SI-MNH-2S46 
6-23-67 
PMS LABORATORY FORM 
Species 
l. — ^5. Number ^ ^3 CA 
A G*L1 — iALY collected ^N-ww, LG iL( A.\ 
Dates : processed _ _ 
Locality - _ _ AU^x^Isa^ _ _ L i 3L _ & jCcr:__^_W_LxL-_ 
-N 
Sex __42_ — (dissection plumage/ soft parts ) 
Age — Ar__^uUj plumage soft parts \ 
Weight Fat Lr MolL._ 
Disposition: ( skin skelton 
discard) Preparator: -Y L\ X _ :TL c AYj? si. 
Ectoparasite Exam: Visual Other 
Ectoparasites 
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 __ IVwo, 
