SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Dates 
Species Number -SrJTJA. 
: processed _ _ collected ^ 
Locality 
Sex (dissection plumage soft parts \ 
Age skull plumage soft parts \ 
Weight Fat Q Molt 
Preparator: z^n 
Disposition: ( skin skelton 
discard) 
Ectoparasite Exam: Visual Other 
^2rt 
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 
1 ' -- - - 
t/ 
