PMS LABORATORY FORM 
V \ 
Vi. 
Xi 
1 1 J 
a .'v r 
A k AJ\JS 
i. I .A 'OfO'**** 
Species _ 
Dates: processed __ 1 P MflB l<B8 
Locality 
Number .5.1705 
collected 
Sex (dissection plumage soft parts 
Age skull plumage soft parts 
Weight __7.iL Fat 
Molt. 
\ Disposition: ( skin skelton 
discard) Preparator: 
k ) Ectoparasite Exam: Visual Other 
Ectoparasites 
_ _ j_r jlLc- 
Mj 4V 
i If *19 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis Tests: VI HI N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
6-23-67 
) 
) 
Remarks — 
