This document contains a monthly record form to track the weight and weight status of children aged 0-23 months. It includes spaces to record each child's name, date of birth, age in months, weight in kilograms, and weight status for each month between January and June. At the bottom it summarizes the number of children identified, severely underweight, underweight, normal weight, overweight, those who improved in nutritional status, moved to a semi-annual record, and those who died each month.
This document contains a monthly record form to track the weight and weight status of children aged 0-23 months. It includes spaces to record each child's name, date of birth, age in months, weight in kilograms, and weight status for each month between January and June. At the bottom it summarizes the number of children identified, severely underweight, underweight, normal weight, overweight, those who improved in nutritional status, moved to a semi-annual record, and those who died each month.
This document contains a monthly record form to track the weight and weight status of children aged 0-23 months. It includes spaces to record each child's name, date of birth, age in months, weight in kilograms, and weight status for each month between January and June. At the bottom it summarizes the number of children identified, severely underweight, underweight, normal weight, overweight, those who improved in nutritional status, moved to a semi-annual record, and those who died each month.
This document contains a monthly record form to track the weight and weight status of children aged 0-23 months. It includes spaces to record each child's name, date of birth, age in months, weight in kilograms, and weight status for each month between January and June. At the bottom it summarizes the number of children identified, severely underweight, underweight, normal weight, overweight, those who improved in nutritional status, moved to a semi-annual record, and those who died each month.
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0-23 MONTHS
BNS Form No. 3A
MONTHLY RECORD OF WEIGHT AND WEIGHT
0-23 MONTHS
Province: City/Municipality Barangay:
DATE OF WEIGHING JANUARY FEBRUARY MAR No. Name of Child Age on Weight Weight Age on Weight Weight Age on in in Date of Birth Months in Kg. Status Months in Kg. Status Months 1 2 3 4 5 6 7 8 9 10 11 12 Summary (to be accomplished Monthly) Number of Identified Number of SUV Number of UW Number of Normal Number of OW Number of Improved in Nutritional Status Number of Move to Semestral Number of Dead Date of Validated
Validated by: WEIGHT STATUS
MARCH Weight APRIL MAY JUNE
Weight Age on Weight Weight Age on Weight Weight Age on Weight Weight in in in in in Kg. Status Months in Kg. Status Months in Kg. Status Months in Kg. Status