PMS LABORATORY FORM 
SI-MNH-2 84 6 
6-23-67 
Species 
Dates : processed _ _• 
Locality _ -Pa* 
Number _* 
collected _ 
^7 
Sex __C 
Age 
Weight 
1 
X 
;ion > plumage soft parts _ _ .ALL 1 _ _ _ _<rAf_L 2- ) 
plumage soft parts ) 
_£k— Fat ___ 
_ Molt_ 
Disposition: ( skin skelton alcoholic discara^j Preparator: 
Ectoparasite Exam: Visual A Other 
Ectoparasites _____ 
Ectoparasite Virus Report 
Blood Sample: Single yf_ 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 
