PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species SiYe A\_(N. iOlL L> JT\_V fcA <YslS> _ _ _Q A. _ Number 
Dates: processed --fi- 
r* 
_ collected 
*&. _ -h 4 f~ 
■o n * i * t 
if 
Locality 
i m 
-** “ : i> i/ tils v 
i _|-x ~‘U ~ i- v -* — 
Sex (dissection plumage soft parts 
Weight Fat 
V\ 
Molt 
Disposition: ( skelton ( alcoholic J discard) Preparator: 
d i % ^ R 
O Q O Q 
Ll jm. i2 
— ) 
Age skull plumage soft parts ) 
- • • jr^ #• , . 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single — _r rr Pool 
Plasma Analysis Tests: Vf HI N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
