SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species 
Dates: processed __ 
Locality 
U 5® 
collected 
Number J 
\jf¥Si)riL 
Sex (dissection plumage soft parts ) 
Age _ 
skull plumage soft parts ) 
Weight Fat 
Molt_ 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual liTT Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single r=rr Pool 
Plasma Analysis Tests: VI HI N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) — 
Biood Smear Results 
, A 0 (/ 
Remarks Li .cxjiwiA — C_k- 
