SI-MNH-1116 
7-11-66 
s’! » 
Species 
VS D v\ 
0 {jL'f’V&t i OUx 
PMS - 
ID 
Age, 
skull 
plumage 
soft parts 
Details 
Weight„ 
Molt _ 
Fat 
head 
.body 
tail 
Source: bought 
Method: netted 
PMS. 
—lime 
NAMRU-3. 
_ .shot 
Disposition: skin 
skeleton. 
discarded 
other 
Ectoparasite exam _______ 
Ectoparasites _ etc $ 
PDB 
.visual 
other 
wings 
__ other _ 
_ other. 
alcoholic. 
other 
» tr p*> 
4*.4d 
Ectoparasite virus report 
Blood sample -- heart _ jugular ___other__ 
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 __ 
