SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species 
C' 
1W-W4L -jCQ±jrOM Number 
Dates: processed . collected di _ __ 
Locality _ _ 
Sex 
Age 
o / - v 
J — rafssection ) plumage soft parts 
a s ’ 
plumage soft parts } 
Weight Fat _ o _ Molt 
. s WPj- 
Disposition: ( 
skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
/V 0 * € 
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 
