PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
t 
\ 
Species O- jfV\_ Cxt Number .A_2.L2.3rA_.. 
Dates: processed llj§PJ9® collected 2 1 *Kffi '«8 
'** m 
> Locality __ 
* _ _ V£ 
«*' & 
Sex (dissectionC plumage ) soft parts __/__£r. ) 
•A Age . .. skull plumage soft parts .. ^ ) 
> 
Weight _ Fat 
V>& 
Disposition: ( skin Vskelton 
y a 
_ Molt 
lcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 2 aL rV_ I _ o! 
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_'dA CT_ 
Q t. %- 
