PMS LABORATORY FORM 
SI-MNH-284G 
6-23-67 
Species 
Dates : 
Locality 
Sex 
Age 
Weight 
/K { jrQ rv r tii\M uA 
processed 
collected 
D 
¥ 

I 
( di ssecti on plumage soft parts 
-_Ar__ skull plumage soft parts 
Fat Molt--. 
Number LL-J^-lJ-pL- 
1S ocM U 
Disposition: ( skin skelton alcoholic discard) Preparator: 
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 
