SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species __ 
Dates : processed 
•** 
a* 
- -1 Wi ^£_t _OjaiL\J Number .fi \_ X iL 
— -ll&Czf collected 
[^>Aa A' 
Locality liy_Q 
Sex — Li (d issectio n plumage soft parts ) 
Age __.Al skull plumage s oft par ts ) 
Weight Fat Molt - 
Disposition: ( skin skelto n alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other ... 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single iifTJAr 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 
