PMS LABORATORY FORM 
SI-MNH-284G 
6-23-67 
I- 0 1 
Number 
iAR 05B68 
Species _ _ A £«A i 'At . _ _ 
Dates: processed collected 
Locality ^rlSL ^ lf_ L. 
Sex — (drssect iop) Mumag^ soft parts LtllsjL \ 
Age 
..A... 
skulp plumage soft parts „ ) 
\?.b - f* 
Weight Z_iAr_ Fat 
Molt- 
J\f y_n£ 
Disposition: ( 
skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual L^l Other 
Ectoparasites _ N oht 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI _____ 
HI 
HI 
N: 
Blood Smear 
Blood Smear Results 
Remarks 
stain (s) 
HI 
N 
Virus 
