SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
Species 
Dates: processed 
Number 5 B ?, 5 
_QCI_1_&_1958 collected flJCI-JL 8_ J25S 
Locality ,;r _ PiL 
Sex 
ffssection '> plumage soft parts \ 
Age __ -A (®D plumage soft parts i 
Weight - Fat Lr. 
Molt- 
Disposition: ( skin skelton alcoholic (fciiscarcj)) Preparator: 
fewrawp « Ji 
^ ■ 
Ectoparasite Exam: Visual | | 4__ 1%^ 
Ectoparasites 
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 
