FormNVDH electrocardiograph reading and 12-lead EKG tracing for Jack Coffelt19 July 1973page 1 of 2
fbi_formLegibility: medium

Part 86, page 45

DB Cooper-37889

Document date 19 July 1973

Open in FBI Vault (Part 86, page 45 of the PDF)

FBI 164-81, Vault Part 86 p. 45 (DB Cooper-37889), Form, dated 19 Jul 1973 — cooper.theunsolved.net/parts/Cooper-Part-86/pages/45

Transcript

The scan is the source; the transcript is machine-generated from it.

[partially obscured date stamp] 7.19 73

COFFELT JACK [guess: 5] . [guess: 44] - 76 - 79895

NORTHERN VIRGINIA DOCTORS HOSPITAL ELECTROCARDIOGRAPH READING

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SERVICE Medical PREVIOUS EKG-S No DIGITALIS: BODY BUILD large QUINIDINE: HEART MURMURS OTHER DRUGS: BLOOD PRESSURE 150/90 HISTORY:

CLINICAL DIAGNOSIS:

REQUESTED BY: [redacted] b6 b7C DATE TAKEN 7/19/73 ELECTROCARDIOGRAPH NUMBER 1 FINDINGS RATE: ELECTRICAL AXIS: 0 VENTRICULAR 96 EKG POSITION: Semi-Horizontal AURICULAR 96 Q. T. INTERVALE .32 RHYTHM: NORMAL SINUS RHYTHM PR INTERVAL: .19 QRS INTERVAL: .06 INTERPRETATION:

WITHIN NORMAL LIMITS.

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SIGNED BY: [redacted] M.D. b6 b7C N.V.D.H. Form No. 64

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DB Cooper-37889