PMS LABORATORY FORM 
SI-MNH-284G 
6-23-67 
Age skull plumage soft parts ) 
Weight A.l Fat ^>_ Molt 
Prepara tor: 
Disposition: ( skin skelton alcoholic 
Ectoparasite Exam: Visual ‘ 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 
