HOME BLOOD PRESSURE MONITORING DIARY

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NAME ................................................................................

DATE OF BIRTH ..........................................

DAY

1 2 3 4 5 6 7 8

DATE

MORNING

EVENING

Wait at least one minute between measuring first and second blood pressures

1st BP SBP DBP

2nd BP SBP DBP

1st BP SBP DBP

2nd BP SBP DBP

Mean Systolic

Mean Diastolic

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