PMS LABORATORY FORM 
SI-MNH- 2846 
6-23-67 
V 
Species X-OTAcVQ- _ _<^OULV f A Number C>>. 
-n 
a 
Dates : processed 
i Locality 
- 
collected 
p ,o 
■* v «l w ' £ jjj ^ 
<gl 
a 
kSex _3®j(p ((lissectji^ plumage soft parts ) 
Age skull plumage soft parts ) 
Weight Fat Molt 
Disposition: ( skin \skelton ^alcoholic discard) Preparator: 
Ectoparasite Exam: Visual vA Other 
Ectoparasites 
Ectoparasite Virus Report 
.• A 
* * '■ 
t * ‘ 
Blood Sample: Single 
m 
Plasma Analysis 
*■ 
Plasma Virus Report. VI: Negative _i_ 
HI li 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
Pool w/ 
Tests: VI HI 
Positive 
7^ 
N 
Virus 
