PMS LABORATORY FORM 
<5< 3116 
SI-MNH-284G 
6-23-67 
l ’ i • 0,3117 
Species jQ: \ S_ b Number 
Dates: processed Wtffl®.. collected 13SP#««8 
Q,i ri\UO 
i t -w b s * - S 
I |Nf V 'I 
* *a» 
Locality 
Sex (clissectio fjX plumage soft parts } 
Age skull plumage soft parts ) 
Weight Fat 
Disposition: ( skin skelton alcoholic 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
X 
HI N 
Virus 
Remarks 
