SI-MNH-2846 
6-23-67 
A- // 
PMS LABORATORY FORM 
Species — L Number 
Dates: processed collected _ _ 
Locality if __ /_ 
Sex (dissection plumage soft parts \ 
Age _ 
plumage soft parts 
Weight Fat . — Molt- 
) 
Disposition: ( skin skelton 
discard) Preparator: r__' Y 
5~ Z^ 7 
Ectoparasite Exam: Visual Other 
Ectoparasites 
<L_ 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI HI N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
