Department of Education
NUTRITIONAL STATUS RECORD
School:
West City Elementary School
Year/Grade Level & Section: III- Tomales (cont.)
Date of Weighing:
June 20, 2013
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
NAME
SEX
(B/G)
Birthday
Age as of date
of weighing
Weight
(In Kg)
Pontino, Phillien Kathleen
Potane, Mhicaella Jecel
Salapa, Rejin
Sunga, April Lianne
Torres, Junalyn
Villegas, Annika
G
G
G
G
G
G
2/8/2005
1/29/2005
2/19/2005
4/4/2005
11/1/2004
10/3/2003
8 4/12
8 5/12
8 4/12
8 3/12
8 8/12
9 9/12
23
20
25.5
31
23
34
Height (In Body Mass
meters)
Index
1.27
1.2
1.31
1.4
1.23
1.35
14.3
13.9
14.9
15.8
15.2
18.7
NS
Normal
Normal
Normal
Normal
Normal
Normal