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Reading 1

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

The reading you have entered is unusually high. If this is a genuine entry then you should seek immediate medical advice as it may take us up to 5 working days to review the information submitted via this form.

Do you need to add another reading?: *
Reading 2

Reading 2

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

The reading you have entered is unusually high. If this is a genuine entry then you should seek immediate medical advice as it may take us up to 5 working days to review the information submitted via this form.

Do you need to add another reading?: *
Reading 3

Reading 3

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

The reading you have entered is unusually high. If this is a genuine entry then you should seek immediate medical advice as it may take us up to 5 working days to review the information submitted via this form.

Do you need to add another reading?: *
Reading 4

Reading 4

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

The reading you have entered is unusually high. If this is a genuine entry then you should seek immediate medical advice as it may take us up to 5 working days to review the information submitted via this form.

Do you need to add another reading?: *
Reading 5

Reading 5

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

The reading you have entered is unusually high. If this is a genuine entry then you should seek immediate medical advice as it may take us up to 5 working days to review the information submitted via this form.

Do you need to add another reading: *
Reading 6
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

The reading you have entered is unusually high. If this is a genuine entry then you should seek immediate medical advice as it may take us up to 5 working days to review the information submitted via this form.

Do you need to add another reading?: *
Reading 7

Reading 7

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

The reading you have entered is unusually high. If this is a genuine entry then you should seek immediate medical advice as it may take us up to 5 working days to review the information submitted via this form.

Do you need to add another reading?: *
Reading 8

Reading 8

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

The reading you have entered is unusually high. If this is a genuine entry then you should seek immediate medical advice as it may take us up to 5 working days to review the information submitted via this form.

Do you need to add another reading?: *
Reading 9

Reading 9

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

The reading you have entered is unusually high. If this is a genuine entry then you should seek immediate medical advice as it may take us up to 5 working days to review the information submitted via this form.

Do you need to add another reading?: *
Reading 10

Reading 10

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

The reading you have entered is unusually high. If this is a genuine entry then you should seek immediate medical advice as it may take us up to 5 working days to review the information submitted via this form.

Do you need to add another reading?: *
Reading 11

Reading 11

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

The reading you have entered is unusually high. If this is a genuine entry then you should seek immediate medical advice as it may take us up to 5 working days to review the information submitted via this form.

Do you need to add another reading?: *
Reading 12

Reading 12

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

The reading you have entered is unusually high. If this is a genuine entry then you should seek immediate medical advice as it may take us up to 5 working days to review the information submitted via this form.

Do you need to add another reading?: *
Reading 13

Reading 13

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

The reading you have entered is unusually high. If this is a genuine entry then you should seek immediate medical advice as it may take us up to 5 working days to review the information submitted via this form.

Do you need to add another reading?: *
Reading 14

Reading 14

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

The reading you have entered is unusually high. If this is a genuine entry then you should seek immediate medical advice as it may take us up to 5 working days to review the information submitted via this form.

If you wish to provide further readings, please submit this form and start a new submission.

These are the BP readings that you are submitting, please check that they are correct as we will use these figures to calculate the average.

You have chosen to provide  out of 14 readings

  • Any issues or odd entries should be resolved by returning to the previous page.
  • All dates are shown yyyy-mm-dd

Reading 1

Date: 

Systolic: 

Diastolic: 

Reading 2

Date: 

Systolic: 

Diastolic: 

Reading 3

Date: 

Systolic: 

Diastolic: 

Reading 4

Date: 

Systolic: 

Diastolic: 

Reading 5

Date: 

Systolic: 

Diastolic: 

Reading 6

Date: 

Systolic: 

Diastolic: 

Reading 7

Date: 

Systolic: 

Diastolic: 

Reading 8

Date: 

Systolic: 

Diastolic: 

Reading 9

Date: 

Systolic: 

Diastolic: 

Reading 10

Date: 

Systolic: 

Diastolic: 

Reading 11

Date: 

Systolic: 

Diastolic: 

Reading 12

Date: 

Systolic: 

Diastolic: 

Reading 13

Date: 

Systolic: 

Diastolic: 

Reading 14

Date: 

Systolic: 

Diastolic: 

Averages

 reading(s)

Systolic Average: 

Diastolic: 

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