PMS LABORATORY FORM 
SI-MNH-284G 
6-23-67 
Species __ Fft&U&c&pu i Number _ 2-0 
Dates : processed — collected 
Locality r.te,£±±tojUj- 
Sex ____ (dissection plumage soft parts 
A^e skull plumage 
soft parts 
) 
Weight ^ Fat 
/Vf 
Molt- _ . 
Disposition: ( skin skelton 
alcoholic 
discard) 
Preparator: 
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 
Remarks 
Virus 
