Actually, this turned out to be a little more complex than I first imagined.
I think @Yellowbox was right on thinking a Stacked Column chart is the way to go, however, there is a problem with the numbers.
In using a Stacked Column, each data series is plotted above its partner - another words, given a systolic/diastolic of 120/80, the diastolic would be plotted from 0-80, then the 120 mm Hg Systolic value would be plotted above that, for a sum of 200 which should set all kinds of alarm bells ringing :)
To counter this, you could plot the difference between the systolic and diastolic values - Numbers actually makes this easy, but there are a few things to check:

There are a couple of noticeable tricks here.
First, there are two series plotted. Series 1 is the diastolic values:

and its style has been set to 'No Fill' and No Stroke so that it isn't visible:

The second series is actually the difference between the two values. This is achieved by entering a formula in the Series, rather than a reference:

Note that this series calculates Systolic - Diastolic values and that's what it plots (and stacks on top of the diastolic values).
Important thing here is to set the Value Labels to 'None', otherwise it would plot the difference values, which don't make sense on this chart. Instead, click the chart itself (no specific series) and check Inspector -> Series and turn on Summary Labels. This will add a label for the sum of the series, rather than the individual series:

The last thing I did was to check Inspector -> Chart and increase the 'Gaps Between columns' to 420%

This has the effect of narrowing the bars by putting more space between them.
Hope that helps.