PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species 
Dates: 
Locality 
Phyll o s copus t_ro i shilus_ 
processed collected 
If X?A-_ t ruh_ Go iv _5 _ km. n_. _B_aMg 
Number 
___SEP_JL£_io.6fl 
Sex 
Age — A — <|kul|* plumage soft parts __Q2>S 
Weight Fat Molt. 
Disposition: ( skin skelton alcoholic ('discard,) Preparator: SLZT. 
Ectoparasite Exam: Visual negative Other 
Ectoparasites 
IT p 
) 
) 
Ectoparasite Virus Report 
Jr 
Blood Sample: Single J 
Pool 
T O / 
Plasma Analysis 
Plasma Virus Report. VI: Negative 
Tests: VI 
Positive 
— HI 
N 
Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
