SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species 
Dates: processed VjL 
Locality — 
Sex (dissection^ feiuma 
Q&te&c Number .■ 
n> 
s 
collected __ 
soft parts SaOJ^L 
> 
_ _ ^UxOuA _ _fcS>Ckdl v* 
) 
Age __ 
Weight 
plumage soft parts 
Fat (m Molt 
Disposition: ( ^skin ^y skelton alcoholic 
Ectoparasite Exam: Visual _____TTiri 
> 
Prepar ato r : /If- d=±- C.6?.. 
discard) 
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'll- stain(s) 
Blood Smear Results 
Remarks 
