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INR Tracking Log Sheet

Record your INR values, warfarin doses, and any symptoms or notes.

DateINR ValueWarfarin Dose (mg)Notes / Symptoms
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    

Tips:

  • Record your INR on the same day you get tested
  • Note any dose changes made by your doctor
  • In the Notes column, record: missed doses, unusual bleeding or bruising, new medications, illness, or significant diet changes

© CoagCompanion. For personal tracking only — not a substitute for medical records.