PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species 
Dates: processed collected _ 
_ 
Number 
Qla£A& 
M Mflfi Mffl 
Locality 
vV »Wfej 
Sex (dissection plumage soft parts ^ 
Age 
skull plumage soft parts ^ 
Weight Fat Molt- 
Disposition: ( skin skelton alcoholic /uscarcljS Preparator: 
Ectoparasite Exam: Visual W?__ Other 
Ectooarasites 
,H00*r 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis 
Plasma Virus Report. VI: Negative 
HI 
HI 
Eli 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Tests: VI HI 
Positive 
Virus 
Remarks 
