Blood Pressure Log

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Blood Pressure Log    
Patient Name‐____________________DOB‐______________________
Date
Time
Systolic
Diastolic
Pulse
:
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:
/         /
:
/         /
:
/         /
:
/         /
:
/         /
:
/         /
:
/         /
:
/         /
:
/         /
:
/         /
:
/         /
:
/         /
:
/         /
:
/         /
:
/         /
:
/         /
:
/         /
:
/         /
:
/         /
:
/         /

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