PEGISTRATIONM 703 z- 0 SI
OBSERVATION STARTED:_ 7 - 2q - 23 /7
PLEASE RETURN LOG TO PSYCHOLOGY AFTER THE
OBSERVATION HAS ENDED.
THANK YOU.
Regular Clothes
Safety Toothbrush NI),
Newspaper/Magazine INIJO•
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Name of Inmate On Suicide Watch or Psych Obser
Registration #: 7-6 7/0*
EFTA00106336 EATING/SHOWER CHART
7942.-64i7
Name of Inmate On Suicide Watch or Psych Observation: e ".
Registration B: 76
EATING/SHOWER CHART
DATE BREAKFAST LUNCH DINNER LIQUIDS OFFERED RECEIVED
SHOWER SHOWER
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Please check the appropriate box if the person on
Suicide Watch/Psych Observation actually eats his
meal. Do not check the box if he just received it,
but did not eat it.
Place a check in the "Liquids" box each time the
person drinks.
Thank you.
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