SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species __£jC>Je OZ& Number 
Dates : processed 
collected _ _ 
Locality _ 
Sex (dissection plumage soft parts \ 
Age skull plumage soft parts \ 
Weight Fat Molt- 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool _~T"!!A_"_ 
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 
