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Please print this form to assist you in keeping track of your blood pressure at home Name Date of Birth Target Blood Pressure Date Time a m Blood My Blood Pressure Log. DATE. AM. PM. Name: My Blood Pressure Goal: mm ... • Record your blood pressure on this sheet and show it to your doctor at every visit.
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X 2 3 X 1 6You can complete the highlighted fields on this form online and then print the form for easy reference. Only text that is visible on the form is printed; ... Please use this log to record the blood pressure and heart rate pulse readings you take at home Note the date and time of day you take them
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Take at least two readings 1 or 2 minutes apart Visit cdc gov bloodpressure to learn how to correctly measure your blood pressure Date Morning X 2 X 1 2x 3 X 1 Solve For X X 1x 1 X 2x 2 4 2x 3x 2 x 1 2 2

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