SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species _ PhyUo saopus dolly 
Dares: processed __ 
I-ocality I $ & $ / 
Sex __ - ( { dissectiop/ plumage soft parts 
A* 
a??s 
collected 
Number _ J 
Age 
j/ 
Ectoparasite Exam: Visual V. Other 
Ectoparasites u 
) 
skull plumage soft parts ) 
Weight Fat tl Molt. 
Disposition: ( skin skelton alcoholic ^'discard) Preparator: 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
HI N 
Virus 
