SI-MNH-2S46 
6-23-67 
Number 
collected 
Qm 
PMS LABORATORY FORM 
Species LA c^_ (ACVi 
Dates : processed . . _ _ Jywv v_i _ _ _ 4 sl l %- 
Locality _Ui/kV_iA^ 
^ r — 
Sex — (dissection pluma ge soft parts \ 
Age skull plumage soft parts ^ 
Weight Fat Molt 
Disposition: ( skin skelton alcoholic 
Prepara tor: 
Ectoparasite Exam: Visual PA. Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool _ -LSA-5U 
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 
