PMS LABORATORY FORM 
SI-MNK-284G 
6-23-67 
Species 
M 
5 — - -S- — A Number _ 1 
Dates: processed 
t 
Locality IcTAlL. 
collected 
/ ( 
. A 
3 *i 
.A- 
Sex — v (dissection plumage soft parts 
A 
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 IiAALL'aI 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 
