Home Blood Pressure Record Sheet
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1
2Home Blood Pressure Record
Sheet
Home blood pressure monitoring
We appreciate it is difficult but you should take blood pressure at least
twice daily in the morning and evening.
For each blood pressure recording, take two consecutive
measurements at least 1 minute apart and whilst you are seated.
Do this for a minimum of 4 days, ideally for 7 days.
Name _________________________
Date of Birth/Patient Number___________________
Dat
Time
Systolic
Diastoli
Systoli
Diastolic
Puls
e
(upper
c
c
(lower
e
value)
(lower
(upper
value)
First
valu
val
reading
e)
ue)
First
readi
ng
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Parent category: Medical