There are 2 components to Bottom Bracket (BB) size, the BB shell width of the frame and the spindle length.
Bottom Bracket shell width:
The BB shell is the frame tube into which the BB threads. It will measure 68mm, 70mm or 73mm wide. Measuring the shell is easy. Flip the bike upside down and use a metric ruler or calipers to measure across the shell on a line parallel to the BB spindle. Do not measure any of the old BB if it protrudes beyond the shell. This measurement will also determine which threading your frame is likely to have. 68mm & 73mm shells have English threading while 70mm is Italian.
Below are pictures of how to measure shell width. The first picture shows the measurement being taken without the BB installed (left), the second is with the BB installed (right):

Spindle length:
To find the length of the spindle, first remove the crank arms. Then measure the length of the spindle in millimeters from end to end. If your cranks are attached with nuts as opposed to bolts, do not measure the extended threaded portions of the spindle.
If you are replacing a BB and are using your old crank, you'll want a replacement BB with the same spindle length. If you are installing a new crank, you will want to use the spindle length recommended by the crank manufacturer.
Below are pictures of how to measure spindle length. The first picture shows the measurement being taken when the BB is out of the frame (left), the second is with the BB installed (right):
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