SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species 
// 
JjZ- Czd^LL/- Number 
S -(c> 
Dates: processed A collected 
Locality _ A-L Ajze/^ *:#<?/_. 
9 
Sex _“f (( dTssecH o^i plumage soft parts ) 
Age --QA?.±- ( s£ulp plumage soft parts ) 
Weight Fat _ _ Molt 
Disposition: ( stdn) skelton alcoholic discard) Preparator: c A y _ _ 
Ectoparasite Exam: Visual Other 
Ectoparasites ( y 
nL i ( 
Ectoparasite Vims 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 
