Monthly Blood Pressure Tracker

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NJ Resources for Patients with Heart Failure
MONTHLY BLOOD PRESSURE TRACKER
Your Doctor: ___________________________________
heck your blood pressure at the same time each day.
C
Telephone Number: ___________________________
• Record the date, time, and your readings below
Share this log with your doctors at each appointment.
Blood Pressure (BP) Goal: _____________________
WEEK ONE
WEEK TWO
READING
READING
DATE
TIME
WEIGHT
DATE
TIME
WEIGHT
(example: 140/80)
(example: 140/80)
/
/
/
/
/
/
/
/
/
/
/
/
WEEK THREE
WEEK FOUR
READING
READING
DATE
TIME
WEIGHT
DATE
TIME
WEIGHT
(example: 140/80)
(example: 140/80)
/
/
/
/
/
/
/
/
/
/
/
/

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