PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species 
Dates : processed 
i- 6-3 -t- M — 
M 
,'v Locality __Li 
m 
JMNL.CYPM 
'Koit Number 2 - 5 - 4 JX— V- 
collected 
,? *■ - — St-~t4r =nr~ c 
2 ^i p 
, ^ Sex . ( ^Is^ection ^ plumage soft parts J ? )(? ) 
if 
<7# 
O ' 3 
Age skull plumage soft parts 
\ L. 
Weight Fat _J_.hA. 
ALL 
Disposition: ( skin ^celtoq 
) 
Molt. 
/i 
CL 
Ectoparasite Exam: Visual v_ Other 
Icoholic 
v/ 
discard) Preparator 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
_vC 
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 __ 
O fJ C Cr'J~~/ Qyi . MljLH. 
In-tt. 
