SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Sp ecies _ _ tl 1 _ _ ^7^'S'^rl 
Dates: processed collected 
Locality ‘ 
Number 
/ 
Sex 
Age 
/ 
aissection / plumage soft parts ) 
IS*) ) 
Weight ISHjJa Fat 
Di sposition : ( skin 
Molt.- 
*\ 
alcoholic discard) Preparator: 
„ c (? 
f-nr* * 
c~~ 
Ectoparasite Exam: Visual Other 
?/! 
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 
