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Hypertension Results
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* Indicates required question
Patient ID
*
Your answer
Weight (kg)
*
Your answer
Height (cm)
*
Your answer
BMI Metric Calculator
https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/metric_bmi_calculator/bmi_calculator.html
Calculated BMI (kg/m^2)
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Your answer
Waist (cm)
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Your answer
Systolic Blood Pressure 1
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Your answer
Diastolic Blood Pressure 1
*
Your answer
Heart Rate 1
*
Your answer
Systolic Blood Pressure 2
*
Your answer
Diastolic Blood Pressure 2
*
Your answer
Heart Rate 2
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Your answer
Initials of Recorder
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Your answer
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