PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species TJ 
KAk\ 1 1 / C\U \ 
Com J' 
i J L _yt_ _ vji 
- 
J.LU. 
Number LCJ2dQ_ < >Al 
— collected }A A.. 
Uates : processed 
Locality krJUjAi/J 
il__CLC±__. 
- \ A V\ \ J 
f— 
Sex (dissection plumage soft parts 
x 
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 lJJZS: 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 
