PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species 
Dates : processed 
Number __ 
collected 
Locality . 
Sex (dissection plumage soft parts 
Age skull plumage soft parts 
Weight Fat Molt- 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
) 
) 
Ectoparasite Virus Report 
Blood Sample: Single __ Pool 
Plasma Analysis Tests: VI HI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
N 
Virus 
Remarks 
