PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species _ Number 
Dates: processed collected 
Locality Jrrj/jtl 
Sex (dissection plumage soft parts ) 
Age 
skuli plumage 
soft parts 
Weight _ . 
. _ _ _ Fat _ 
Molt-- 
Disposition: 
( skin skelton 
alcoholic 
discard) 
Prepara tor: 
Ectoparasite 
Exam: Visual 
Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 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 
