PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species 
Number 
Sex (ciissection ) plumage soft parts ) 
Age _ _ L _ d^ulj) plumage soft parts ) 
Weight Fat 
Molt. 
Disposition: ( tflon) skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites _ 
17 
ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI __ 
HI 
N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
Blood Smear stain (s) 
Blood Smear Results 
Collect eJ /pej(/_ 1 
Remarks 
