BP Calculator

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Personal Details

If you have been advised by the surgery to submit a blood pressure reading, please use this form.

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Smoking Status

Please provide a minimum of one day blood pressure readings, up to a maximum of seven days.
Take a readings in the morning and in the evening of each day.

 
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Your Blood Pressure Day 1

Day 1 - Measurement

Morning Morning

Your systolic blood pressure is the top number on your reading
Your diastolic blood pressure is the bottom number on your reading
Your pulse rate is the number of times your heart beats per minute

Evening Evening

Top Number
Bottom Number
Pulse
Systolic Average (1 Day)
Diastolic Average (1 Day)
 
Your Blood Pressure Day 2

Day 2 - Measurement

Morning Morning

Your systolic blood pressure is the top number on your reading
Your diastolic blood pressure is the bottom number on your reading
Your pulse rate is the number of times your heart beats per minute

Evening Evening

Top Number
Bottom Number
Pulse
Systolic Average (Over 2 Days)
Diastolic Average (Over 2 days)
 
Your Blood Pressure Day 3

Day 3 - Measurement

Morning Morning

Your systolic blood pressure is the top number on your reading
Your diastolic blood pressure is the bottom number on your reading
Your pulse rate is the number of times your heart beats per minute

Evening Evening

Top Number
Bottom Number
Pulse
Systolic Average (Over 3 Days)
Diastolic Average (Over 3 Days)
 
Your Blood Pressure Day 4

Day 4 - Measurement

Morning Morning

Your systolic blood pressure is the top number on your reading
Your diastolic blood pressure is the bottom number on your reading
Your pulse rate is the number of times your heart beats per minute

Evening Evening

Top Number
Bottom Number
Pulse
Systolic Average (Over 4 Days)
Diastolic Average (Over 4 Days)
 
Your Blood Pressure Day 5

Day 5 - Measurement

Morning Morning

Your systolic blood pressure is the top number on your reading
Your diastolic blood pressure is the bottom number on your reading
Your pulse rate is the number of times your heart beats per minute

Evening Evening

Top Number
Bottom Number
Pulse
Systolic Average (Over 5 Days)
Diastolic Average (Over 5 Days)
 
Your Blood Pressure Day 6

Day 6 - Measurement

Morning Morning

Your systolic blood pressure is the top number on your reading
Your diastolic blood pressure is the bottom number on your reading
Your pulse rate is the number of times your heart beats per minute

Evening Evening

Top Number
Bottom Number
Pulse
Systolic Average (Over 6 Days)
Diastolic Average (Over 6 Days)
 
   
Your Blood Pressure Day 7

Day 7 - Measurement

Morning Morning

Your systolic blood pressure is the top number on your reading
Your diastolic blood pressure is the bottom number on your reading
Your pulse rate is the number of times your heart beats per minute

Evening Evening

Top Number
Bottom Number
Pulse
Systolic Average (Over 7 Days)
Diastolic Average (Over 7 Days)
 
 

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