PMS LABORATORY FORM 
SI-MNH-284G 
6-23-67 
S-6Z 
Species /7 Number _ 
Dates: processed ZL _ _ _ collected _ 
Locality yZ / 'fjTL Jrr TAs AY A /A 
Sex 
Age --/fjl /sku 
plumage soft parts Terrs' \ 
1 - / 
Weight 
plumage soft parts ^ 
I.J-A7-. Fat Mn1t_ g ^ov~/> . 6**cP 
Disposition: ( (skhT) skelton alcoholic discard) Preparator: -A ?-.. ZL 
Ectoparasite Exam: Visual ATM Other 
Ectoparasites JQJZ/l£^- 
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 
