SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species _ Number 
/T - • *r 

Dates: processed r /-A S collected ,/J> 
Locality _ _ h^L _ i4f_ 
7'“ 
C ’fS'y't ^ 
Sex ___ 
Age 
Weight 
_ _ (dissection /plumage ^ soft parts ) 
Fat th Molt_ 
Disposition: ( skin skelton 
discard) Preparator: _ 
r <tf 
*nfo H 
Ectoparasite Exam: Visual irr 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 
Remarks 
