PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species Larina Number 
aL 
r 
LA. 
Dates: processed SEEL2JL19J1 collected SEP g Q |Qg8 
Soffit , _ Mat rub _G rv SahJUt 
( dissection ^) plumage soft parts 
umage soft parts 
Weight —IZiS'- Fat Molt— 
Disposition: ( Qkin y skelton alcoholic discard) Preparator: __ 
Ectoparasite Exam: Visual Negative 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 
HI N 
Virus 
