Bmi G10B
Bmi G10B
2. Encoding the July NSDD (National School Deworming Day) and January NSDD Sheets
4. BMI and HFA sheets are the data used for determining the Nutritional Status of learners based on WHO
To view it, unhide by right clicking any sheets at the bottom.
5. How to Print
Press CTRL + P. Use 8.5 x 13 paper size.
Check if the settings are
the same before printing.
This worksheet is intended for use of classroom advisers in secondary with at most 60 learner
60, a separate worksheet may be needed.
DD Sheets
Note:
Indicate the reason for not having the
child dewormed and if some adverse
ing , Feeding Done, Dewormed, Tooth Brushing, events occurred under the Remarks
, input any character i.e. "/" or "yes" if observed. column and indicate the management
NOT. given under the Action Taken column.
Accomplished by:
DANE P. JACOB
Class Adviser
ANNEX C
FORM 1
Region: V (Bicol)
Division: CAMARINES SUR
District: SIPOCOT
Name of School: BATO NATIONAL HIGH SCHOOL
MAR:
School Address: Caima, Sipocot, Camarines Sur Input any character i.e. "/" or "Yes" for
Total Enrolment: (Male: Female: Handwashing, Feeding Done, Dewormed,
Grade Level & Section: Grade 10 - BENEVOLENCE Toothbrushing, and 4Ps column. Leave it blank if
not done or NOT dewormed.
Dewormed
Brushing
Washing
Feeding
Tooth
Hand
Done
Gender
Name of Child Address Remarks Action Taken
(M/F)
Accomplished by:
DANE P. JACOB
Class Adviser
SCHOOL BASED IMMUNIZATION PROGRAM MAR:
Recording form 1: Masterlist of Enrolled Learners Choose from drop-down
list.
Region: V (Bicol) Name of School: BATO NATIONAL HIGH SCHOOL Grade & Section: Grade 10 - BENEVOLENCE Name of Vaccinator 1:
Province/City: CAMARINES SUR Division: CAMARINES SUR Name of class adviser: DANE P. JACOB Name of Vaccinator 2:
District/Municipality: SIPOCOT Date: August 01, 2019 Name of Supervisor/Principal: NAME OF SCHOOL HEAD Name of Recorder:
Region: V (Bicol)
Division: CAMARINES SUR
District: SIPOCOT
Name of School: BATO NATIONAL HIGH SCHOOL
School Address: Caima, Sipocot, Camarines Sur
Total Enrolment: (Male: Female:
Grade Level & Section: Grade 10 - BENEVOLENCE
Dewormed
Brushing
Washing
Feeding
Tooth
Hand
Done
Gender
Name of Child Address Remarks Action Taken
(M/F)
Accomplished by:
DANE P. JACOB
Class Adviser
Republic of the Philippines
DEPARTMENT OF EDUCATION
Bureau of Learner Support Services
SCHOOL HEALTH DIVISION
Date of Weighing: March 01, 2022 Grade & Section: Grade 10 - BENEV
Name of Learners Height Body Mass
Birthdate Weight (kg) Sex Height (m ) Age (y:m)
2 2
Nutritional Status Height-for-age
(Surname, First name, MI) (meters) Index
1 ALPAPARA, JOHN ARTHUR M. 7/17/2005 46 1.59 M 2.53 16:7 18.2 Normal Normal
2 BELEN, WEILMER JOHN C. 11/27/2005 46 1.61 M 2.59 16:3 17.7 Normal Normal
3 BUENO, OMAR O. 1/22/2004 51 1.69 M 2.86 18:1 17.9 Normal Normal
4 CALVELO, JIMMUELLE P. 3/24/2005 44 1.59 M 2.53 16:11 17.4 Normal Stunted
5 CELESTIAL, JOHN SAM S. 2/6/2007 85 1.82 M 3.31 15:0 25.7 Normal Normal
6 DACILLO, ANTHONY R. 9/11/2006 45 1.56 M 2.43 15:5 18.5 Normal Normal
7 FLORENDO, JOHN LLOYD F. 7/31/2004 50 1.69 M 2.86 17:7 17.5 Normal Normal
8 GABARDA, REY J. 6/18/2003 49 1.65 M 2.72 18:8 18.0 Normal Normal
9 MANJARES, JOEL R. 8/31/2004 50 1.67 M 2.79 17:6 17.9 Normal Normal
10 MORENO, JOHN LENARD L. 8/8/2005 39 1.57 M 2.46 16:6 15.8 Wasted Stunted
11 MORILLO, BJ B. 7/29/2005 42 1.73 M 2.99 16:7 14.0 Severely Wasted Normal
12 PRIETO, BRIENN ALNOR 12/1/2005 57 1.61 M 2.59 16:3 22.0 Normal Normal
13 QUIRUELA, JOBERT T. 9/12/2004 56 1.65 M 2.72 17:5 20.6 Normal Normal
14 RAMIREZ, KENNETH M. 10/12/2004 46 1.58 M 2.50 17:4 18.4 Normal Stunted
15 RIMBAO, CRISOSTOMO JR. R. 2/13/2006 42 1.54 M 2.37 16:0 17.7 Normal Stunted
16 VALIENTE, MARC ANDRIE B. 2/21/2005 72 1.79 M 3.20 17:0 22.5 Normal Normal
17 VILLAVERDE, JOHN LESTER C. 7/31/2003 61 1.75 M 3.06 18:7 19.9 Normal Normal
18 ALPE, DANILYN C. 6/4/2005 54 1.67 F 2.79 16:8 19.4 Normal Tall
19 ASIDO, VANESSA G. 3/17/2006 49 1.55 F 2.40 15:11 20.4 Normal Normal
20 BALDON, ANGELICA MAE J. 11/22/2005 37 1.52 F 2.31 16:3 16.0 Normal Normal
21 BALDON, JESSICA J. 5/8/2004 35 1.42 F 2.02 17:9 17.4 Normal Normal
22 CELESTIAL, STEPHANIE J. 2/10/2005 38 1.51 F 2.28 17:0 16.7 Normal Normal
23 CERENO, KENN JASMIN S. 6/26/2006 50 1.54 F 2.37 15:8 21.1 Normal Normal
24 COMETA, ALIXCIS V. 6/25/2006 39 1.57 F 2.46 15:8 15.8 Normal Normal
25 LABRADOR, ANGELITA S. 9/1/2002 34 1.53 F 2.34 19:6 14.5 Wasted Normal
26 LABRADOR, ROCHELLE MAY M. 5/19/2006 39 1.51 F 2.28 15:9 17.1 Normal Normal
27 PALIGAR, MECHA ELLA S. 1/10/2005 39 1.56 F 2.43 17:1 16.0 Normal Normal
28 SANCHEZ, RUBY N. 3/30/2005 37 1.53 F 2.34 16:11 15.8 Normal Normal
29 TALAGTAG, JUDY ANN E. 3/9/2002 47 1.51 F 2.28 19:11 20.6 Normal Normal
30 SANTOS, SAIMEN A. 6/22/2009 37 1.54 F 2.37 12:8 15.6 Normal Normal
31 SECRETARIO, JINKY B. 6/13/2009 37 1.45 F 2.10 12:8 17.6 Normal Normal
32 SOLIMAN, IRISH P. 6/4/2010 36 1.54 F 2.37 11:8 15.2 Normal Normal
33 VILLAVERDE, JILLIAN A. 11/8/2009 34 1.53 F 2.34 12:3 14.5 Wasted Normal
Accomplished by:
DANE P. JACOB
Class Adviser