FormDaily report - nurses' notes for Jack Coffelt, July 1973 through discharge21 July 1973page 2 of 2
formLegibility: medium

Part 86, page 53

DB Cooper-37897

Document date 21 July 1973

Open in FBI Vault (Part 86, page 53 of the PDF)

FBI 164-81, Vault Part 86 p. 53 (DB Cooper-37897), Form, dated 21 Jul 1973 — cooper.theunsolved.net/parts/Cooper-Part-86/pages/53

Transcript

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

NORTHERN VIRGINIA DOCTORS HOSPITAL DAILY REPORT - NURSES' NOTES

COFFELT, JACK P[atient] #: 7743 79895

[SIGNATURES table] 8-4 4-12 12-8

Total Units to be Charged [illegible]

Total Charges Business Office Use Only

b6 b7C

DATE: 17-21-73 IME ADMINISTERED 12 AM to 12 PM | 12 PM to 12 AM

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Discharged

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DIET: Regular as 12-8 [guess: Slept] 10 hours [guess: critical] s 8-8° [guess: Vitals] O.K. Condition secures [guess: assured] [REDACTED] in [REDACTED] 8° [guess: Discharge] [guess: orders] [guess: written]

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DB Cooper-37897