SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species _ _ _ ' Number 
Dates: processed __ 
collected 
Locality 
' S£Z1 dir!Tl<dy_ _ 

plumage soft parts ^ 
Weight Fat _ 
Disposition: ( skin skeiton 
L 
Molt 
coho lie 1 discard) 
r' < 
Preparator: ___rn rrYAr! 
_ r__ ^Jctl 
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 
