PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species _ _ _ ^ /ZJUL/4.51 Number 
/? 
Dates: processed AtAfA/1 /Jl/hZ- collected 
\S 
Locality %Aj£ / '//I- £ll& j. C/1 . _ Lit £L&L # _ j. _j-g _ _ /$ jq-_ ti / 
Sex (dissection plumage soft parts ) 
Age skull plumage soft parts ) 
Weight — CSAiJ/L Fat //_ Molt 
Disposition: ( skin skelton akohojic discard) Preparator 
Ectoparasite Exam: Visual 
Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single /CCL-CC^ 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 
