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Nutritional Status Consolidation Form

The document is a nutritional status report of elementary school children in an unspecified location for an unspecified school year. It provides data on student enrollment numbers, the number of students weighed, and their classification according to body mass index (BMI) including categories of severely wasted, wasted, normal, above normal, and obese. The report contains this data broken down by grade level, gender, and a grand total.

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Nora L. Bucu
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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10K views4 pages

Nutritional Status Consolidation Form

The document is a nutritional status report of elementary school children in an unspecified location for an unspecified school year. It provides data on student enrollment numbers, the number of students weighed, and their classification according to body mass index (BMI) including categories of severely wasted, wasted, normal, above normal, and obese. The report contains this data broken down by grade level, gender, and a grand total.

Uploaded by

Nora L. Bucu
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Department of Education

NUTRITIONAL STATUS REPORT OF ELEMENTARY SCHOOL CHILDREN IN ___________________


Baseline (June) SY ___________________

Pupils Weighed

Enrolment

Grade Levels

No.

Pre-elem

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Total
GRAND TOTAL:

Total
SPED

No.

###

Total
Multi-Grade

###

Total
Grade VI

No.

###

Total
Grade V

###

Total
Grade IV

No.

###

Total
Grade III

Above Normal

Total
Grade II

No.

BODY MASS INDEX (BMI)


Normal

Wasted

M
Total

Grade I

Severely Wasted

###

###

###

###

###

### 0

### 0

### 0

### 0

###

### 0

### 0

### 0

### 0

###

Total

###

###

###

###

###

Obese
No.

###
###
0

###
###
###

###
###
###

###
###
###

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###

###
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0

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Department of Education

NUTRITIONAL STATUS REPORT OF ELEMENTARY SCHOOL CHILDREN IN ___________________


Baseline (June) SY ___________________

Enrolment

Grade Levels

Pupils Weighed
No.

Pre-elem

Severely Wasted
No.

BODY MASS INDEX (BMI)


Normal

Wasted
No.

No.

Above Normal
No.

Obese
No.

M
F
Total

Grade I

M
F
Total

Grade II

M
F
Total

Grade III

M
F
Total

Grade IV

M
F
Total

Grade V

M
F
Total

Grade VI

M
F
Total

Multi-Grade

M
F
Total

SPED

M
F
Total

GRAND TOTAL:

M
F
Total

07/30/2011

64169295.xls

Department of Education

NUTRITIONAL STATUS REPORT OF ELEMENTARY SCHOOL CHILDREN IN ___________________


Baseline (June) SY ___________________

Pupils Weighed

Enrolment

Grade Levels

No.

Pre-elem

Obese
No.

###

###

###

###

###

###

###

###

###

###

###

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0
0

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0
0

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0

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0

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0

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0
0

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Total

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0

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0

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0

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0

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0

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###

Total

###

###

###

###

###

###

### 0

### 0

### 0

### 0

### 0

###

### 0

### 0

### 0

### 0

### 0

###

Total
07/30/2011

No.

###

GRAND TOTAL:

Above Normal

###

Total

SPED

###

Total

Multi-Grade

No.

###

Total

Grade VI

###

F
Grade V

Wasted
No.

Total
Grade IV

Total
Grade III

No.

Total
Grade II

Severely Wasted

M
Total

Grade I

BODY MASS INDEX (BMI)


Normal

###

###

###

###

###

###

64169295.xls

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