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7/27/2019 0 71 Preschoolers
1/149
Street Purok Household
Number
Name of Household Head/
Mother/ Caregiver
Pantay Bituin I Dasadre, Emmanuel
Pantay Bituin I De Leon, Kevin
Pantay Bituin I Gatus, Jeffrey
Pantay Bituin I Mendoza, Rolando
Pantay Bituin I Leroux, Polery
Pantay Bituin I Gatus, Jeffrey
Pantay Bituin
Pantay Bituin
Pantay Bituin
Pantay Bituin
Pantay Bituin
Pantay Bituin
Pantay Bituin
Pantay Bituin
7/27/2019 0 71 Preschoolers
2/149
Name of Preschooler Sex BirthdayDate of
Measurement
Age in
Month
Weight
(kg)
Length/
Height
Christian Dale B 09/03/2007 02/07/2013 65 18.2 106.0
King Jacob B 12/12/2012 02/07/2013 1 9.6 73.0
Jaden Jerald B 06/25/2011 02/07/2013 19 12.0 82.0
Princess Assiah G 03/08/2010 02/07/2013 34 11.9 86.0
Gwekhalyn G 06/23/2012 02/07/2013 7 9.0 65.0
Jenina Marie G 09/12/2012 02/07/2013 4 6.3 60.0
Carina mae G 04/14/2008 02/07/2013 57 16.4 102.0
Jerimiah B 09/01/2012 02/07/2013 5 7.8 66.5
Jerome B 06/03/2007 02/07/2013 68 18.1 109.0
Rhea angeline G 01/28/2011 02/07/2013 24 10.8 81.0
Azel john B 04/27/2011 02/07/2013 21 10.7 76.0
Vlanier B 09/06/2008 02/07/2013 53 17.7 106.0
Vincent B 02/28/2010 02/07/2013 35 13.9 94.0
Sophia G 03/09/2009 02/07/2013 46 16.6 96.5
Josh B 12/26/2009 02/07/2013 37 19.0 100.0
Kate Raziel G 08/16/2012 01/05/1900 5 8.5 65.0
Khylie Myuki G 07/22/2012 02/07/2013 6
7/27/2019 0 71 Preschoolers
3/149
WFA L/HFA WFL/H
N N N
OW T NN N N
N S N
N N OWN N N
N N N
N N N
N N N
N N N
N SS N
N N N
N N N
N N N
OW N OW
N N N
\'
7/27/2019 0 71 Preschoolers
4/149
Weight Height/L
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Date of Age in
Month
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional Status
Revised February 2012
PurokHousehold
Number
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
5/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
BirthdayAge in
Month
Date of
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
Revised February 2012
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional Status
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
6/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Revised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Date ofAge in
Month
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional Status
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
7/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Age in
Month
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional Status
Revised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Date of
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
8/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional Status
Revised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Date ofAge in
Month
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
9/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional Status
Revised February 2012
Date ofAge in
Month
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
10/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Date ofAge in
Month
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional Status
Revised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
11/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
Date ofAge in
Month
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional Status
Revised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
12/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional Status
Revised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
Date ofAge in
Month
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
13/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Date ofAge in
Month
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional Status
Revised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
14/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
Date ofAge in
Month
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional Status
Revised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
15/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional Status
Revised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
Date ofAge in
Month
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
16/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Date ofAge in
Month
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional Status
Revised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
17/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
Date ofAge in
Month
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional Status
Revised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
18/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional Status
Revised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
Date ofAge in
Month
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
19/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Date ofAge in
Month
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional Status
Revised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
20/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
Date ofAge in
Month
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional Status
Revised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
21/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional Status
Revised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
Date ofAge in
Month
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
22/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Date ofAge in
Month
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional Status
Revised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
23/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
Date ofAge in
Month
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional Status
Revised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
24/149
7/27/2019 0 71 Preschoolers
25/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Date ofAge in
Month
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional StatusRevised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
26/149
7/27/2019 0 71 Preschoolers
27/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional StatusRevised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
Date ofAge in
Month
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
28/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Date ofAge in
Month
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional StatusRevised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
29/149
7/27/2019 0 71 Preschoolers
30/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional StatusRevised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
Date ofAge in
Month
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
31/149
7/27/2019 0 71 Preschoolers
32/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
Date ofAge in
Month
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional StatusRevised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
33/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional StatusRevised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
Date ofAge in
Month
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
34/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Date ofAge in
Month
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional StatusRevised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
35/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
Date ofAge in
Month
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional StatusRevised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
36/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional StatusRevised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
Date ofAge in
Month
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
bl f h h l
7/27/2019 0 71 Preschoolers
37/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Date ofAge in
Month
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional StatusRevised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
38/149
Republic of the Philippines
7/27/2019 0 71 Preschoolers
39/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional StatusRevised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
Date ofAge in
Month
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
Republic of the Philippines
7/27/2019 0 71 Preschoolers
40/149
WeightHeight/L
ength
(1) (2) (3) (4) (5) (6) (7) (8) (9)
OPT Plus Form 1. List of Preschoolers with Weight and Height Measurement and Identified Nutritional StatusRevised February 2012
PurokHousehold
Number
Name of Household Head/
Mother/ CaregiverName of Preschooler Sex Birthday
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
Date ofAge in
Month
*Codes for nutritional status: Weight-for-Age: N-Normal UW- Underweight SUW-Severly Underweight OW- Overweight
Length/Height-for-Age: N- Normal St- Stunting SSt- Severely Stunting T- Tall
Weight-for-Length/Height: N- Normal W- Wasted SW-Severly Wasted OW- Overweight Ob- Obese1/nAge-in-monthsn refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only.
Prepared by: Raymundo, Rebecca Libiran Checked:Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutritio
Date: Date:
Barangay: Paliwas Municipality: Obando Province: Bulacan Year: 2013 Date of OPT Plus:
7/27/2019 0 71 Preschoolers
41/149
7/27/2019 0 71 Preschoolers
42/149
7/27/2019 0 71 Preschoolers
43/149
WFA L/HFA WFL/H
(10) (11) (12) (13) (14)
Weight
(kg)
Length/
Height
Nutritional Status*
Program Coordinator
7/27/2019 0 71 Preschoolers
44/149
WFA L/HFA WFL/H
(10) (11) (12) (13) (14)
Weight
(kg)
Length/
Height
Nutritional Status*
Program Coordinator
7/27/2019 0 71 Preschoolers
45/149
WFA L/HFA WFL/H
(10) (11) (12) (13) (14)
Weight
(kg)
Length/
Height
Nutritional Status*
Program Coordinator
7/27/2019 0 71 Preschoolers
46/149
7/27/2019 0 71 Preschoolers
47/149
WFA L/HFA WFL/H
(10) (11) (12) (13) (14)
Weight
(kg)
Length/
Height
Nutritional Status*
Program Coordinator
7/27/2019 0 71 Preschoolers
48/149
WFA L/HFA WFL/H
(10) (11) (12) (13) (14)
Weight
(kg)
Length/
Height
Nutritional Status*
Program Coordinator
7/27/2019 0 71 Preschoolers
49/149
WFA L/HFA WFL/H
(10) (11) (12) (13) (14)
Weight
(kg)
Length/
Height
Nutritional Status*
Program Coordinator
7/27/2019 0 71 Preschoolers
50/149
WFA L/HFA WFL/H
(10) (11) (12) (13) (14)
Weight
(kg)
Length/
Height
Nutritional Status*
Program Coordinator
7/27/2019 0 71 Preschoolers
51/149
7/27/2019 0 71 Preschoolers
52/149
WFA L/HFA WFL/H
(10) (11) (12) (13) (14)
Weight
(kg)
Length/
Height
Nutritional Status*
Program Coordinator
7/27/2019 0 71 Preschoolers
53/149
WFA L/HFA WFL/H
(10) (11) (12) (13) (14)
Weight
(kg)
Length/
Height
Nutritional Status*
Program Coordinator
7/27/2019 0 71 Preschoolers
54/149
7/27/2019 0 71 Preschoolers
55/149
WFA L/HFA WFL/H
(10) (11) (12) (13) (14)
Weight
(kg)
Length/
Height
Nutritional Status*
Program Coordinator
7/27/2019 0 71 Preschoolers
56/149
WFA L/HFA WFL/H
(10) (11) (12) (13) (14)
Weight
(kg)
Length/
Height
Nutritional Status*
Program Coordinator
7/27/2019 0 71 Preschoolers
57/149
WFA L/HFA WFL/H
(10) (11) (12) (13) (14)
Weight
(kg)
Length/
Height
Nutritional Status*
Program Coordinator
7/27/2019 0 71 Preschoolers
58/149
7/27/2019 0 71 Preschoolers
59/149
WFA L/HFA WFL/H
(10) (11) (12) (13) (14)
Weight
(kg)
Length/
Height
Nutritional Status*
Program Coordinator
7/27/2019 0 71 Preschoolers
60/149
WFA L/HFA WFL/H
(10) (11) (12) (13) (14)
Weight
(kg)
Length/
Height
Nutritional Status*
Program Coordinator
7/27/2019 0 71 Preschoolers
61/149
WFA L/HFA WFL/H
(10) (11) (12) (13) (14)
Weight
(kg)
Length/
Height
Nutritional Status*
Program Coordinator
7/27/2019 0 71 Preschoolers
62/149
7/27/2019 0 71 Preschoolers
63/149
WFA L/HFA WFL/H
(10) (11) (12) (13) (14)
Weight
(kg)
Length/
Height
Nutritional Status*
Program Coordinator
7/27/2019 0 71 Preschoolers
64/149
WFA L/HFA WFL/H
(10) (11) (12) (13) (14)
Weight
(kg)
Length/
Height
Nutritional Status*
Program Coordinator
7/27/2019 0 71 Preschoolers
65/149
WFA L/HFA WFL/H
(10) (11) (12) (13) (14)
Weight
(kg)
Length/
Height
Nutritional Status*
Program Coordinator
7/27/2019 0 71 Preschoolers
66/149
7/27/2019 0 71 Preschoolers
67/149
7/27/2019 0 71 Preschoolers
68/149
WFA L/HFA WFL/H
(10) (11) (12) (13) (14)
Weight
(kg)
Length/
Height
Nutritional Status*
Program Coordinator
7/27/2019 0 71 Preschoolers
69/149
7/27/2019 0 71 Preschoolers
70/149
7/27/2019 0 71 Preschoolers
71/149
7/27/2019 0 71 Preschoolers
72/149
7/27/2019 0 71 Preschoolers
73/149
7/27/2019 0 71 Preschoolers
74/149
7/27/2019 0 71 Preschoolers
75/149
WFA L/HFA WFL/H
(10) (11) (12) (13) (14)
Weight
(kg)
Length/
Height
Nutritional Status*
Program Coordinator
7/27/2019 0 71 Preschoolers
76/149
7/27/2019 0 71 Preschoolers
77/149
7/27/2019 0 71 Preschoolers
78/149
WFA L/HFA WFL/H
(10) (11) (12) (13) (14)
Weight
(kg)
Length/
Height
Nutritional Status*
Program Coordinator
7/27/2019 0 71 Preschoolers
79/149
7/27/2019 0 71 Preschoolers
80/149
7/27/2019 0 71 Preschoolers
81/149
(1) (2) (3) (4)
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
LIST OF PRIORITY PRESCHOOLERS 0-71 MONTHS OLD (OPT FORM 1B)
Household
Number
Name of Household Head/ Mother/
Caregiver Name of Preschooler Weighed Sex
Prepared by: Raymundo, Rebecca Libiran Date:
Validate/Noted by: Date:
Submitted to: Date:
Barangay: Paliwas Province: Bulacan
Municipality: Obando Weighing Period and Year:
Nutritional Status:
7/27/2019 0 71 Preschoolers
82/149
(1) (2) (3) (4)
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
LIST OF PRIORITY PRESCHOOLERS 0-71 MONTHS OLD (OPT FORM 1B)
Household
Number
Name of Household Head/ Mother/
CaregiverName of Preschooler Weighed Sex
Prepared by: Raymundo, Rebecca Libiran Date:
Validate/Noted by: Date:
Submitted to: Date:
Barangay: Paliwas Province: Bulacan
Municipality: Obando Weighing Period and Year:
Nutritional Status:
7/27/2019 0 71 Preschoolers
83/149
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
Prepared by: Raymundo, Rebecca Libiran Date:
Validate/Noted by: Date:
Submitted to: Date:
7/27/2019 0 71 Preschoolers
84/149
7/27/2019 0 71 Preschoolers
85/149
7/27/2019 0 71 Preschoolers
86/149
7/27/2019 0 71 Preschoolers
87/149
7/27/2019 0 71 Preschoolers
88/149
7/27/2019 0 71 Preschoolers
89/149
7/27/2019 0 71 Preschoolers
90/149
LIST OF PRIORITY PRESCHOOLERS 0-71 MONTHS OLD (OPT FORM 1B)
Barangay: Paliwas Province: Bulacan
Municipality: Obando Weighing Period and Year:
Nutritional Status:
7/27/2019 0 71 Preschoolers
91/149
(1) (2) (3) (4)
HouseholdNumber
Name of Household Head/ Mother/Caregiver
Name of Preschooler Weighed Sex
7/27/2019 0 71 Preschoolers
92/149
7/27/2019 0 71 Preschoolers
93/149
7/27/2019 0 71 Preschoolers
94/149
Republic of the Philippines
Department of HealthNATIONAL NUTRITION COUNCIL
LIST OF PRIORITY PRESCHOOLERS 0-71 MONTHS OLD (OPT FORM 1B)
Prepared by: Raymundo, Rebecca Libiran Date:
Validate/Noted by: Date:
Submitted to: Date:
Barangay: Paliwas Province: Bulacan
Municipality: Obando Weighing Period and Year:
Nutritional Status:
7/27/2019 0 71 Preschoolers
95/149
Prepared by: Raymundo, Rebecca Libiran Date:
Validate/Noted by: Date:
7/27/2019 0 71 Preschoolers
96/149
Department of Health
NATIONAL NUTRITION COUNCIL
LIST OF PRIORITY PRESCHOOLERS 0-71 MONTHS OLD (OPT FORM 1B)
Barangay: Paliwas Province: Bulacan
7/27/2019 0 71 Preschoolers
97/149
(1) (2) (3) (4)
Household
Number
Name of Household Head/ Mother/
CaregiverName of Preschooler Weighed Sex
g y
Municipality: Obando Weighing Period and Year:
Nutritional Status:
7/27/2019 0 71 Preschoolers
98/149
(1) (2) (3) (4)
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
LIST OF PRIORITY PRESCHOOLERS 0-71 MONTHS OLD (OPT FORM 1B)
Household
Number
Name of Household Head/ Mother/
CaregiverName of Preschooler Weighed Sex
Prepared by: Raymundo, Rebecca Libiran Date:
Validate/Noted by: Date:
Submitted to: Date:
Barangay: Paliwas Province: Bulacan
Municipality: Obando Weighing Period and Year:
Nutritional Status:
7/27/2019 0 71 Preschoolers
99/149
(1) (2) (3) (4)
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
LIST OF PRIORITY PRESCHOOLERS 0-71 MONTHS OLD (OPT FORM 1B)
Household
Number
Name of Household Head/ Mother/
CaregiverName of Preschooler Weighed Sex
Prepared by: Raymundo, Rebecca Libiran Date:
Validate/Noted by: Date:
Submitted to: Date:
Barangay: Paliwas Province: Bulacan
Municipality: Obando Weighing Period and Year:
Nutritional Status:
7/27/2019 0 71 Preschoolers
100/149
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
LIST OF PRIORITY PRESCHOOLERS 0-71 MONTHS OLD (OPT FORM 1B)
Prepared by: Raymundo, Rebecca Libiran Date:
Validate/Noted by: Date:
Submitted to: Date:
7/27/2019 0 71 Preschoolers
101/149
7/27/2019 0 71 Preschoolers
102/149
(5)
Age in
Month
7/27/2019 0 71 Preschoolers
103/149
(5)
Age in
Month
7/27/2019 0 71 Preschoolers
104/149
(5)
Age in
Month
7/27/2019 0 71 Preschoolers
105/149
7/27/2019 0 71 Preschoolers
106/149
(5)
Age in
Month
7/27/2019 0 71 Preschoolers
107/149
7/27/2019 0 71 Preschoolers
108/149
(5)
Age in
Month
7/27/2019 0 71 Preschoolers
109/149
(5)
Age in
Month
7/27/2019 0 71 Preschoolers
110/149
Age in
Month
7/27/2019 0 71 Preschoolers
111/149
7/27/2019 0 71 Preschoolers
112/149
Age inMonth
7/27/2019 0 71 Preschoolers
113/149
(5)
7/27/2019 0 71 Preschoolers
114/149
(5)
Age in
Month
7/27/2019 0 71 Preschoolers
115/149
(5)
Age in
Month
7/27/2019 0 71 Preschoolers
116/149
7/27/2019 0 71 Preschoolers
117/149
(5)
7/27/2019 0 71 Preschoolers
118/149
7/27/2019 0 71 Preschoolers
119/149
(5)
Age in
Month
7/27/2019 0 71 Preschoolers
120/149
7/27/2019 0 71 Preschoolers
121/149
(5)
Age in
Month
7/27/2019 0 71 Preschoolers
122/149
7/27/2019 0 71 Preschoolers
123/149
Barangay: PaliwasCity/Municipality: Obando
Instruction:
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
OPT Plus Form 1. List of 0-71 Months Affected or at Risk Preschoolers
Revised February 2012
7/27/2019 0 71 Preschoolers
124/149
In column 1, copy the household number from the family profile In column 5, specify if household member belongs to an indigenous people group,
In column 2, write the family name first, followed by name of the household head In column 6, indicate the age in month based on the last completed month
In column 3, write the first name of the preschool child In column 7-14, check the appropriate nutritional status
In column 4, write "B" for boy and "G" for the girl For the TOTAL row, add all the values in each column
UW SUW St
(1) (2) (3) (4) (5) (6)
NHouseholdNumber
Name of Household Head/ Mother/Caregiver
Name of Preschooler Weighed Sex Indigenous Group Age inMonth
Prepared by: Raymundo, Rebecca Libiran____ __ Checked by: Approved by:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutrition Program Coordinator Name and Signatu
BNC
Date: Date: Date:
Barangay: PaliwasCity/Municipality: Obando
Instruction:
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
OPT Plus Form 1. List of 0-71 Months Affected or at Risk Preschoolers
Revised February 2012
7/27/2019 0 71 Preschoolers
125/149
In column 1, copy the household number from the family profile In column 5, specify if household member belongs to an indigenous people group,
In column 2, write the family name first, followed by name of the household head In column 6, indicate the age in month based on the last completed month
In column 3, write the first name of the preschool child In column 7-14, check the appropriate nutritional status
In column 4, write "B" for boy and "G" for the girl For the TOTAL row, add all the values in each column
UW SUW St
(1) (2) (3) (4) (5) (6)
HouseholdNumber
Name of Household Head/ Mother/Caregiver
Name of Preschooler Weighed Sex Indigenous Group Age inMonth
N
Prepared by: Raymundo, Rebecca Libiran____ __ Checked by: Approved by:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutrition Program Coordinator Name and Signatu
BNC
Date: Date: Date:
Barangay: PaliwasCity/Municipality: Obando
Instruction:
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
OPT Plus Form 1. List of 0-71 Months Affected or at Risk Preschoolers
Revised February 2012
7/27/2019 0 71 Preschoolers
126/149
In column 1, copy the household number from the family profile In column 5, specify if household member belongs to an indigenous people group,
In column 2, write the family name first, followed by name of the household head In column 6, indicate the age in month based on the last completed month
In column 3, write the first name of the preschool child In column 7-14, check the appropriate nutritional status
In column 4, write "B" for boy and "G" for the girl For the TOTAL row, add all the values in each column
UW SUW St
(1) (2) (3) (4) (5) (6)
NHouseholdNumber
Name of Household Head/ Mother/Caregiver
Name of Preschooler Weighed Sex Indigenous Group Age inMonth
Prepared by: Raymundo, Rebecca Libiran____ __ Checked by: Approved by:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutrition Program Coordinator Name and Signatu
BNC
Date: Date: Date:
Barangay: PaliwasCity/Municipality: Obando
Instruction:
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
OPT Plus Form 1. List of 0-71 Months Affected or at Risk Preschoolers
Revised February 2012
7/27/2019 0 71 Preschoolers
127/149
In column 1, copy the household number from the family profile In column 5, specify if household member belongs to an indigenous people group,
In column 2, write the family name first, followed by name of the household head In column 6, indicate the age in month based on the last completed month
In column 3, write the first name of the preschool child In column 7-14, check the appropriate nutritional status
In column 4, write "B" for boy and "G" for the girl For the TOTAL row, add all the values in each column
UW SUW St
(1) (2) (3) (4) (5) (6)
HouseholdNumber
Name of Household Head/ Mother/Caregiver
Name of Preschooler Weighed Sex Indigenous Group Age inMonth
N
Prepared by: Raymundo, Rebecca Libiran____ __ Checked by: Approved by:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutrition Program Coordinator Name and Signatu
BNC
Date: Date: Date:
Barangay: PaliwasCity/Municipality: Obando
Instruction:
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
OPT Plus Form 1. List of 0-71 Months Affected or at Risk Preschoolers
Revised February 2012
7/27/2019 0 71 Preschoolers
128/149
In column 1, copy the household number from the family profile In column 5, specify if household member belongs to an indigenous people group,
In column 2, write the family name first, followed by name of the household head In column 6, indicate the age in month based on the last completed month
In column 3, write the first name of the preschool child In column 7-14, check the appropriate nutritional status
In column 4, write "B" for boy and "G" for the girl For the TOTAL row, add all the values in each column
UW SUW St
(1) (2) (3) (4) (5) (6)
NHouseholdNumber
Name of Household Head/ Mother/Caregiver
Name of Preschooler Weighed Sex Indigenous Group Age inMonth
Prepared by: Raymundo, Rebecca Libiran____ __ Checked by: Approved by:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutrition Program Coordinator Name and Signatu
BNC
Date: Date: Date:
Barangay: PaliwasCity/Municipality: Obando
Instruction:
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
OPT Plus Form 1. List of 0-71 Months Affected or at Risk Preschoolers
Revised February 2012
7/27/2019 0 71 Preschoolers
129/149
In column 1, copy the household number from the family profile In column 5, specify if household member belongs to an indigenous people group,
In column 2, write the family name first, followed by name of the household head In column 6, indicate the age in month based on the last completed month
In column 3, write the first name of the preschool child In column 7-14, check the appropriate nutritional status
In column 4, write "B" for boy and "G" for the girl For the TOTAL row, add all the values in each column
UW SUW St
(1) (2) (3) (4) (5) (6)
HouseholdNumber
Name of Household Head/ Mother/Caregiver
Name of Preschooler Weighed Sex Indigenous Group Age inMonth
N
Prepared by: Raymundo, Rebecca Libiran____ __ Checked by: Approved by:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutrition Program Coordinator Name and Signatu
BNC
Date: Date: Date:
Barangay: PaliwasCity/Municipality: Obando
Instruction:
I l 1 h h h ld b f h f il fil I l 5 if if h h ld b b l i di l
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
OPT Plus Form 1. List of 0-71 Months Affected or at Risk Preschoolers
Revised February 2012
7/27/2019 0 71 Preschoolers
130/149
In column 1, copy the household number from the family profile In column 5, specify if household member belongs to an indigenous people group,
In column 2, write the family name first, followed by name of the household head In column 6, indicate the age in month based on the last completed month
In column 3, write the first name of the preschool child In column 7-14, check the appropriate nutritional status
In column 4, write "B" for boy and "G" for the girl For the TOTAL row, add all the values in each column
UW SUW St
(1) (2) (3) (4) (5) (6)
NHouseholdNumber
Name of Household Head/ Mother/Caregiver
Name of Preschooler Weighed Sex Indigenous Group Age inMonth
Prepared by: Raymundo, Rebecca Libiran____ __ Checked by: Approved by:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutrition Program Coordinator Name and Signatu
BNC
Date: Date: Date:
Barangay: PaliwasCity/Municipality: Obando
Instruction:
In column 1 copy the household number from the family profile In column 5 specify if household member belongs to an indigenous people group
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
OPT Plus Form 1. List of 0-71 Months Affected or at Risk Preschoolers
Revised February 2012
7/27/2019 0 71 Preschoolers
131/149
In column 1, copy the household number from the family profile In column 5, specify if household member belongs to an indigenous people group,
In column 2, write the family name first, followed by name of the household head In column 6, indicate the age in month based on the last completed month
In column 3, write the first name of the preschool child In column 7-14, check the appropriate nutritional status
In column 4, write "B" for boy and "G" for the girl For the TOTAL row, add all the values in each column
UW SUW St
(1) (2) (3) (4) (5) (6)
HouseholdNumber
Name of Household Head/ Mother/Caregiver
Name of Preschooler Weighed Sex Indigenous Group Age inMonth
N
Prepared by: Raymundo, Rebecca Libiran____ __ Checked by: Approved by:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutrition Program Coordinator Name and Signatu
BNC
Date: Date: Date:
Barangay: PaliwasCity/Municipality: Obando
Instruction:
In column 1 copy the household number from the family profile In column 5 specify if household member belongs to an indigenous people group
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
OPT Plus Form 1. List of 0-71 Months Affected or at Risk Preschoolers
Revised February 2012
7/27/2019 0 71 Preschoolers
132/149
In column 1, copy the household number from the family profile In column 5, specify if household member belongs to an indigenous people group,
In column 2, write the family name first, followed by name of the household head In column 6, indicate the age in month based on the last completed month
In column 3, write the first name of the preschool child In column 7-14, check the appropriate nutritional status
In column 4, write "B" for boy and "G" for the girl For the TOTAL row, add all the values in each column
UW SUW St
(1) (2) (3) (4) (5) (6)
NHouseholdNumber
Name of Household Head/ Mother/Caregiver
Name of Preschooler Weighed Sex Indigenous Group Age inMonth
Prepared by: Raymundo, Rebecca Libiran____ __ Checked by: Approved by:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutrition Program Coordinator Name and Signatu
BNC
Date: Date: Date:
7/27/2019 0 71 Preschoolers
133/149
Barangay: PaliwasCity/Municipality: Obando
Instruction:
In column 1, copy the household number from the family profile In column 5, specify if household member belongs to an indigenous people group,
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
OPT Plus Form 1. List of 0-71 Months Affected or at Risk Preschoolers
Revised February 2012
7/27/2019 0 71 Preschoolers
134/149
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In column 2, write the family name first, followed by name of the household head In column 6, indicate the age in month based on the last completed month
In column 3, write the first name of the preschool child In column 7-14, check the appropriate nutritional status
In column 4, write "B" for boy and "G" for the girl For the TOTAL row, add all the values in each column
UW SUW St
(1) (2) (3) (4) (5) (6)
NHouseholdNumber
Name of Household Head/ Mother/Caregiver
Name of Preschooler Weighed Sex Indigenous Group Age inMonth
Prepared by: Raymundo, Rebecca Libiran____ __ Checked by: Approved by:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutrition Program Coordinator Name and Signatu
BNC
Date: Date: Date:
Barangay: PaliwasCity/Municipality: Obando
Instruction:
In column 1, copy the household number from the family profile In column 5, specify if household member belongs to an indigenous people group,
Revised February 2012
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
OPT Plus Form 1. List of 0-71 Months Affected or at Risk Preschoolers
7/27/2019 0 71 Preschoolers
135/149
In column 2, write the family name first, followed by name of the household head In column 6, indicate the age in month based on the last completed month
In column 3, write the first name of the preschool child In column 7-14, check the appropriate nutritional status
In column 4, write "B" for boy and "G" for the girl For the TOTAL row, add all the values in each column
UW SUW St
(1) (2) (3) (4) (5) (6)
HouseholdNumber
Name of Household Head/ Mother/Caregiver
Name of Preschooler Weighed Sex Indigenous Group Age inMonth
N
Prepared by: Raymundo, Rebecca Libiran____ __ Checked by: Approved by:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutrition Program Coordinator Name and Signatu
BNC
Date: Date: Date:
Barangay: PaliwasCity/Municipality: Obando
Instruction:
In column 1, copy the household number from the family profile In column 5, specify if household member belongs to an indigenous people group,
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL
OPT Plus Form 1. List of 0-71 Months Affected or at Risk Preschoolers
Revised February 2012
7/27/2019 0 71 Preschoolers
136/149
In column 2, write the family name first, followed by name of the household head In column 6, indicate the age in month based on the last completed month
In column 3, write the first name of the preschool child In column 7-14, check the appropriate nutritional status
In column 4, write "B" for boy and "G" for the girl For the TOTAL row, add all the values in each column
UW SUW St
(1) (2) (3) (4) (5) (6)
NHouseholdNumber
Name of Household Head/ Mother/Caregiver
Name of Preschooler Weighed Sex Indigenous Group Age inMonth
Prepared by: Raymundo, Rebecca Libiran____ __ Checked by: Approved by:
Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/District/City Nutrition Program Coordinator Name and Signatu
BNC
Date: Date: Date:
write "NA" if not applicable
7/27/2019 0 71 Preschoolers
137/149
SSt W SW OW Ob
utritional Status
.
re of Barangay Captainhairperson
write "NA" if not applicable
7/27/2019 0 71 Preschoolers
138/149
SSt W SW OW Ob
utritional Status
.
re of Barangay Captainhairperson
write "NA" if not applicable
7/27/2019 0 71 Preschoolers
139/149
SSt W SW OW Ob
utritional Status
.
re of Barangay Captainhairperson
7/27/2019 0 71 Preschoolers
140/149
write "NA" if not applicable
7/27/2019 0 71 Preschoolers
141/149
SSt W SW OW Ob
utritional Status
.
re of Barangay Captainhairperson
write "NA" if not applicable
7/27/2019 0 71 Preschoolers
142/149
SSt W SW OW Ob
utritional Status
.
re of Barangay Captainhairperson
write "NA" if not applicable
7/27/2019 0 71 Preschoolers
143/149
SSt W SW OW Ob
utritional Status
.
re of Barangay Captainhairperson
write "NA" if not applicable
7/27/2019 0 71 Preschoolers
144/149
SSt W SW OW Ob
utritional Status
.
re of Barangay Captainhairperson
write "NA" if not applicable
7/27/2019 0 71 Preschoolers
145/149
SSt W SW OW Ob
utritional Status
.
re of Barangay Captainhairperson
write "NA" if not applicable
7/27/2019 0 71 Preschoolers
146/149
SSt W SW OW Ob
utritional Status
.
re of Barangay Captain
hairperson
write "NA" if not applicable
7/27/2019 0 71 Preschoolers
147/149
SSt W SW OW Ob
utritional Status
.
re of Barangay Captain
hairperson
write "NA" if not applicable
7/27/2019 0 71 Preschoolers
148/149
SSt W SW OW Ob
utritional Status
.
re of Barangay Captain
hairperson
write "NA" if not applicable
7/27/2019 0 71 Preschoolers
149/149
SSt W SW OW Ob
utritional Status
.
re of Barangay Captain
hairperson