PMS LABORATORY FORM 
SI-MNH-2S46 
6-23-67 
,1 
*\ 
Species 
? 
Dates: processed _ 
UA _ - JTvClt t- A Number 
1 7 MAR 1388 
A 1 6 7 S 
collected L7__M AR_«K 
[ J 
Locality 
dl-t 
Sex - 
plumage soft parts \ 
Age skull plumage soft parts \ 
Weight — i Fat Ln'Z. Molt 
Disposition: ( skin < [toil 
alcoholic discard) Preparator: 
/ JL 
Ectoparasite Exam: Visual ^ Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool ( j*l - -1 _T_ 
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 
