Milk Feeding Attendance Sheet for Daycare Children

Attendance form

1. DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
Milk Feeding Program
Masterllst of Beneficiarles SY:2023-2024
Name of Day Care Center/ SNP:
Name of Child Development Worker:
Location (Brgy. & Province):
Session(AM/PM) & Time of Feeding:
N
O
.
Address
(Brgy.)
NAME OF
PARENT/GUARDIAN
NAME OF CHILD (Full
Name)
SEX
DATE OF
BIRTH
(v/m/d)
ACTUAL
DATE OF
WEIGHING
(y/m/d)
WT.
(kg)
HT.
(c
m)
AGE IN
MONTHS
NUTRITIONAL STATUS
Ap's or
MCCT
and
Weight-
for-Age
Weight-
for-
Height
(Wasting)
Height-
for-Age
(Stunting)
Summary
of
Undernou
rish ed
Children
1
NORMA
L
WASTE
D
STUNTE
D
1
2
3
4
5
6
7
8
9
1
0
1
1
1
2
1
3
1
4
1
5

2. TOTAL::
Nutritional Status: (using WHO-CGS as reference)
N-Normal Prepared bv: Noted bv:
UW-Underweight
SUW-Severely Underweight
OW-Overweight Child Development Worker City/ Mun. Social Welfare & Dev't Officer
O-Obese
MW-Moderately Wasted
SW-Severely Wasted
St-Stunted
SSt-Severely Stunted
T-Tall