diff --git a/src/Components/Common/BloodPressureFormField.tsx b/src/Components/Common/BloodPressureFormField.tsx
index ed0557ae8e3..3ff2774b900 100644
--- a/src/Components/Common/BloodPressureFormField.tsx
+++ b/src/Components/Common/BloodPressureFormField.tsx
@@ -21,7 +21,7 @@ export default function BloodPressureFormField(props: Props) {
       name: field.name,
       value: {
         ...field.value,
-        [event.name]: event.value,
+        [event.name]: event.value ?? -1,
       },
     });
   };
@@ -35,9 +35,10 @@ export default function BloodPressureFormField(props: Props) {
     <FormField
       field={{
         ...field,
-        labelSuffix: map ? (
-          <span className="font-medium">MAP: {map.toFixed(1)}</span>
-        ) : undefined,
+        labelSuffix:
+          map && map !== -1 ? (
+            <span className="font-medium">MAP: {map.toFixed(1)}</span>
+          ) : undefined,
       }}
     >
       <div className="flex flex-row items-center">
diff --git a/src/Components/Facility/Consultations/Mews.tsx b/src/Components/Facility/Consultations/Mews.tsx
index 6b8e7de806e..5160e42f9f2 100644
--- a/src/Components/Facility/Consultations/Mews.tsx
+++ b/src/Components/Facility/Consultations/Mews.tsx
@@ -26,6 +26,7 @@ const getHeartRateScore = (value?: number) => {
 
 const getSystolicBPScore = (value?: number) => {
   if (typeof value !== "number") return;
+  if (value === -1) return;
 
   if (value <= 70) return 3;
   if (value <= 80) return 2;
diff --git a/src/Components/Patient/DailyRoundListDetails.tsx b/src/Components/Patient/DailyRoundListDetails.tsx
index 8f313c0a51d..0a73607d688 100644
--- a/src/Components/Patient/DailyRoundListDetails.tsx
+++ b/src/Components/Patient/DailyRoundListDetails.tsx
@@ -158,14 +158,20 @@ export const DailyRoundListDetails = (props: any) => {
                 <span className="font-semibold leading-relaxed">
                   Systolic:{" "}
                 </span>
-                {dailyRoundListDetailsData.bp?.systolic ?? "-"}
+                {dailyRoundListDetailsData.bp?.systolic &&
+                dailyRoundListDetailsData.bp?.systolic !== -1
+                  ? dailyRoundListDetailsData.bp?.systolic
+                  : "-"}
               </div>
               <div className="flex">
                 {" "}
                 <span className="font-semibold leading-relaxed">
                   Diastolic:
                 </span>
-                {dailyRoundListDetailsData.bp?.diastolic ?? "-"}
+                {dailyRoundListDetailsData.bp?.diastolic &&
+                dailyRoundListDetailsData.bp?.diastolic !== -1
+                  ? dailyRoundListDetailsData.bp?.diastolic
+                  : "-"}
               </div>
             </div>
           </div>
diff --git a/src/Components/Patient/DailyRounds.tsx b/src/Components/Patient/DailyRounds.tsx
index ec2f070aa20..c12aea42bee 100644
--- a/src/Components/Patient/DailyRounds.tsx
+++ b/src/Components/Patient/DailyRounds.tsx
@@ -62,6 +62,11 @@ const initForm: any = {
   rhythm_detail: "",
   ventilator_spo2: null,
   consciousness_level: "UNKNOWN",
+  bp: {
+    systolic: -1,
+    diastolic: -1,
+    mean: -1,
+  },
   // bed: null,
 };
 
@@ -242,6 +247,18 @@ export const DailyRounds = (props: any) => {
             invalidForm = true;
           }
           return;
+        case "bp":
+          if (
+            (state.form.bp?.systolic &&
+              state.form.bp?.diastolic &&
+              state.form.bp.systolic !== -1 &&
+              state.form.bp.diastolic === -1) ||
+            (state.form.bp.systolic === -1 && state.form.bp.diastolic !== -1)
+          ) {
+            errors.bp = "Please enter both systolic and diastolic values";
+            invalidForm = true;
+          }
+          return;
         default:
           return;
       }
@@ -287,21 +304,32 @@ export const DailyRounds = (props: any) => {
           data = {
             ...data,
             bp:
-              state.form.bp && state.form.bp.systolic && state.form.bp.diastolic
+              state.form.bp?.systolic !== -1 && state.form.bp?.diastolic !== -1
                 ? {
-                    systolic: Number(state.form.bp.systolic),
-                    diastolic: Number(state.form.bp.diastolic),
-                    mean: parseFloat(
-                      meanArterialPressure(state.form.bp).toFixed(2)
-                    ),
+                    systolic: state.form.bp?.systolic
+                      ? Number(state.form.bp?.systolic)
+                      : -1,
+                    diastolic: state.form.bp?.diastolic
+                      ? Number(state.form.bp?.diastolic)
+                      : -1,
+                    mean:
+                      state.form.bp?.systolic && state.form.bp?.diastolic
+                        ? parseFloat(
+                            meanArterialPressure(state.form.bp).toFixed(2)
+                          )
+                        : -1,
                   }
-                : undefined,
-            pulse: state.form.pulse,
-            resp: state.form.resp,
-            temperature: state.form.temperature,
+                : {
+                    systolic: -1,
+                    diastolic: -1,
+                    mean: -1,
+                  },
+            pulse: state.form.pulse ?? null,
+            resp: state.form.resp ?? null,
+            temperature: state.form.temperature ?? null,
             rhythm: state.form.rhythm || 0,
             rhythm_detail: state.form.rhythm_detail,
-            ventilator_spo2: state.form.ventilator_spo2,
+            ventilator_spo2: state.form.ventilator_spo2 ?? null,
             consciousness_level: state.form.consciousness_level,
           };
         }