PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species Number 
Dates: processed __ collected (-[_ ... /J? C?fL - _ 
Locality . _>-LcC 
Sex 
£> 
f 
ussectioj 
soft parts _V _ A^AT^L fA i ) 
Age skull plumage soft parts ) 
Weight ___i?d2A Fat Molt 
Pron-vrol-A,. 5~T. ^ P'S O 
Disposition: ( skin (skelton) alcoholic discard) 
Teparator: 
Ectoparasite Exam: Visual Other 

Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool — 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI - 
HI - 
N: 
Blood Smear 
Blood Smear Results 
Remarks 
stain (s) 
HI N 
Virus 
