PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species 
...A. 
,'SJi 
Number GAVfiT.j) A. 
Dares : processed 
Locality 
19 MAR 1968 
p/MTS/U FPs -' 5 C/1 
f :, V k&Mli % 
collected 
IP *P r, **». y" 
“ -v i * . 
r t - 1 
; J o 
Sex _ 
_Q (dissection ^lifmage^ soft parts ^ 
Age skull plumage soft parts \ 
Weight Fat Molt 
Disposition: ( skin skeitorTj alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 
Pool Vi 
<4- 
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 
