Blood Pressure Form

Personal Data

  1. Name: Max Mustermann

  2. Date of Birth: 1.1. 1980

  1. Case Number: 1231231
  2. Outpatient Case Number: 123123

Blood Pressure Measurement

Date of Measurement: 22.7.2015
  1. Systolic: 120 mmHg
  2. Diastolic: 80 mmHg