SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)

School Name BAGONG NEGROS ES District KIBLAWAN SOUTH Division DAVAO DEL SUR Region XI

School ID 128895 Grade 6 Section EMERALD Track/Strand (SHS) School Year 2023-2024

Date of Weighing : September 21, 2024

Nutritional Status
Learner's Name Birthdate Weight Height Height² Height for
No. LRN (Last Name, First Name, Name (MM/DD/YYYY) Age Sex (kg) (m) (m²) BMI Age (HFA) Remarks
Extension, Middle Name) (kg/m²) BMI Category

MALE
1 125678961 Juan Dela Cruz 9/7/2009 15 M 45 2.5 6.25 7.20 Severely Wasted TALL
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
 Nutritional Status
Learner's Name Birthdate Weight Height Height² Height for
No. LRN (Last Name, First Name, Name (MM/DD/YYYY) Age Sex (kg) (m) (m²) BMI Age (HFA) Remarks
Extension, Middle Name) (kg/m²) BMI Category

M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
M 0.00
FEMALE
F 0.00
F 0.00
 Nutritional Status
Learner's Name Birthdate Weight Height Height² Height for
No. LRN (Last Name, First Name, Name (MM/DD/YYYY) Age Sex (kg) (m) (m²) BMI Age (HFA) Remarks
Extension, Middle Name) (kg/m²) BMI Category

F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
 Nutritional Status
Learner's Name Birthdate Weight Height Height² Height for
No. LRN (Last Name, First Name, Name (MM/DD/YYYY) Age Sex (kg) (m) (m²) BMI Age (HFA) Remarks
Extension, Middle Name) (kg/m²) BMI Category

F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00
F 0.00

SUMMARY TABLE

Nutritional Status Height for Age (HFA)

Summary Table Summary Table
SEX Severely
Severely Wasted Wasted Normal Overweight Obese TOTAL Stunted Stunted Normal Tall Total

MALE 1 0 0 0 0 1 0 0 0 1 1
FEMALE 0 0 0 0 0 0 0 0 0 0 0
TOTAL 1 0 0 0 0 1 0 0 0 1 1

Date of Assessment: Conducted/Assessed By: Certified Correct By: Reviewed By:

SFRT 2017
SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)

School Name BAGONG NEGROS ES District KIBLAWAN SOUTH Division DAVAO DEL SUR Region XI

School ID 128895 Grade 6 Section EMERALD Track/Strand (SHS) 0 School Year 2023-2024

Date of Weighing : September 21, 2024

Nutritional Status
Learner's Name Birthdate Weight Height Height² Height for
No. LRN (Last Name, First Name, Name (MM/DD/YYYY) Age Sex (kg) (m) (m²) BMI Age (HFA) Remarks
Extension, Middle Name) (kg/m²) BMI Category

MALE
1 125678961 Juan Dela Cruz 9/7/2009 15 M 45 2.5 6.25 7.2 Severely Wasted TALL 0
2 0 0 12/30/1899 M 0 0 0 0
3 0 0 12/30/1899 M 0 0 0 0
4 0 0 12/30/1899 M 0 0 0 0
5 0 0 12/30/1899 M 0 0 0 0
6 0 0 12/30/1899 M 0 0 0 0
7 0 0 12/30/1899 M 0 0 0 0
8 0 0 12/30/1899 M 0 0 0 0
9 0 0 12/30/1899 M 0 0 0 0
10 0 0 12/30/1899 M 0 0 0 0
11 0 0 12/30/1899 M 0 0 0 0
12 0 0 12/30/1899 M 0 0 0 0
13 0 0 12/30/1899 M 0 0 0 0
14 0 0 12/30/1899 M 0 0 0 0
15 0 0 12/30/1899 M 0 0 0 0
16 0 0 12/30/1899 M 0 0 0 0
17 0 0 12/30/1899 M 0 0 0 0
18 0 0 12/30/1899 M 0 0 0 0
19 0 0 12/30/1899 M 0 0 0 0
20 0 0 12/30/1899 M 0 0 0 0
FEMALE
1 0 0 12/30/1899 F 0 0 0.00 0
 Nutritional Status
Learner's Name Birthdate Weight Height Height² Height for
No. LRN (Last Name, First Name, Name (MM/DD/YYYY) Age Sex (kg) (m) (m²) BMI Age (HFA) Remarks
Extension, Middle Name) (kg/m²) BMI Category

2 0 0 12/30/1899 F 0 0 0.00 0
3 0 0 12/30/1899 F 0 0 0.00
4 0 0 12/30/1899 F 0 0 0.00 0
5 0 0 12/30/1899 F 0 0 0.00 0
6 0 0 12/30/1899 F 0 0 0.00 0
7 0 0 12/30/1899 F 0 0 0.00 0
8 0 0 12/30/1899 F 0 0 0.00 0
9 0 0 12/30/1899 F 0 0 0.00 0
10 0 0 12/30/1899 F 0 0 0.00 0
11 0 0 12/30/1899 F 0 0 0.00 0
12 0 0 12/30/1899 F 0 0 0.00 0
13 0 0 12/30/1899 F 0 0 0.00 0
14 0 0 12/30/1899 F 0 0 0.00 0
15 0 0 12/30/1899 F 0 0 0.00 0
16 0 0 12/30/1899 F 0 0 0.00 0
17 0 0 12/30/1899 F 0 0 0.00 0
18 0 0 12/30/1899 F 0 0 0.00 0
19 0 0 12/30/1899 F 0 0 0.00 0
20 0 0 12/30/1899 F 0 0 0.00 0

SUMMARY TABLE

Nutritional Status Height for Age (HFA)

Summary Table Summary Table
SEX Severely
Severely Wasted Wasted Normal Overweight Obese TOTAL Stunted Stunted Normal Tall Total

MALE 1 0 0 0 0 1 0 0 0 1 1
FEMALE 0 0 0 0 0 0 0 0 0 0 0
TOTAL 1 0 0 0 0 1 0 0 0 1 1

Date of Assessment: Conducted/Assessed By: Certified Correct By: Reviewed By:

December 30, 1899 0 0 0
0 0 0 0
 #REF!

#REF!

Age in Raw Ht. Div. Raw

NO. NAME OF PUPILS BIRTHDAY SEX Mos. Ht./cm. 100cm. Ht. in m2 Wt./kgs. BMI Nut. Status Ht.Status

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NO. of Pupils: Prepared by:

Male: ###
Female ### #REF!
Total: ### Adviser

BMI: Male Female

Severely Wasted #REF! #REF!
Wasted #REF! #REF!
Normal #REF! #REF!
Overweight #REF! #REF!
Obese #REF! #REF!
Total #REF! #REF!