PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species +t\£ Q2JDGUQ 
Dates : processed tunum -- 
Number 
collected 
Locality __ 
Sex __AjlL 
'Nfr-GY-P R 
Uo 
(dissection (plumage ) soft parts ^ 
Age skull plumage soft parts \ 
Weight Fat 
Molt- 
Disposition: ( skin skelton alcoholic discard) Preparator 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
B 
lood Sample: Single Pool Q IdllLi. 
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 lit A_. aLN _ _ 
Ait ^ \ O r\ 
