SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
r H. IA^ YpJatfJc/Ji. 
Species ---^Jvj-DU±„yviaqri_s Number 
Dates : processed ii p* _ _ collected So Moy__ _ (£&£_ 
ISMjfZ. 
7d 
Locality 
Sex (dissection plumage soft parts \ 
m* ' 
Age (£dT) plumage soft parts ) 
Weight _2?_ >.A Fat 
Molt- 
Disposition: ( skin skelton /alcoholic 
discard) Preparator 
tor.- 
Ectoparasite Exam: Visual Other 
Ectoparasites MojxL 
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 
CoAcAcLL A/jCf C{/cha/o?- 
Remarks J2±-ls 1 _ Jp ^ Z^t- 
r ' ' ' ”Z 
_ S(c. 6_cO 
