NVDH pathology laboratory report - admission urinalysis, Jack Coffelt

Part 86page 441 pageDB Cooper-37888

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Id: Cooper-Part-86:044-044

Subject: Cooper Files: Cooper-Part-86:044-044

Document: NVDH pathology laboratory report - admission urinalysis, Jack Coffelt
Id: Cooper-Part-86:044-044
Page: https://cooper.theunsolved.net/documents/Cooper-Part-86%3A044-044

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FBI 164-81, Vault Part 86 p. 44 (DB Cooper-37888), Form — cooper.theunsolved.net/documents/Cooper-Part-86%3A044-044

Sheet 1

COFFELT, JACK [guess: RMM] 3748 79895 [guess: R] [illegible] 9525

NORTHERN VIRGINIA DOCTORS HOSPITAL DEPARTMENT OF PATHOLOGY URINALYSIS

DATE: 1/19

Specimen taken by ☐ Cath. ☒ Void Clean ☐ Catch

☒ ADMISSION URINALYSIS ☐ Repeat Urinalysis Appearance: [guess: yellow-clear] [guess: A Ced] ☐ Reaction ______ ☐ Specific Gravity: 1.027 ☐ Albumin ______ ☐ Sugar ______ ☐ Acetone ______ ☐ Diacetic Acid ______ ☐ Bilirubin ______ ☐ Urobilinogen ______

Leukocytes: 0-2/ Erythrocytes ______ Casts: Hyaline ______ Finely Granular ______ Coarsely Granular ______ Cellular ______ Waxy ______ Epithelium ______ Crystals ______ Mucus: [guess: moderate] Miscel.: ______ ☐ Occult Blood ______ ☐ Glitter Cell ______

☐ Bence Jones Protein ☐ Sulkowitch (urinary calcium) ☐ Porphobilinogen ☐ Phenylpyruvic Acid ☐ Serotonin (5HIAA) 24 HOUR SPECIMENS: 24 HOUR SPECIMENS: ☐ VMA ______ ☐ 17 Ketosteroids ______ ☐ Catecholamines ______ ☐ 17 [guess: Ketosteroids]

TE DATE [illegible signature] Nurse Signature

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b6 b7C

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Sheet 3

LABORATORY REPORT SHEET NORTHERN VIRGINIA DOCTORS HOSPITAL

N.V.D.H. Form No. 31

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DB Cooper-37888

Serials: 3748 79895