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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 ESNHS District Agdangan Division Quezon Region

School ID 301321 Grade 12 Section MAKABANSA Track/Strand (SHS) TVL/EPAS School Year
Learner's Name Nutritional Status
Birthdate Weight Height Height² Height for Age
No. LRN (Last Name, First Name, Age BMI
(DD/MM/YYYY) (kg) (m) (m²) BMI Category (HFA)
Name Extension, Middle Name) (kg/m²)
MALE
1 108951050001 Aclan,Alwin S. 9/26/00 18.08 59 1.64 2.69 21.94 Normal Normal
2 108950070001 Acuna,Ivan 7/27/00 18.10 52 1.6 2.56 20.31 Normal Stunted
3 108951070002 Alea,Rexes F. 11/4/01 17.07 53 1.62 2.62 20.20 Normal Normal
4 108944070036 Cay,Oliver E. 12/4/01 17.06 52 1.59 2.53 20.57 Normal Stunted
5 108944070047 Encina,Laurence Ian R 9/14/01 17.08 45 1.65 2.72 16.53 Wasted Normal
6 108951060002 Esclamado,John Franky R 10/18/01 17.07 50 1.6 2.56 19.53 Normal Stunted
7 108951070006 Estrada,Mark christian A 9/11/01 17.08 46 1.59 2.53 18.20 Normal Stunted
8 1089440070052 Freires,Richard Mark C. 5/31/02 17.00 47 1.72 2.96 15.89 Wasted Normal
9 1089440070067 Jusi,Jefferson F 9/20/01 17.08 66 1.6 2.56 25.78 Normal Stunted
10 108944070071 Lillo,Mark Donn P 8/17/01 17.09 73 1.66 2.76 26.49 Normal Normal
11 108944070084 Manzano,John rex D 8/26/01 17.09 60 1.69 2.86 21.01 Normal Normal
12 108944070091 Monticeno,John Lenard U 8/3/01 17.10 65 1.7 2.89 22.49 Normal Normal
13 108946060029 Ortiz,Ronald Jr. B 12/2/99 19.06 63 1.77 3.13 20.11 Normal Normal
14 108944070097 Paloma,John Marvin C 4/29/01 18.01 56 1.71 2.92 19.15 Normal Normal
15 108944060112 Pobeda,Ramon P 10/13/98 20.07 55 1.6 2.56 21.48 Normal Stunted
16 108944070118 Recto,Dominique A 11/7/01 17.07 45 1.6 2.56 17.58 Normal Stunted
17 108949070039 Rilles,Daniel Jr. N 2/21/00 19.03 64 1.6 2.56 25.00 Normal Stunted
18 3013211101612 Reynoso,Patrick 10/12/96 22.07 58 1.68 2.82 20.55 Normal Normal
19 108951070012 Turado,carlo D 10/4/00 18.08 52 1.65 2.72 19.10 Normal Normal
20 108944060150 Villapando,Roderick Jr. P 8/31/00 18.09 53 1.59 2.53 20.96 Normal Stunted
21 108944070143 Vizarra,Joshua F 1/11/01 18.04 53 1.64 2.69 19.71 Normal Normal
22 108945070034 Zaballero,John Melo C 9/12/00 18.08 61 1.7 2.89 21.11 Normal Normal
FEMALE
1 108954070013 Aprovechar,Maricar 6/17/02 16.11 40 1.51 2.28 17.54 Normal Normal
0 108954060013 Bonsol,Jastine Joy M 6/22/01 17.11 57 1.46 2.13 26.74 Normal Stunted
### 108947070014 Delin,Mylene 4/30/01 18.01 50 1.47 2.16 23.14 Normal Stunted
### 108951070011 Ricohermoso,Ericka 5/30/02 17.00 41 1.53 2.34 17.51 Normal Normal
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 0 2 20 0 0 22 0 9 13 0 22
FEMALE 0 0 4 0 0 4 0 2 2 0 4
TOTAL 0 2 24 0 0 26 0 11 15 0 26

Date of Assessment: Conducted/Assessed By: Certified Correct By: Reviewed By:


6/10/2019 CHERYL R. ROBLES PRINCESS MARAYA REJANO,RN

SFRT 2017
Note: This area is NOT included in printing. Use A4.
SF8 retreived from http://support.lis.deped.gov.ph/support/downloads/schoolforms/School%20Form%208%20SF8%20Learner%20Basic%20Health%20and%20Nutrition%20Report.xlsx
Growth reference retrieved from http://www.who.int/growthref/en/
Developed by Michael Angelo B. Pagara https://www.facebook.com/michaelangelopagara
for questions and suggestions contact me
Grade Levels)
IV-A CALABARZON

2019-2020

Remarks

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ARY TABLE

Height for Age (HFA)


Summary Table

Total

22
4
26

PRINCESS MARAYA REJANO,RN