PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species _ £ Ji Ue SC<gj>U? do klNfe/ 77* 
Dates : processed & &e collected 
...4^/1^'^v ^-a// 
Number 
Locality 
t 
Sex 7T._. Ldissecti 
Age 
plumage soft parts 
plumage soft parts 
Weight Fat 
Molt_„ 
Disposition: ( skin skelton alcoholic 
Ectoparasite Exam: Visual 
Prepara tor 
Other 
Ectoparasites 
) 
) 
Ectoparasite Virus Report 
Blood Sample: Single 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 
Remarks 
