SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species _ 
Dates : processed 
Locality 
n Cf 
Sex 
i-C&l-A.- 
1 j HAP. ,m 
Number 
Qlg&l 
collected :f_3-MAR4i 
(dissection plumage ) soft parts 
Age 
Disposition: ( skin skeiton 
Ectoparasite Exam: Visual 
alcoholic 
Preparator : 
Other 
) 
skull plumage soft parts ) 
Weight _ Fat ___ Molt 
Ectoparasites 
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 
