SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species Number 
collected .Jr Q.'J.l / / 'j(l / » 
Dates : processed 
* 'i /A * y 
Locality ■_ _ Ls. JcQ^Uj. 
Sex (dissection plumage soft parts ) 
Age skull plumage soft parts ) 
i 
Weight Fat ___i_ Molt 
Disposition: ( skin skelton 'alcoholic) discard) Preparator: HaA CCkL- 
J 
Ectoparasite Exam: Visual A Other 
n 
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 
