PMS LABORATORY FORM 
$p-~ 
ci cies 
5 . 
Number 
Dates: processed 
1 7 $pp wm 
collected 
'\l APk 
[issection^Nplumage soft parts 
Age skull plumage soft parts 
Weight Fat LisOCO Molt- 
Disposition: ( skin skelton alcoholic 
Ectoparasite Exam: Visual 
Preparator 
Other 
Ectoparasites 
SI-MNH-284G 
6-23-67 
** L 'X 
) 
) 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
Pool 
Tests: VI 
Positive 
N 
Virus 
