PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
A/1 of 
A 
Species 1L k'li Number -jJ^^ULta 
Dates: processed iJwQlwL collected 
Locality LttMA'YQ 
Age 
Weight Fat 
Molt. 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Sex — — A — (dissection plumage soft parts ) 
4~. _ _ skull plumage soft parts ^ 
Ectoparasites 
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 
