SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species 
Dates : 
Locality 
co„LL_V_fiirft 
Number 
collected __ 
r 
Sex 
<r 
(dissection plumage soft parts 
Age skull plumage soft parts 
Weight '7^'' Fat _ L- - Molt 
Disposition: ( skin skelton alcoholic discard) 
Ectoparasite Exam: Visual 
Ectoparasites . 
Preparator: 
Other 
) 
) 
Ectoparasite Virus Report 
Blood Sample: Single I Pool ~_~r_ _ 7 _ 
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 
