SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
I 
Species J Number X ^ 
: processed .fy-QjMJL collected 
Dates 
Locality _ — ilC-L JjXsi -/. _ 
Sex i__ (^IsibctTon) plumage soft parts id i 1-1 C^L _ /zCl/LL I'l/jl'-l ^~£S2XXl. ) 
Uut 
Age Jrl If L^^skulp plumage soft parts ) 
Weight Fat L Molt 
Disposition: ( skin (skeltonj; alcoholic discard) 
Preparator: 
r. 1 
k$ &kL->. 
Ectoparasite Exam: Visual k.. Other 
Ectoparasites Iftb&k UL 
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 
