PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species _ 
S\ T / 
( / Ml 1 i / -9 /i / Ml A / -5 / 
_ _ri_i _ l-M/j-L I'-iiiY. tllS. 
'7 
Number 
.YsJAL 
/ ? n a 
’7 ft 
Dates: processed _T 
/ ' a 
/7 
/ 
Locality 
Sex 
A 
//) > 
A 
!_Ck_ 
/v? / 
collected / _ 1 
v _ +*r 
/”■ 
/ 
* ‘ (ptry 
Age 
7 
(dissection plumage soft parts — ~Y: ^Z_7__I17' iff fli t ) 
__ skull (plumage soft parts ) 
Weight Fat Molt 
<T~ //? 
f f f 
Disposition: ( skin ( skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual I Other 
Ectoparasites Iz _ A _7_ _ _ _L _l'i _ ' flit if^.. 
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 
