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Bns Form 3b

The document is a form used for recording the monthly weight and weight status of children under the Philippine Plan of Action for Nutrition, specifically focusing on underweight and severely underweight cases. It includes sections for personal details of the child, dates of weighing, weight measurements, and status updates over a year. The form also requires signatures from a midwife and a C/MNAO for approval.

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Celestine Ania Terania
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207 views2 pages

Bns Form 3b

The document is a form used for recording the monthly weight and weight status of children under the Philippine Plan of Action for Nutrition, specifically focusing on underweight and severely underweight cases. It includes sections for personal details of the child, dates of weighing, weight measurements, and status updates over a year. The form also requires signatures from a midwife and a C/MNAO for approval.

Uploaded by

Celestine Ania Terania
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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BNS Form No.

3B
Philippine Plan of Action for Nutrition
MONTHLY RECORD OF WEIGHT ANG WEIGHT STATUS
UNDERWEIGHT AND SEVERELY UNDERWEIGHT CASES

PROVINCE: CITY/MUNICIPALITY: BARANGAY:

Date of weighing Date of weighing Date of weighing Date of weighing Date of weighing Date of weighing
No. NAME OF CHILD DATE OF BIRTH Jan. Feb. Mar. Apr. May Jun.
Year Mo. Day Age in Weight Weight Age in Weight Weight Age in Weight Weight Age in Weight Weight Age in Weight Weight Age in Weight Weight
months (Kgs.) Status months (Kgs.) Status months (Kgs.) Status months (Kgs.) Status months (Kgs.) Status months (Kgs.) Status

DATE ACCOMPLISHED:
ACCOMPLISHED BY:
SUMMARY (Accomplished after 6 months):
No. Identified Underweight and Severely Underweight:
Noted by: Approved by:
MIDWIFE C/MNAO
BNS Form No. 3B
Philippine Plan of Action for Nutrition
MONTHLY RECORD OF WEIGHT ANG WEIGHT STATUS
UNDERWEIGHT AND SEVERELY UNDERWEIGHT CASES

CITY/MUNICIPALITY: BARANGAY:

Date of weighing Date of weighing Date of weighing Date of weighing Date of weighing Date of weighing
No. NAME OF CHILD DATE OF BIRTH Jul. Aug. Sept. Oct. Nov. Dec.
Year Mo. Day Age in Weight Weight Age in Weight Weight Age in Weight Weight Age in Weight Weight Age in Weight Weight Age in Weight Weight
months (Kgs.) Status months (Kgs.) Status months (Kgs.) Status months (Kgs.) Status months (Kgs.) Status months (Kgs.) Status

DATE ACCOMPLISHED:
ACCOMPLISHED BY:
SUMMARY (Accomplished after 6 months):
No. Identified Underweight and Severely Underweight:
Noted by: Approved by:
MIDWIFE C/MNAO

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