SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
c 
Species J'. ‘Tb^QyLOx ^ 1 Number __ 
Dates : processed _ _dl ? _~?i_ collected _ j2l jA\ f a jy L 1 a j?_ _ 
Locality L-lCl Ji T A- JLf. j9L *L _ 
Sex CSLl. (dissection) plumage soft parts — i ? _L0.yL _2_ titKi ) 
Age skull plumage 
soft parts 
o 
) 
Weight Fat LA Molt 
Disposition: ( /skin_J skelton alcoholic discard) 
r - p j? j „ _ , , 
Preparator : _L_-_ l i _ 1 PJ_2'i 
. -r 
Ectoparasite Exam: Visual ‘ Other 
Ectoparasites AT /A1A.C 
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 
