PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species iz • _ Number 
Dates: processed OCT _ 3 - 0 . -1958 collected QCI_iLQ_ 1368 
Locality Esz&t ^ JflairulL _Gjtv._, _ Bahig. 
Sex — C^-~- (dissectioi^ pluma gg^j soft parts 
Age — TT — j ^~skulj 3 plumage soft parts _rArTQ_ 
Weight Fat ±tT_ Molt 
Disposition: ( skin skelton alcoholic (<Jjscar<5j> Preparator: SAJI 
Ectoparasite Exam: Visual negative 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 
