SAMPLE BLOOD PRESSURE LOG
Name: | Age: | Weight: |
Date
Time
mmHg
240
220
200
180
160
140
120
100
80
60
Pulse
Body
Con-
dition
1/2 1/3 1/4
7:00 9:30 7:30 am pm am
130 | 135 | |
120 | ||
| ||
84 | 90 | |
78 | ||
|
68 71 69
Headache in AM | Tired, Restless Night |
26
Name: | Age: | Weight: |
Date
Time
mmHg
240
220
200
180
160
140
120
100
80
60
Pulse
Body
Con-
dition
1/2 1/3 1/4
7:00 9:30 7:30 am pm am
130 | 135 | |
120 | ||
| ||
84 | 90 | |
78 | ||
|
68 71 69
Headache in AM | Tired, Restless Night |
26
