A ^ 
SI-MNH-2 846 
6 - 23-67 
PMS LABORATORY FORM 
Jyjif* Number Q ( % 6 
0 M . a «- A 
18 mar rasa 
Species _ 
„ , 1 s g MAP. 13 ® 
Dates: processed l collected 
Locality 
f 
Sex y . — (dissection plumage soft parts ) 
Age 
skull plumage soft parts \ 
it Fat Q _ Molt. 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual A___ Other 
Ectoparasites 
Ectoparasite Virus Report 
• 
* 
* 
Blood Sample: Single 
Plasma Analysis 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
R.emarks 
Pool 
Tests: VI HI 
Positive 
N 
Virus 
