SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species Number 
Dates: processed A_ _ J_ /_/&_ 7 - collected 
Locality 
. r $ v & n / /ftiwurf ~ If 6 bl trr />7 j, < 
dissect! (xl plumage soft parts / 1 1_J ) 
Age A-^__(skulp plumage soft parts ) 
Weight Fat Molt. 
■If 
S , 
Sex _'t- 
Disposition: ( skin (skelton alcoholic discard) Preparator: 
J c* 
<r 
Ectoparasite Exam: Visual Other 
ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI HI N 
i 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
i 
HI • 
N: . 
Blood Smear stain (s) 
Blood Smear Results - 
Remarks 
