PMS LABORATORY FORM 
SI-MNtI-2846 
6-23-67 
Species 
5.U.U 
A; 
ft*. 
Number 
Dates : processed 
Locality 
Sex 
ISMflRv: 
collected 
1 
(dissection plumage soft parts \ 
Age 
Weight 
skill 1 plumage soft parts 
Fat Molt- 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual _ Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 
PI asma Analysis 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
Pool 
Tests: VI __ 
Positive 
Virus 
