SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species Number 
m 1 1 a a o 4 nr* o m 1 1 a 
A iL. X TJh k r lO 
nUu w O Ijvv f , j ;-r fc . 
Dates: processed collected __ 
Locality _ 
Sex 
Age 
<t§s ection y plumage soft parts \ 
C 
plumage soft parts \ 
Weight Fat Molt. 
Disposition: ( skin skelton alcoholic 
Ectoparasite Exam: Visual 
Ectoparasites 
[discard)) Preparator : 
Other 
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 
