PMS LABORATORY FORM 
SI-MNH-284G 
6 - 23-67 
S P 
ecies Pass_er_domesticus^ Number 
Dates: processed collected NOV 2 0 i.qp.fi 
Locality §SY PJ: AfiLLL’L: _ i ^ i s 
Sex (dissection 
Age .j/— ^slaifP ) plumage 
Weight Fat . 
soft parts ) 
Molt 
Disposition: ( skin skelton alcoholic Cdiscard Y Preparator: $ 6^1 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 
Pool 
Plasma Analysis 
0 
_ Tests: VI 
___ HI 
N 
Plasma Virus Report. VI: Negative 
. _ „ Positive 
Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
