Blood Pressure Tracker

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Systolic

1 00

Diastolic

Heart Rate

95

90

85

80

75

70

65

60

55

50

2/2 7/0 7

2/2 8/0 7

3 /1 /0 7

3 /2 /0 7

3 /3 /0 7

3 /4 /0 7

3 /5 /0 7

3 /6 /0 7

3 /7 /0 7

3 /8 /0 7

3 /9 /0 7

3 /1 0 /0 7

3 /1 1 /0 7

3 /1 2 /0 7

3 /1 3 /0 7

3 /1 4/0 7

3 /1 5/0 7

3/1 6/0 7

3/1 7/0 7

3/1 8/0 7

3/1 9/0 7

3 /2 0 /0 7

3 /2 1 /0 7

3 /2 2 /0 7

3 /2 3 /0 7

3 /2 4 /0 7

3 /2 5 /0 7

3 /2 6 /0 7

3 /2 7 /0 7

3 /2 8 /0 7

3 /2 9 /0 7

3 /3 0 /0 7

Name
Target blood pressure*

Systolic
120

Diastolic
80

Systolic

Diastolic

Call physician if above


Physician phone number
* National Institutes of Health standard

Date

Time

2/27/07

AM
PM

2/28/07

AM
PM

3/1/07

AM
PM

3/2/07

AM
PM

3/3/07

AM
PM

3/4/07

AM
PM

3/5/07

AM

3/6/07

AM
PM
AM
PM
AM
PM
AM
PM

PM

3/7/07
3/8/07
3/9/07

Systolic

Diastolic

Heart Rate

Comments

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