Blood Pressure Review

DIGITAL SURGERY

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    Blood Pressure Review

    Complete the form below if requested by the surgery:

    Smoking status

    Your Blood Pressure

    Please provide a minimum of one blood pressure reading, up to a maximum of seven.

    Day 1

    Morning measurement

    Evening measurement

    Day 2

    Morning measurement

    Evening measurement

    Day 3

    Morning measurement

    Evening measurement

    Day 4

    Morning measurement

    Evening measurement

    Day 5

    Morning measurement

    Evening measurement

    Day 6

    Morning measurement

    Evening measurement

    Day 7

    Morning measurement

    Evening measurement