PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species 
™ chilus Number _ Q 
4963 
Dates: processed _1_6 _ib£3 collected SE{?-_ , _-6- 
Locaiity l _ ^ 5 ^ JPlL JiTY^ *. _ 5_ km. n. Bair ig 
Sex £j?__ 
plumage soft parts 
) 
Age A (skull/ plumage soft parts __CL<SJh ) 
Weight Fat .hi Molt 
Disposition: ( skin skelton alcoholic 
Ectoparasite Exam: Visual Negative_ 
Preparator : fLU 
Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
Pool ___ 
Tests: VI 
Positive 
N 
Virus 
