SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species 
/■: 
Q-Y'FYQ^iJua -4 _u\ _ Number __ j'r.: _ l.Srl'l 
--JliBJ! 
U 1 A 
miss 
Dates: processed jiAlJA-J collected 
Locality ^ _ Lri r_i‘ _ ! !*JJ Y'i 
Sex _i2 
(dissection 
siuma&e st 
oft parts \ 
Age skull plumage soft parts \ 
lit Fat Molt- 
alcoholic discard) Preparator: 
Disposition: ( skin 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI HI N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
Eli 
N: 
Blood Smear stain (s) 
Blood Smear Results 
W||L-_ _t_ _ 
Remarks 
