PMS LABORATORY FORM 
J 
SI-MNH-284G 
6-23-67 
Species Al 
Dates: processed __sAo«<^= 10 collected 
Number 
F - Z a .. 
Locality 
_ j. _Xj>JA <_ 
Sex (dissection plumage soft parts 
Age skull plumage soft parts \ 
Weight Fat Molt 
Disposition: ( skin skelton (dc oholic ) discard) Preparator: -_%dr^t/y5Wi 
Ectoparasite Exam: Visual trzZIZZIZl Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single NTTIT Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks . _ M'r- _ A 
HI 
N 
Virus 
