PMS LABORATORY FORM 
SI-MNH-2846 
( 1 - 23-67 
Ifuseicapa sipiaia 
Species A ^ i _ 1 J „ _ _ A „ „ _ Number 
fiUG 2 8 1968 AUG 2 8 4 
Dates: processed collected 
£sypt , Matron Uov. , - O ioa: 1 : : 
Locality 
Sex ^ (^i ssect iop/ plumage soft parts 
ail 
& 
Age 
c^S 
plumage soft parts 
Weight Fat \A\ Molt-- 
Disposition: ( skin i 
Freparator: 
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 
