PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species 2>cx IxJtCC. ) Number 
2 1 MAR 1368 
fS At 
Dates: processed collected 
Locality 
RAL? 
R ,»• If B 
iUli iLw i-L_ V 
* ,T Sfc « .<* J)n, ; I 
.vrJ o rf* 
X (f 1 
Sex (dissection / plumage soft parts 
Age 
k \ e -— ) 
skull plumage soft parts ^ 
Ectoparasite Virus Report 
Blood Sample: Single Pool 1 /_ j 
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 i-SL 
