SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species 
Dates : processed _ 
CLC&I jpIccl 
Locality 
Sex 
F&AA 
Itl&A 
. Number _ 
^ collected 
Ct??3 
A£. 
LjMi/l 
(dissection plumage soft parts \ 
Age skull plumage soft parts \ 
Weight _ 3.S., Fat Molt 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
A/ 
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 
