
14
PONTILLO, BERNIE H.
15
RADAZA, MARK ANGELO DJ.
16
RADAZA,MICHAEL ANGELO DJ.
17
SILVA, JULES CHRISTAN R.
18
SUER, FRITS
19
TATLONGHARI, JOSHUA C.
20
21
TOLERO, PAOLO L.
22
VILLANUEVA, VINCE AERON P.

DEVELOPED BY: DOMINICK L. DERILO

Date Taken
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016

Birthday
1/4/2006
5/24/2005
4/7/2010
12/29/2005
5/12/2006
11/20/2005
11/5/2005
4/7/2010
9/3/2006
12/27/2005
8/24/2005
4/7/2010
10/21/2006
10/27/2004
10/24/2006
10/27/2006
10/27/2006
7/30/2006
4/7/2010
4/7/2010
6/28/2006
6/27/2006

Age
10.05
11.00
6.02
10.05
10.01
10.06
10.07
6.02
9.09
10.05
10.09
6.02
9.07
11.07
9.07
9.07
9.07
9.10
6.02
6.02
9.11
9.11
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

Weight(kg)
26
34
15
26
27
30
24
15
24
22
23
15
25
30
25
25
23
45
15
15
23
38

Boys #

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

Names

meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya

DEVELOPED BY: DOMINICK L. DERILO

a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a

Date Taken

Birthday

4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015

4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010

Age
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00

Weight(kg)

15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15

Boys #
###
###
###
###

Names
meriya
meriya
meriya
meriya

DEVELOPED BY: DOMINICK L. DERILO

a
a
a
a

Date Taken
4/7/2015
4/7/2015
4/7/2015
4/7/2015

Birthday
4/7/2010
4/7/2010
4/7/2010
4/7/2010

Age
5.00
5.00
5.00
5.00

Weight(kg)
15
15
15
15

ALABARZON
f Laguna
UYAO DISTRICT
TATUS REPORT

DEVELOPED BY: DOMINICK L. DERILO

CRISTINE LU P. KATIGBAK

Height(cm)
138
142
115
138
135
130
120
115
126
127
125
115
134
132
120
135
137
134
115
115
129
140

BMI
13.65
16.86
11.34
13.65
14.81
17.75
16.67
11.34
15.12
13.64
14.72
11.34
13.92
17.22
17.36
13.72
12.25
25.06
11.34
11.34
13.82
19.39
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

REMARKS
Wasted
Normal
Severely Wasted
Wasted
Normal
Normal
Normal
Severely Wasted
Normal
Wasted
Normal
Severely Wasted
Normal
Normal
Normal
Normal
Severely Wasted
Overweight
Severely Wasted
Severely Wasted
Normal
Normal

DEVELOPED BY: DOMINICK L. DERILO

Height(cm)

115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115

BMI
###
###
###
###
###
###
###
###
###
###
###
###
###
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34

REMARKS

Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely
Severely

Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted
Wasted

DEVELOPED BY: DOMINICK L. DERILO

Height(cm)
115
115
115
115

BMI
11.34
11.34
11.34
11.34

REMARKS
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted

School: MAMATID ELEMENTARY SCHOOL


Grade: FIVE ATI-ATIHAN

Region IV-A CALABARZON


Division of Laguna
MAMATID- CABUYAO DISTRICT
NUTRITIONAL STATUS REPORT
Teacher:
Date:

Deped Memo No. 165, s 2010

Girls #

Names

### meriya
### meriya

DEVELOPED BY: DOMINICK L. DERILO

Date Taken
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016
6/13/2016

Birthday

4/7/2015
4/7/2015
4/7/2015

4/7/2010
4/7/2010
4/7/2010

Age
Weight(kg)
116.05
116.05
116.05
116.05
116.05
116.05
116.05
116.05
116.05
116.05
116.05
116.05
116.05
116.05
116.05
116.05
116.05
116.05
116.05
116.05
116.05
116.05
116.05
116.05
116.05
116.05
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
5.00
15
5.00
15
5.00
15

Girls #
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

Names
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya
meriya

DEVELOPED BY: DOMINICK L. DERILO

Date Taken
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015
4/7/2015

Birthday
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010
4/7/2010

Age
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00

Weight(kg)
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15

Girls #
### meriya
### meriya

Names

DEVELOPED BY: DOMINICK L. DERILO

Date Taken
4/7/2015
6/13/2016

Birthday
4/7/2010
4/7/2010

Age
5.00
6.02

Weight(kg)
15
15

n IV-A CALABARZON
vision of Laguna
D- CABUYAO DISTRICT
ONAL STATUS REPORT
DEZERIE B. MECIJA
6/13/2016
Height(cm)

DEVELOPED BY: DOMINICK L. DERILO

115
115
115

BMI
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
11.34
11.34
11.34

REMARKS
#DIV/0!

Severely Wasted
Severely Wasted
Severely Wasted

Height(cm)
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115
115

DEVELOPED BY: DOMINICK L. DERILO

BMI
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34
11.34

REMARKS
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted
Severely Wasted

Height(cm)
115
115

DEVELOPED BY: DOMINICK L. DERILO

BMI
11.34
11.34

REMARKS
Severely Wasted
Severely Wasted

Republic of the Philippines


Department of Education
Region IV-A CALABARZON
Division of Laguna
MAMATID- CABUYAO DISTRICT
NUTRITIONAL STATUS SUMMARY REPORT
School:
Teacher:
Grade:
Date:

MAMATID ELEMENTARY SCHOOL


CRISTINE LU P. KATIGBAK
FIVE SIGPAWAN
12/30/1899
Table A. Tabulated Data Presentation
Boys
Nutrition Result
Total
Severely Wasted: 50
Wasted:
3
Normal: 12
Overweight:
1
Obese:
0
Grand Total
66

Percent
75.76
4.55
18.18
1.52
0.00
100.00

Girls
Total Percent
59
100.00
0
0.00
0
0.00
0
0.00
0
0.00
59
100.00

Table B. Graphical Data Presentation


Nutrition Status
Severely Wasted:
Wasted:
Normal:
Overweight:
Obese:
CREATED BY: DOMINICK L. DERILO

Percentage
87.20
2.40
9.60
0.80
0.00

Total
Total
Percent
109
87.20
3
2.40
12
9.60
1
0.80
0
0.00
125
100.00

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