PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species 
\3p. . 
_ MIB - collected 
Number 
Dates: processed 
Locality — - -GVPfMJS ~ 
<55 t , QfcX) * 
Disposition : ( skin 
3s<p>) 
Icoholic^y discard) Preparator: 
Ectoparasite Exam: Visual _ Other 
-W 
-* J Jr 
_a__ 
Sex _ _ xfP-y ( ^ssectlo ^ (plumage) soft parts ) 
Age skull plumage soft parts ) 
\ V\ 
Weight Fat Molt 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
J 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
N 
Virus 
Remarks 
