T • 
SI-MNH-1116 
7-11-66 
PMS 
O A 
O ‘x 
08 
Species 
C C:> 
ID 
/ft- 
Date proc. 
^PR 1 isfi7 
Date coll. 
fiPR 1 
Locality 
Sex 
Age. 
dissection 
. j 
„ skull 
plumage 
t*"'- -»■ 
plumage 
Details 
Weight_ 
3 
Molt 
head 
Source: bought 
Method: netted 
Disposition: skin 
discarded 
0^ 
Ectoparasite exam 
b 
Ectoparasites 
.body 
PMS. 
lime. 
skeleton. 
PDB 
soft parts 
soft parts. 
Fat 
i. 
tail 
.NAMRU-3 
_shot 
other 
.visual 
other 
other 
wings_ 
_ other 
other. 
alcoholic. 
other 
Ml 
Ectoparasite virus report 
Blood sample- -heart s.______ jugular __ „ other__ 
Plasma analysis _ Tests; VI PTT N 
Plasma virus report VI: negative _ _ _ positive __ vims _ 
HI: _ _ 
HI:_ _ 
HI: __ 
N: _ 
Blood smear_Stain(s) 
Blood smear results_ 
Remarks ____ 
