SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
A 
Species <T_4 Number X-SZ-lJLA 
Dates: processed jT. Lit b ^ f collected __{?>_ 
Locality £>_ _ _ £? 
Sex (dissection 5 
)iumagc 
C JL ) 
soft parts 
Age — ^ulU plumage soft parts ) 
Weight Fat O Molt 
,e. 
Disposition: ( skin .gk eiton ) alcoholic discard) Preparator: 
Ectoparasite Exam: Visual ft_. 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 
