SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species 
Number 
u 
Dates: processed collected A 
. _ _ JO.L&J& JL saje&A _ _ 
Locality . 
Sex -J?! 7 . 
Age 
CL^Sw- .AC 
il__C<5£ 
soft parts 3l li&Ali 
at-Y-- 
X31A A 
1 
Disposition : ( skin 
alcoholic 
discard) Preparator: C ^- vc 
Ectoparasite Exam: Visual I Other 
) 
plumage soft parts ) 
Weight __^IL_A:___ Fat ( Molt. 
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 
(V (*/ 
Remarks -Ai - - - -■ 
