SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species J. kl t'sl (T C £ c( 
Dates : processed 
L 
-A9_ 
/ijUtiil/L collected 
$ 
-CL<Z- 1 ■ 
Number ^__TL j_J_ 
LJzqIu 
Locality J_c?4_i£l4LXrJ^_. 
V * \ ■ t 
Sex — (dissection ' 1 plumage soft parts /P_ji m. 
Age rsT;u.U-' plumage soft parts \ 
/ 
Weight Fat —A Molt 
Disposition: ( skin (§keltoa) alcoholic discard) 
Preparator: 
Ectoparasite Exam: Visual L Other 
Ectoparasites AkfeiiL 
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 
