SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Number 
x-W 
Species L-Ql A j _ P-L iZ. jfZ- Li A / y'TM j£3T. i&A A i A 
Dates: processed collected _ _ r?_ _ Jl.Qx-Iz A-S l A J..z 
^ sO 
&A A i 
Locality -A^AlWE. - f AS- hOJL L- 
Sex t ^is sectl oh: ''plumage^) soft parts f?jZl _r*_ . Z- ‘TlAZllr- ) 
J plumage soft parts ) 
Weight Fat ____C Molt- 
Age 
Disposition: ( skin 
alcoholic 
discard ) Preparator : ilh- - 
Ectoparasite Exam: Visual \L 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 
