SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species . . _ _ / €f__ Jj_ CC-Il l£i45L /w — Number . 
Dates: processed collected 
Locality J? 
/r/y 
Age 
skull plumage soft parts ^ 
Weight Fat 
Moit_ 
Disposition: ( skin skelton 
discard) Preparator: 
-r. if ft A 
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 
