SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species _ WdArdr T Number L_l 0- 0 A" ^ - LX 
SSa.Tt 
Dates: processed collected 
nm mm 
i-» r- * 
A * F 1 ’'- *! 
Locality rMH/: iLko! 'JJi _ JU V _C 
k i ^ 
Sex .2— i5~._ ( dissection^ plumage soft parts ) 
Age _ 
skull plumage soft parts ^ 
Weight Fat 
Molt- 
Disposition: ( skin skelton alcoholic discard)) Preparator: 
Ectoparasite Exam: Visual '"Tr Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool . 6i lo 4^ -Z g. 
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 — 
