SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Sex 
(dissection plumage soft parts ) 
Age skull plumage soft parts 
Weight /PlP L__ Fat Molt. 
Disposition: ( skin skeiton alcoholic discard 
Prepara tor 
Ectoparasite Exam: Visual PpPP. Other 
Ectoparasites ^]pfZPP^ 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI HI N 
PJ asrna Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
J(P A cq p //y 
Remarks 
