Department of Social Welfare and Development

SFP FORM 3A
Field Office MIMAROPA
SUPPLEMENTARY FEEDING PROGRAM
WEIGHT MONITORING REPORT
13TH CYCLE
Province: ORIENTAL MINDORO Municipality: BONGABONG Barangay:
Name of CDC: Name of CDW: UPON ENTRY
Total Number of Children WEIGHT-FOR-AGE HEIGHT-FOR-AGE WEIGHT-FOR-HEIGHT
1
Assessed: SUW UW N OW SS S N T SW W N OW OB
Based on Boy: 1 0 0 1 0 0 0 1 0 0 0 0 0 0
Sex: Girl: 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24-35 mos. 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Based on 36-47 mos. 1 0 0 1 0 0 0 1 0 0 0 0 0 0
Age: 48-59 mos. 1 0 0 0 0 0 0 0 0 0 0 0 0 0
60-71 mos. 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4Ps: 1 0 0 0 0 0 0 0 0 0 0 0 0 0
Based on IPs: 4 0 0 1 0 0 0 1 0 0 0 0 0 0
Sector: W/ Disability: 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Solo Parent: 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Name of Child Sex Birthdate Age in Sector Deworming 1st Vit A Supp. 1st Date of Weighing Nutritional Status
No. (B/G) (YYYY/MM/DD) Months (4P/IP/WD/SP) Dose (Date) Dose (Date) (YYYY/MM/DD)
Weight in kg Height in cm REMARKS
First Name M.I. Last Name WFA HFA WFH

1 B 7/1/2019 41 IP 12/2/2022 12 99 N N
2 6/20/2018 53 IP 12/3/2022
3 0 4P
4 0 IP
5 0
6 0 IP
7 0
8 0
9 0
10 0 IP
11 0
12 0
13 0
14 0
15 0
Page __1__ of _1___ Date prepared: ___________________
Prepared by: ______________________________ Noted by: JUDY C. MEONADA, RSW
Child Development Worker MSWD Officer
 Department of Social Welfare and Development
SFP FORM 3A
Field Office MIMAROPA
SUPPLEMENTARY FEEDING PROGRAM
WEIGHT MONITORING REPORT
13TH CYCLE
Province: ORIENTAL MINDORO Municipality: Bongabong Barangay:
Name of CDC: Name of CDW: UPON ENTRY
Name of Child Sex Birthdate Age in Sector Deworming 1st Vit A Supp. 1st Date of Weighing Nutritional Status
No. (B/G) (YYYY/MM/DD) Months (4P/IP/WD/SP) Dose (Date) Dose (Date) (YYYY/MM/DD)
Weight in kg Height in cm REMARKS
First Name M.I. Last Name WFA HFA WFH
16 0
17 0
18 0
19 0
20 0
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
31 0
32 0
33 0
34 0
35 0
Page ____ of ____ Date prepared: ___________________
Prepared by: ______________________________ Noted by: JUDY C. MEONADA, RSW
Child Development Worker MSWD Officer
 Department of Social Welfare and Development
SFP FORM 3A
Field Office MIMAROPA
SUPPLEMENTARY FEEDING PROGRAM
WEIGHT MONITORING REPORT
13TH CYCLE
Province: ORIENTAL MINDORO Municipality: Bongabong Barangay:
Name of CDC: Name of CDW: UPON ENTRY
Name of Child Nutritional Status
Sex Birthdate Age in Sector Deworming 1st Vit A Supp. 1st Date of Weighing
No. (B/G) (YYYY/MM/DD) Months (4P/IP/WD/SP) Dose (Date) Dose (Date) (YYYY/MM/DD)
Weight in kg Height in cm REMARKS
First Name M.I. Last Name WFA HFA WFH

36 0
37 0
38 0
39 0
40 0
41 0
42 0
43 0
44 0
45 0
46 0
47 0
48 0
49 0
50 0
51 0
52 0
53 0
54 0
55 0
Page ____ of ____ Date prepared: ___________________
Prepared by: ______________________________ Noted by: JUDY C. MEONADA, RSW
Child Development Worker MSWD Officer
 Department of Social Welfare and Development
SFP FORM 3A
Field Office MIMAROPA
SUPPLEMENTARY FEEDING PROGRAM
WEIGHT MONITORING REPORT
13TH CYCLE
Province: ORIENTAL MINDORO Municipality: Bongabong Barangay:
Name of CDC: Name of CDW: UPON ENTRY
Name of Child Sex Birthdate Age in Sector Deworming 1st Vit A Supp. 1st Date of Weighing Nutritional Status
No. (B/G) (YYYY/MM/DD) Months (4P/IP/WD/SP) Dose (Date) Dose (Date) (YYYY/MM/DD)
Weight in kg Height in cm REMARKS
First Name M.I. Last Name WFA HFA WFH
56 0
57 0
58 0
59 0
60 0
61 0
62 0
63 0
64 0
65 0
66 0
67 0
68 0
69 0
70 0
71 0
72 0
73 0
74 0
75 0
Page ____ of ____ Date prepared: ___________________
Prepared by: ______________________________ Noted by: JUDY C. MEONADA, RSW
Child Development Worker MSWD Officer
 Department of Social Welfare and Development SFP FORM 3B
Field Office MIMAROPA
SUPPLEMENTARY FEEDING PROGRAM
WEIGHT MONITORING REPORT
12TH CYCLE
Province: Oriental Mindoro Municipality: Bongabong Barangay:
Name of CDC: Name of CDW: 1 MONTH AFTER
Total Number of Children WEIGHT-FOR-AGE HEIGHT-FOR-AGE WEIGHT-FOR-HEIGHT
0
Assessed: SUW UW N OW SS S N T SW W N OW OB
Based on Boy: 0 0 4 0 0 0 4 0 0 0 0 0 0
Sex: Girl: 0 0 0 0 0 0 0 0 0 0 0 0 0
24-35 mos. 0 0 0 0 0 0 0 0 0 0 0 0 0
Based on 36-47 mos. 0 0 4 0 0 0 4 0 0 0 0 0 0
Age: 48-59 mos. 0 0 0 0 0 0 0 0 0 0 0 0 0
60-71 mos. 0 0 0 0 0 0 0 0 0 0 0 0 0
4Ps: 0 0 0 0 0 0 0 0 0 0 0 0 0
Based on IPs: 0 0 4 0 0 0 4 0 0 0 0 0 0
Sector: W/ Disability: 0 0 0 0 0 0 0 0 0 0 0 0 0
Solo Parent: 0 0 0 0 0 0 0 0 0 0 0 0 0
Name of Child Nutritional Status
Sex Birthdate Age in Sector Deworming 1st Vit A Supp. 1st Date of Weighing Weight in Height in
No. REMARKS
(B/G) (YYYY/MM/DD) Months (4P/IP/WD/SP) Dose (Date) Dose (Date) (YYYY/MM/DD) kg cm
First Name M.I. Last Name WFA HFA WFH
1 B 7/1/2019 41 IP 12/2/2022 12 99 N N
2 0
3 0 4Ps
4 0 4Ps
5 0
6 0
7 0
8 0
9 0
10 0
11 0
12 0
13 0
14 0
15 0
Page ____ of ____ Date prepared: ___________________
 Prepared by: ______________________________ Noted by: JUDY C. MEONADA, RSW
Child Development Worker MSWD Officer
Department of Social Welfare and Development SFP FORM 3B
Field Office MIMAROPA
SUPPLEMENTARY FEEDING PROGRAM
WEIGHT MONITORING REPORT
12TH CYCLE
Province: Oriental Mindoro Municipality: Bongabong Barangay:
Name of CDC: Name of CDW: 1 MONTH AFTER
Name of Child Deworming Nutritional Status
Sex Birthdate Age in Sector Vit A Supp. 1st Date of Weighing Weight Height in
No. (B/G) (YYYY/MM/DD) Months (4P/IP/WD/SP)
1st Dose
Dose (Date) (YYYY/MM/DD) in kg cm
REMARKS
First Name M.I. Last Name (Date) WFA HFA WFH
16 B 7/1/2019 41 IP 12/2/2022 12 99 N N
17 0
18 0
19 0
20 0
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
31 0
32 0
33 0
34 0
35 0
Page ____ of ____ Date prepare___________________
Prepared by: ______________________________ Noted by: JUDY C. MEONADA, RSW
 Child Development Worker MSWD Officer

Department of Social Welfare and Development

SFP FORM 3B
Field Office MIMAROPA
SUPPLEMENTARY FEEDING PROGRAM
WEIGHT MONITORING REPORT
12TH CYCLE
Province: Oriental Mindoro Municipality: Bongabong Barangay:
Name of CDC: Name of CDW: 1 MONTH AFTER
Name of Child Deworming Nutritional Status
Sex Birthdate Age in Sector Vit A Supp. 1st Date of Weighing Weight Height in
No. (B/G) (YYYY/MM/DD) Months (4P/IP/WD/SP)
1st Dose
Dose (Date) (YYYY/MM/DD) in kg cm
REMARKS
First Name M.I. Last Name (Date) WFA HFA WFH
36 B 7/1/2019 41 IP 12/2/2022 12 99 N N
37 0
38 0
39 0
40 0
41 0
42 0
43 0
44 0
45 0
46 0
47 0
48 0
49 0
50 0
51 0
52 0
53 0
 54 0
55 0
Page ____ of ____ Date prepared___________________
Prepared by: ______________________________ Noted by: JUDY C. MEONADA, RSW
Child Development Worker MSWD Officer

Department of Social Welfare and Development

SFP FORM 3B
Field Office MIMAROPA
SUPPLEMENTARY FEEDING PROGRAM
WEIGHT MONITORING REPORT
12TH CYCLE
Province: Oriental Mindoro Municipality: Bongabong Barangay:
Name of CDC: Name of CDW: 1 MONTH AFTER
Name of Child Deworming Nutritional Status
Sex Birthdate Age in Sector Vit A Supp. 1st Date of Weighing Weight Height in
No. (B/G) (YYYY/MM/DD) Months (4P/IP/WD/SP)
1st Dose
Dose (Date) (YYYY/MM/DD) in kg cm
REMARKS
First Name M.I. Last Name (Date) WFA HFA WFH
56 B 7/1/2019 41 IP 12/2/2022 12 99 N N
57 0
58 0
59 0
60 0
61 0
62 0
63 0
64 0
65 0
66 0
67 0
68 0
 69 0
70 0
71 0
72 0
73 0
74 0
75 0
Page ____ of ____ Date prepare___________________
Prepared by: ______________________________ Noted by: JUDY C. MEONADA, RSW
Child Development Worker MSWD Officer
_____
_____
_____
 Department of Social Welfare and Development
SFP FORM 3C
Field Office MIMAROPA
SUPPLEMENTARY FEEDING PROGRAM
WEIGHT MONITORING REPORT
13TH CYCLE
Province: ORIENTAL MINDORO Municipality: BONGABONG Barangay:
Name of CDC: Name of CDW: 2 MONTHS AFTER
Total Number of Children WEIGHT-FOR-AGE HEIGHT-FOR-AGE WEIGHT-FOR-HEIGHT
0
Assessed: SUW UW N OW SS S N T SW W N OW OB
Based on Boy: 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sex: Girl: 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24-35 mos. 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Based on 36-47 mos. 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Age: 48-59 mos. 0 0 0 0 0 0 0 0 0 0 0 0 0 0
60-71 mos. 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4Ps: 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Based on IPs: 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sector: W/ Disability: 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Solo Parent: 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Name of Child Nutritional Status
Sex Birthdate Age in Sector Deworming 1st Vit A Supp. 1st Date of Weighing Weight in Height in
No. REMARKS
(B/G) (YYYY/MM/DD) Months (4P/IP/WD/SP) Dose (Date) Dose (Date) (YYYY/MM/DD) kg cm
First Name M.I. Last Name WFA HFA WFH

1 0
2 0
3 0
4 0
5 0
6 0
7 0
8 0
9 0
10 0
11 0
12 0
13 0
14 0
15 0
Page ____ of ____ Date prepared: ___________________
Prepared by: ______________________________ Noted by: JUDY C. MEONADA, RSW
 Child Development Worker MSWD Officer
Department of Social Welfare and Development
SFP FORM 3C
Field Office MIMAROPA
SUPPLEMENTARY FEEDING PROGRAM
WEIGHT MONITORING REPORT
13TH CYCLE
Province: ORIENTAL MINDORO Municipality: BONGABONG Barangay:
Name of CDC: Name of CDW: 2 MONTHS AFTER
Name of Child Nutritional Status
Sex Birthdate Age in Sector Deworming 1st Vit A Supp. 1st Date of Weighing Weight in Height in
No. (B/G) (YYYY/MM/DD) Months (4P/IP/WD/SP) Dose (Date) Dose (Date) (YYYY/MM/DD) kg cm REMARKS
First Name M.I. Last Name WFA HFA WFH

16 0
17 0
18 0
19 0
20 0
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
31 0
32 0
33 0
34 0
35 0
Page ____ of ____ Date prepared: ___________________
Prepared by: ______________________________ Noted by: JUDY C. MEONADA, RSW
 Child Development Worker MSWD Officer

Department of Social Welfare and Development SFP FORM 3C

Field Office MIMAROPA
SUPPLEMENTARY FEEDING PROGRAM
WEIGHT MONITORING REPORT
13TH CYCLE
Province: ORIENTAL MINDORO Municipality: BONGABONG Barangay:
Name of CDC: Name of CDW: 2 MONTHS AFTER
Name of Child Sector Nutritional Status
Sex Birthdate Age in Deworming 1st Vit A Supp. 1st Date of Weighing Weight in Height in
No. (B/G) (YYYY/MM/DD) Months
(4P/IP/WD/S
Dose (Date) Dose (Date) (YYYY/MM/DD) kg cm
REMARKS
First Name M.I. Last Name P) WFA HFA WFH
36 0
37 0
38 0
39 0
40 0
41 0
42 0
43 0
44 0
45 0
46 0
47 0
48 0
49 0
50 0
51 0
52 0
53 0
 54 0
55 0
Page ____ of ____ Date prepared: ___________________
Prepared by: ______________________________ Noted by: JUDY C. MEONADA, RSW
Child Development Worker MSWD Officer

Department of Social Welfare and Development

SFP FORM 3C
Field Office MIMAROPA
SUPPLEMENTARY FEEDING PROGRAM
WEIGHT MONITORING REPORT
13TH CYCLE
Province: ORIENTAL MINDORO Municipality: BONGABONG Barangay:
Name of CDC: Name of CDW: 2 MONTHS AFTER
Name of Child Sector Nutritional Status
Sex Birthdate Age in Deworming 1st Vit A Supp. 1st Date of Weighing Weight in Height in
No. (B/G) (YYYY/MM/DD) Months
(4P/IP/WD/S
Dose (Date) Dose (Date) (YYYY/MM/DD) kg cm
REMARKS
First Name M.I. Last Name P) WFA HFA WFH
56 0
57 0
58 0
59 0
60 0
61 0
62 0
63 0
64 0
65 0
66 0
67 0
68 0
 69 0
70 0
71 0
72 0
73 0
74 0
75 0
Page ____ of ____ Date prepar___________________
Prepared by: ______________________________ Noted by: JUDY C. MEONADA, RSW
Child Development Worker MSWD Officer
 Department of Social Welfare and Development
SFP FORM 3G
Field Office MIMAROPA
SUPPLEMENTARY FEEDING PROGRAM
WEIGHT MONITORING REPORT
13TH CYCLE
Province: Oriental Mindoro Municipality: Bongabong Barangay:
Name of CDC: Name of CDW: TERMINAL
Total Number of Children WEIGHT-FOR-AGE HEIGHT-FOR-AGE WEIGHT-FOR-HEIGHT
0
Assessed: SUW UW N OW SS S N T SW W N OW OB
Based on Boy: 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sex: Girl: 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24-35 mos. 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Based on 36-47 mos. 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Age: 48-59 mos. 0 0 0 0 0 0 0 0 0 0 0 0 0 0
60-71 mos. 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4PS: 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Based on IPs: 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sector: W/ Disability: 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Solo Parent: 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Name of Child Sex Birthdate Age in Sector Date of Weighing Weight Height in Nutritional Status REMARKS
No.
First Name M.I. Last Name (B/G) (YYYY/MM/DD) Months (4P/IP/WD/SP) (YYYY/MM/DD) in kg cm WFA HFA WFH Weight WFA HFA WFH
1 0
2 0
3 0
4 0
5 0
6 0
7 0
8 0
9 0
10 0
11 0
12 0
13 0
14 0
15 0
Page ____ of ____ Date prepared: _______________________
Prepared by: ______________________________ Noted by: JUDY C. MEONADA, RSW
Child Development Worker MSWD Officer
 Department of Social Welfare and Development
SFP FORM 3G
Field Office MIMAROPA
SUPPLEMENTARY FEEDING PROGRAM
WEIGHT MONITORING REPORT
13TH CYCLE
Province: Oriental Mindoro Municipality: Bongabong Barangay:
Name of CDC: Name of CDW: TERMINAL
Name of Child Sex Birthdate Age in Sector Date of Weighing Weight Height in Nutritional Status REMARKS
No. (B/G) (YYYY/MM/DD) Months (4P/IP/WD/SP) (YYYY/MM/DD) in kg cm
First Name M.I. Last Name WFA HFA WFH Weight WFA HFA WFH
16 0
17 0
18 0
19 0
20 0
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
31 0
32 0
33 0
34 0
35 0
Page ____ of ____ Date prepared: _______________________
Prepared by: ______________________________ Noted by: JUDY C. MEONADA, RSW
Child Development Worker MSWD Officer
 Department of Social Welfare and Development
SFP FORM 3G
Field Office MIMAROPA
SUPPLEMENTARY FEEDING PROGRAM
WEIGHT MONITORING REPORT
13TH CYCLE
Province: Oriental Mindoro Municipality: Bongabong Barangay:
Name of CDC: Name of CDW: TERMINAL
Name of Child Sex Birthdate Age in Sector Date of Weighing Weight Height in Nutritional Status REMARKS
No. (B/G) (YYYY/MM/DD) Months (4P/IP/WD/SP) (YYYY/MM/DD) in kg cm
First Name M.I. Last Name WFA HFA WFH Weight WFA HFA WFH
36 0
37 0
38 0
39 0
40 0
41 0
42 0
43 0
44 0
45 0
46 0
47 0
48 0
49 0
50 0
51 0
52 0
53 0
54 0
55 0
Page ____ of ____ Date prepared: _______________________
Prepared by: ______________________________ Noted by: JUDY C. MEONADA, RSW
Child Development Worker MSWD Officer
 Department of Social Welfare and Development
SFP FORM 3G
Field Office MIMAROPA
SUPPLEMENTARY FEEDING PROGRAM
WEIGHT MONITORING REPORT
13TH CYCLE
Province: Municipality: Barangay:
Name of CDC: Name of CDW: TERMINAL
Name of Child Sex Birthdate Age in Sector Date of Weighing Weight Height in Nutritional Status REMARKS
No. (B/G) (YYYY/MM/DD) Months (4P/IP/WD/SP) (YYYY/MM/DD) in kg cm
First Name M.I. Last Name WFA HFA WFH Weight WFA HFA WFH
56 0
57 0
58 0
59 0
60 0
61 0
62 0
63 0
64 0
65 0
66 0
67 0
68 0
69 0
70 0
71 0
72 0
73 0
74 0
75 0
Page ____ of ____ Date prepare_______________________
Prepared by: ______________________________ Noted by: JUDY C. MEONADA, RSW
Child Development Worker MSWD Officer