SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species _ 
Dates : p 
Locality 
Sex 
Age 
(dissection plumage soft parts 
skull plumage soft parts 
Number 
/ _ j/ / _ 
) 
) 
Weight Fat Molt- 
Disposition: ( skin skelton alcoholic discard) Preparator: 
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 
