SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Number A 
Species Ja J. IjjUl 1 - 1 . Jktk. 
C / / "“1 i M * 
Dates: processed collected _j.o LSjzy jAAlI-_ 
Locality ^dlt-i,LCL'fZQ^- -j- l-i j- &&!-. 
Sex — ^thssectioh) plumage soft parts ) 
Age _^^€^_(^skulF) plumage soft parts ) 
t 
Weight Fat _4 
Molt_ 
Disposition: ( skin \ skelton- ‘ alcoholic discard) Preparator: 
Ectoparasite Exam: Visual LL Other 
.UCSa'A 
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 
