SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species 
Dates: processed collected 
Locality 
Number _JA 
^ Odr \°1 
4/T {b 
Sex Q2-- (dissection plumage soft parts ) 
Age skull plumage soft parts ) 
Fat L- Molt 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Weight 
Ectoparasite Exam: Visual Other 
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 
