Blood Pressure Log
Name: ___________________________________
Current Blood Pressure Medications
DOB: ____________________________________
_______________________________________
Height: __________
Weight: ______________
_______________________________________
Doctor: __________________________________
_______________________________________
Date
Time
Blood Pressure
Heart Rate
Comments
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Curry’s Family Pharmacy
1275 N. 7th Street | Riverton, IL 62561
ph: 217.629.7001 | FAX: 217.629.6344 | currysfp@sbcglobal.net