SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species 
Dates : processed 
Number QA ITl " ZZO | 
2 4 MAR 5368 
Locality 
Sex 
\l wiINi, 
Wgstt i * 3 
» t T*' 
a. «*' 1 
* Y | | VV 
2 J_WM 
[issectiori plumage soft parts ^ 
Age skull plumage soft parts _ ^ 
Weight FattlAl i ( 1 J: 'J^^MolL. 
Disposition: ( skin skelton alcoholic /"discard) Preparator: 
. / 
Ectoparasite Exam: Visual Wi Other 
Ectoparasites 
licit _Q _ _2_ [ _ C 1 < 1 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
HI 
Virus 
Remarks 
