PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species \ Ql C^\ iUk Number 
Dates: processed __ 2tMflR_lM.._ _ collected 2i.MftP._lM 
PA 
Locality 
Sex 
■?AI f* 
;’tW ! in 
plumage soft parts 
) 
Age skull plumage soft parts ) 
Weight Fat - 
Disposition : ( skin 
Molt. 
alcoholic discard) Preparator 
Ectoparasite Exam: Visual jY_ Other 
Ectoparasites 
Ectoparasite Virus Report 

► 
* 
* P 
i 
Blood Sample: Single vA 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 
