SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species _ &4X-ULQSC . „C&kU«2Q /IW Number 
Dates: processed JiJ§i collected 
Locality _ _ l 
(J? / A (» 
Sex 
plumage soft parts 
----) 
Age skull plumage soft parts 
Weight Fat ii__. 
_ Molt- 
Disposition: ( skin skelton alcoholic 
reparator: 
Ectoparasite Exam: Visual rt.'T-'.' Other 
Ectoparasites 
Al 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
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 
