PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
7-050 
Species Number 
Dates: processed M!lM collected 
Locality __ JW7_ 
Sex 
^issec tion) plumage soft parts \ 
Age — — ydgrip plumage soft parts 
Weight Fat lr_ Molt 
Disposition: ( xknT) skelton alcoholic discard) Preparator: A?/- c _ r. 
) 
Ectoparasite Exam: Visual Other 
li 
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 
