SI-MNII-2846 
6-23-67 
PMS LABORATORY FORM 
Species . - L Ai C ujVtcft p C<L USALQ .CD Number 
c 
20 
Dates: processed l______li_b$£» collected 
. PARAUMNI, CYFHU3 
Local ity 11 1 _ 
a 
Sex C-& 1 (His'sec^kw^ plumage soft parts 
x 
Age skull 
ilumaee. 
soft parts j 
Weight Fat 1U -"Jll— Molt- 
9oJ>±L 
Disposition: ( skin Qkeitorj, Valcoholic^ discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 
Pool Q _ _L 5_ ~5_ 
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 
