PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species 
. dpmesticus Number 
alq-^7. 
Dates: processed SEP _2_6_1?58 collected ,S£P_ji_.fL 
Locality 
Sex 
f- 
j (^lumagg) soft parts ) 
Age __ -A _^skulp plumage soft parts - _0_S- S ) 
Weight __ £:LA Fat Molt 
Disposition: ( £skin J skelton alcoholic discard) Preparator 
Ectoparasite Exam: Visual 
Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 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 
