SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species 1. * a tA A 
Dates: processed A^J^AA 
Locality 
i Number _ 
Qt So 6 
collected 
c* • • • • 
\& *’* 'V 

P> 
Sex 
_„cr 
plumage soft parts 
Age — skull plumage soft parts 
M- ~ 7 \ <■ A? ft 
__ Fat NL___ MolL 
Weight 
Disposition: ( skin skelton alcoholic 
Preparator: 
Ectoparasite Exam: Visual 
Ectoparasites "Ticks 
Other 
) 
) 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis Tests: VI HI N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
