SI-MNH-2 8 4 G 
6-23-67 
PMS LABORATORY FORM 
Species £z=Ltlsir Number „ J. 
collected _-_5L2iaji !ir ' 
Dates: processed 
Locality 
u 
1 - 
£ KWA 
A 
Sex 0 (dissection pl umag gl soft parts ) 
Age d_ 
skull (plumage J soft parts ) 
Weight Fat i Molt 
Disposition: ( skin skelton Alcoholic) discard) Preparator: __Ai li / _ £ [Ql £ T3W. 
Ectoparasite Exam: Visual !■/. Other 
Ectoparasites : 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear 
Blood Smear Results 
stain (s) 
HI N 
Virus 
