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Republic of the PhilippinesSan Roque Central Elementary School
San Roque, Northern Samar-o0o-
NUTRITIONAL STATUSEnd line Data
Date of Weighing______________Name Birth
dateAge Weight Height Ht 2 BMI NS
Summary:Male Female
Overweight ______ _____Normal ______ _____Wasted ______ _____Severely Wasted ______ _____
Prepared by:
_________________________Adviser