SI-MNII-2846 
6-23-67 
PMS LABORATORY FORM 
Species 
Dates: processed collected __ ‘ 
Locality _ - - -ftoxaSX mm__ _ 
Number 
) £ 
Sex __ 
(dissection 
■ ,’*y. ■ 
i'rrnage soft parts 
Age skull plumage soft parts ) 
Weight Fat - 
Disposition: ( skin skelton 
^ fflG 
-_li Molt 
alcoholic 
JjP A t 
<fiscard)j Preparator: 
Ectoparasite Exam: Visual zi Other 
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 
