PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species _ /2(1a?jCi CL 'zl/OMjQA CCS__ iUj2l jL L$J1Jc_US- _ _ Number , 
Dates: processed SEP-i-3--~® collected $££-- 
Locality -zayp±-,_ _G? Y • i _ 
Sex 
(dissection plumage soft parts ) 
Age skull plumage 
Weight Fat 
soft parts 
M- Molt-... 
) 
Disposition: ( skin skelton (" ^coholic ^) discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single —.5./* Pool ___ 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
N 
Virus 
HI 
HI 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
