Daily Blood Pressure Log
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1Daily Blood Pressure Log
Please print this form to assist you in keeping track of your blood pressure at home.
Name: _________________________________________
Date of Birth: ______________________
Target Blood Pressure: __________________________
Date:
Time
Blood
Pulse
Time
Blood
Pulse
Comments:
(a.m.)
Pressure:
Rate:
(p.m.)
Pressure :
Rate:
Sample
8:37
127/83
84
Stressful morning
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Parent category: Medical