The bloody note.
The Bloody Note is found in the Otherworld version of Alchemilla Hospital in Silent Hill: Origins. Travis Grady finds it in Room 204, alongside a locked medical box. The note acts as a clue to solving a puzzle, allowing Travis to obtain a plastic heart needed to complete the Anatomy Puzzle.
Transcript[]
"This heart of mine troubles me
with its trembling! To still it I have
put it on ice and locked it away.
(Remember, the three beauties who
cause it to pump so are the key,
'age before beauty')"
References[]