Blood Pressure Log Template

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Blood
Level of Severity
Systolic
Diastolic
Pressure Log
Normal
120
80
Mild Hypertension
140 - 160
90 - 100
Moderate Hypertension
160 - 200
100 - 120
Severe Hypertension
Above 200
Above 120
Name:
_______________________________
AM
PM
Date
Notes
Blood Pressure
Pulse
Blood Pressure
Pulse

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