SI-MNH-2S4G 
6-23-67 
PMS LABORATORY FORM 
Species 
Dates: processed 
Locality 
s? 
CK / 
Sex — AT (dissection.' plumage soft parts 
Number 
tJi&P 1QR 
( 3 StlT IvVi 
V _ 
_ collected 
Age skull plumage soft parts ) 
;ht _Jd_7.-£ FatKr_4 
Weight 
Molt- 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual i . f Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single ±-/l 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 
