Nutritional Status Record: Department of Education
Nutritional Status Record: Department of Education
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NAME
SEX
(B/G)
B
B
B
B
B
G
G
G
G
G
Birthday
Age as of date
of weighing
Weight
(In Kg)
1/15/2008
7/8/2008
5 5/12
4 11/12
5/13/2008
5 1/12
5/26/2008
2/17/2008
11/28/2007
5 1/12
5 4/12
5 7/12
11/18/2007
5 7/12
14
16
16
15
14
18
14
19
14
15
1
1.09
1.04
1
1
1.13
0.99
1.08
0.99
0.99
14.0
13.5
14.8
15.0
14.0
14.1
14.3
16.3
14.3
15.3
NS
Normal
Severely Wasted
Normal
Normal
Normal
Normal
Normal