My Home Blood Pressure Log Template Page 2
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1
2Heart Rate
BP Reading #1 (mmHg)
BP Reading #2 (mmHg)
DATE
TIME
COMMENTS
(beats per minute)
Systolic
Diastolic
Systolic
Diastolic
Day 1 Morning
Day 1 Evening
Day 2 Morning
Day 2 Evening
Day 3 Morning
Day 3 Evening
Day 4 Morning
Day 4 Evening
Day 5 Morning
Day 5 Evening
Day 6 Morning
Day 6 Evening
Day 7 Morning
Day 7 Evening
Average
day 2 to day 7
Hypertension Canada
Phone: 905-943-9400
Fax: 905-943-9401
3780 14th Avenue, Suite 211
P1018EN
Markham, ON L3R 9Y5
Email: admin@hypertension.ca
Updated 02/2016
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