PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species 
Dates : processed _ 
Locality 
OJfJOL _ Number i~^}» S J 0 ""W 
SP« collected c. a 
- i -W- - 
' 'sOl 
-T? 
Sex 
; -CYPRUS 
d issection ) plumage soft parts \ 
Age 
skull plumage soft parts \ 
Weight Fat Molt 
Disposition: ( skin skelton alcoholic (discard)^ Preparator: 
Ectoparasite Exam: Visual _____ v C Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Pool \J. 
Tests: VI HI 
Positive 
N 
Virus 
Remarks __ 
