SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species /_ Number 
Dates: processed _ _ _ _Zl7_ _ _ /_ % Collected 
&/f A { _ 
Locality 
T^ir '/? f 
o V 
Age 
plumage soft parts 
o 
Weight Fat ___r_ 
) 
Molt-.* 
Disposition: ( skin 
alcoholic discard) Preparator: 
(fc . f If 
t" [ >fps at- 
Ectoparasite Exam: Visual Other 
T7 F *f 
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 
Remarks 
stain (s) 
HI N 
Virus 
