SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species /l _ i^L i I JGj2l tiL'S- Jb. 
1 Co/79 a 
ti>A ■ 
Number 
C "■ / / 

? 
\s Aw* 2 
f f , ^ 
Dates: processed _ _ collected _h__ Jz9yh } i%i, 
Locality 's_j_ p _ /_j 
Sex 
Age __ 
plumage soft parts j ej>_ _ _m _l jiAtY \ 
plumage soft parts Q$£_i \ 
Weight Fat ___JU Molt.. 
skelton alcoholic 
Disposition: ( 
Ectoparasite Exam: Visual 
/lA , 
Ectoparasites L 
discard) Preparator : _ j A_ _ _ Sjc_ _ 
Other 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI HI ]SJ 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
