Abstract Blood pressure is the pressure of blood flow in the arteries generated by the heart. Abnormal blood pressure can lead to hypertension and hypotension. Hypotension, or low blood pressure, has a prevalence of 5% to 34% among individuals aged 17 to 19, and over 50% in the elderly. Hypertension can cause death in patients with heart disease. About 39.7% of people suffer from hypertension, especially those over the age of 60. Blood pressure measurement needs to be done regularly because it has impact such as early detection of blood pressure health conditions and monitoring of health conditions for those already diagnosed with abnormal blood pressure. Unfortunately, only 59% of the population in Indonesia regularly measure their blood pressure. Accurate blood pressure measurement can be performed using an invasive method. Another method is non-invasive, which can be done using a sphygmomanometer that applies the oscillometric method. This method uses pressure oscillations in the cuff influenced by the pulse in the blood vessels. When using this method, several factors need to be considered, such as body position, cuff size, and the technique used during the measurement. In this study, a fully automatic digital sphygmomanometer has been developed with a cuff attached to the device, equipped with a thermal printer to print out the measurement results and classify blood pressure categories. The advantage of the developed prototype is that it has a smaller relative error value, with 1.03% for systolic blood pressure and 1.45% for diastolic blood pressure, and has already been integrated with a thermal printer to directly print the measurement results.