PMS LABORATORY FORM 
SI-MNH-2840 
6-23-67 
Species V iLSSfirc Number _ _ A_:_X1 
Dates: processed _ _ _i3. __ \1 collected £. 
Locality _ _ H Uj^UuwLa-. _ iLa,m_, _ _ JL _ AiCs e^_o£__ sW^A- _ _ !c ojx 4 Xi I H :§•] 
Sex — 5_ (dissection plum agte soft parts ) 
Age __-T. C skulL ) plumage soft parts ) 
Weight Fat )=?_ Molt 
Exposition: ( skin skeiton (alcoholic) discard) Preparator: X^'yflQ y r 
Ectoparasite Exam: Visual V Other 
Ectoparasites Lm 
Ectoparasite Virus Report 
Blood Sample: Single Pool m. irz 
Plasma Analysis Tests: VI HI N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: 
Blood Smear __rrrm stain(s) 
Blood Smear Results 
Remarks 
