SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species Number __ 
Dates : processed lUtoMLbg: collected S4M£„ 
Locality 
Sex (dissection plumage soft parts 
Age skull plumage soft parts 
Weight Ql Fat _ Molt 
Disposition: ( skin skelton ^ooholi c^) discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites u 
) 
) 
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 
