SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species ^ Number ^ 1 1,1 ^ 
•> 
Af 
X’i 
Dates: processed ! ! collected 
TTt- 
SlP H 
fe T 
Locality flCl 
lul 
Ml 
1 1 1 j k i r 
„ »_ J 
* 
wX 
b 
Sex (dissection plumage soft parts 
Age skull plumage soft parts ) 
Weight Fat Molt 
Disposition: ( skin, skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single r^s, Pool 
' *■% 
Plasma Analysis Tests: VI HI , N 
St 
Plasma Virus Report. VI: Negative Positive f. i Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
V 
-fc- 
Remarks 
