NUTRITIONAL STATUS REPORT
HIGH SCHOOL
Baseline SY 2018 -19
Date of Weighing: June 06, 2019 Grade Underw
Height Age Body
Birthday Weight Height 2
Names mm/dd/yyyy (kg) ( meters) Sex (m2) Mass Nutritional Status Height-For-Age
y ,m Index
Body Mass Index M F T HFA M F TOTAL Body Mass Index =
No. of Cases No. of Cases Weight (kgs)
Severely Wasted Sev. Stunted Height squred(m2)
Wasted Stunted
Normal Normal
Overweight Tall
Obese
Prepared by:
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Teacher
[email protected] 1
12
2-
-3
4