Blood Pressure Log
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1BLOOD PRESSURE LOG FOR: ____________________________________
DATE
TIME
BP
PULSE
COMMENTS (Activities, symptoms, change in medication, etc.)
Please bring to your next appointment or return to us here at Your Family Medical Home:
by mail:
9179 Grissom Road, Suite 101, San Antonio, Texas 78251 OR
by fax::
(210)-680-3133
Monitor Name and Model: ____________________
A/C or D/C adapter: Y N
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Parent category: Medical