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$Page 1: BLOOD SUGAR, BLOOD PRESSURE AND WEIGHT LOGcumberlanddoc.pdswebpro.com/cumberlanddoc_pdswebpro_com/File… · blood sugar, blood pressure and weight log . pt name: ... \wpdocs\forms\bs$

CUMBERLAND FAMILY CARE, PC BLOOD SUGAR, BLOOD PRESSURE AND WEIGHT LOG

PT NAME: __________________________ MD _________________

DATE

WEIGHT

BLOOD PRESSURE

BLOOD SUGAR READINGS BREAKFAST LUNCH SUPPER BEDTIME

G:\WPDOCS\FORMS\BS BP and Weight Log.doc

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