Part 86, page 44
FBI 164-81, Vault Part 86 p. 44 (DB Cooper-37888), Form — cooper.theunsolved.net/parts/Cooper-Part-86/pages/44
Transcript
The scan is the source; the transcript is machine-generated from it.
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