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