PMS LABORATORY FORM 
SI-MNH-2S4G 
6-23-67 
Species 
. _ J Lc&Sipp. icA vu y ei fc. 
Dates: processed collected 
Number — 
_____ \_5r0cf a 
Locality jcAkTXO 
Sex S-L- (dissection plumage soft parts \ 
-Ark — skull plumage soft parts \ 
Age 
Weight Fat 
Moit- 
Disposition: ( skin skelton alcoholic discard) Preparator 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single L 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 
