SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
)RY FORM / ; - , ' r ‘ 
fairer/ h (S' fAhfOf^S^r 
^ Number A^l3h. 
Species 
Dates: processed S_ collected 

i Stc- 
j 
Locality 
^ ^^,|,|,|Blll | l ~ = " KT ^ I 
Sex — __ — (dissection plumage) soft parts ) 
Age skull plumage soft parts ) 
f 
L 
Weight Fat Molt. 
Disposition: ( skin skelton 
/discard) 
Preparator : HlJL ti Y t. 
Ectoparasite Exam: Visual “1 Other 
Ectoparasites 
/ 
, o 
0 ' it 
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 
