PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Or 
■\ 
Species _ _• 
Dates : processed 
Number 
>v. 
3 
collected 
m 
DA! IlStiMI 
k v* r-— » • I i.: ,, 
— — T — *- -i. — \« I M U. ii-f. 
£ 
Locality 
Sex __ v (^Issectjon^ 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 
Blood Sample: Single Pool lek \ \ 51 Q 3_ . 
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 
