AM LOVE School Form 8 SF8 Learner Basic Health and Nutrition Report
AM LOVE School Form 8 SF8 Learner Basic Health and Nutrition Report
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)
Nutritiona
Learner's Name Birthdate Age Weight Height Height²
No. LRN BMI
(Last Name, First Name, Name Extension, Middle Name) (MM/DD/YYYY) (in mos.) (kg) (m) (m²)
(kg/m²)
MALE
1 119193180001 LUMEN,KEAN, BUENO 03/30/2013 69 15.5 104 1.08 14.35
FEMALE
SUMMARY TABLE
Nutritional Status
Summary Table
SEX
Severely
Wasted Normal Overweight Obese TOTAL Severely Stunted Stunted
Wasted
MALE 0 0 8 0 0 8 0 5
FEMALE 0 0 17 0 0 17 1 6
TOTAL 0 0 25 0 0 25 1 11
Nutritional Status
Height for
BMI Remarks
Age (HFA)
Category
NORMAL STUNTED
NORMAL STUNTED
NORMAL NORMAL
NORMAL NORMAL
NORMAL STUNTED
NORMAL STUNTED
NORMAL STUNTED
NORMAL NORMAL
NORMAL STUNTED
NORMAL STUNTED
NORMAL NORMAL
NORMAL NORMAL
NORMAL NORMAL
NORMAL NORMAL
NORMAL NORMAL
NORMAL STUNTED
NORMAL NORMAL
NORMAL STUNTED
NORMAL NORMAL
Nutritional Status
Height for
BMI Remarks
Age (HFA)
Category
NORMAL STUNTED
NORMAL STUNTED
NORMAL NORMAL
NORMAL NORMAL
NORMAL NORMAL
ARY TABLE
3 0 8
10 0 17
13 0 25
Reviewed by:
ALVIN I. TENCHAVEZ
SFRT 2017