PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species jaA_US_Q~.'_ iTi _ A_L A 
Number «- ~ 
Dates: processed collected §EfLl_3_ 
y 
Local ity 4 j _C 2 yj ^ _ 5_ _kra._n^2_!'_ 
Sex — (ffisscction ^ plumage soft parts ) 
Age /9r__ ^ull } plumage soft parts ^ 
Weight Fat Molt 
Disposition: ( skin skelton alcoholic ( ^scardT -"" Preparator: tCt^L - 1 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single I 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 
