PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species . SV tv > O'fyj o fUHy 
Dares: processed ^ ' I C ij r^ collected 
Locality — _ rjfc-&A£*-L mju~ 4 
Sex 
— Number _ 
(dissection ^ pluma ge; soft parts ^ 
_ skull plumage soft parts \ 
Age 
Weight Fat 
MolL 
Disposition: ( skin skelton Mcoholic j discard) Preparator: 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool “"fL.. J!f 
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 __ 
