SI-MNH-2 846 
6-23-67 
PMS LABORATORY FORM 
I r* f 
_ 0 ^ 
Species Number . 
Dates: processed collected 
Locality 
O'' , 
Sex ^dissection) plumage soft parts 1 ) 
Age 
Weight lCl?L Fat 
skull plumage soft parts ^ 
L 
Molt 
Disposition: ( skin (^skdtoijd alcoholic discard) Preparator: rT:_^V_ A? 
Ectoparasite Exam: Visual Other 
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 
-P-dA-n-//. V/y_ 
Remarks 
