V 
SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species Number X _ 
Dates: processed jJpIPj collected 2^ 

Locality 
Sex 
Age — Z~ 
Weight ___ 
Disposition: ( skin 
plumage soft parts _ _ ) 
plumage soft parts ) 
__ Fat L Molt 
alcoholic discard) Preparator: 
r./£ nfa ^ 
Ectoparasite Exam: Visual 
Ectoparasites 
Other 
X - rrrr 
Ectoparasite Virus Report 
Biood Sample: Single _ Pool 
Plasma Analysis Tests: VI HI N 
Plasma Virus Report. VI: Negative Positive Virus 
HI ___ 
HI 
HI ______ 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
