PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species 
Dates: processed collected 
Number 
_—SEP-4-6~J96&- 
Locality 57PT>_ _Wa 1 ruh _ Go > _5 Jod* n ^ RaliLg. . 
Sex (dissection plumage soft parts ) 
Age ___0- skull (^pluma^e soft parts ) 
Weight Fat tL Molt- 
Disposition: ( Qskin ^) skelton alcoholic discard) Preparator: S -i 
Ectoparasite Exam: Visual Negative Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Sy/-C~ Pool — 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
N 
Virus 
