SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
ZL&s^Q \ 1 Number 
® 1 8 MAR 1368 
Species 
rvw 
i. .gf 
Bb 
ip 
J, 
; > % 9 
W0 u 
8il 
Locality ^ (LA C^.X,-c.^wv _l j ov 
Sex JJl 
(dissection 
soft parts \ 
Age skull plumage soft parts ) 
Weight ) !_■ bl Fat Molt 
Disposition: ( skin v skeltp n- alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report _ _ 
Blood Sample: Single _r: Pool 
Plasma Analysis Tests: VI HI M 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: ___• 
\ ■■ 
Blood Smear stain (s) 
Blood Smear Results I 
Remarks _ * 
