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Main site: Iter Cross, Junction Road, Bow, Devon EX17 6FB
Branch: Devonshire House, Essington Road, North Tawton EX20 2EX

Telephone: 01363 82333

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Blood Pressure Form

7-Day Blood Pressure Readings Form

"*" indicates required fields

Name*
DD slash MM slash YYYY

Take 2 readings discard the first and record the second

Please enter the readings in the table below and return the monitor if you borrowed one.
  • The systolic reading is the first number shown on your blood pressure machine
  • The diastolic reading is the second number shown, it should smaller than the first number

Day 1

Morning

Evening

Day 2

Morning

Evening

Day 3

Morning

Evening

Day 4

Morning

Evening

Day 5

Morning

Evening

Day 6

Morning

Evening

Day 7

Morning

Evening

Average Blood Pressure

If you have filled out all the boxes above this should be automatically calculated for you

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  • Wednesday
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  • Thursday
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  • Friday
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  • Saturday
    CLOSED
    Please call NHS 111
  • Sunday
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    Please call NHS 111
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