PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species 
Dates : 
Locality 
Tuf<iuS 
-P&lio-S 
/ f a i 
VJ 2AJ ax; 
processed 
' 
V/ />'*'* e"~ . J 
A v j vjr 
v y 1 
. - collected 
y v — /v 
id fcif 
S. / Cj 
4~ 
Sex 1 
Age 
Weight 
( dissection plumage soft parts — 
skull plumage soft parts 
Fat Molt. 
) 
) 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single k'. LAi-ALg Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
HI 
N 
Virus 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
iifil V » . j* ft h 
Qji\c, v a < ePA£t\rv\ / Wei ( ‘S'lccAcyt - cAthu^. . L-pojri’i c\\ a i A 
- - - -jH- - - M w - - ■ - - - — f=- — jjF* - - - --j — ihc 4 Hi IpdLr -■=. PLOUv- 
- j_ \ U QV\^ 
iyliM 
l 
ova- 
