PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
3 
Number „JD_QA 
Species _ 
Dates: processed collected Sd*] 
Locality _ _ _ _ A 
Sex ?L__ (di ssectio n plumage soft parts 
Weight Fat 
Molt- 
Disposition: ( skin skelton alcoholic 
discard) 
Preparator: 
Ectoparasite Exam: Visual Other 
Age skull plumage soft parts ) 
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 
