SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
fieJj'pk 
T- 032 
Species . _yy2^_[CJ2_ Number 
Dates: processed Tn** m A _ collected -J2-Jkr-cLJMZ-- 
Locality _ _ 
Sex 
/We 
tissectioj 
plumage soft parts ) 
plumaj 
soft parts 
o 
) 
Molt.... 
Weight Fat ___ 
r? / 
Disposition: ( ^skm) skelton alcoholic discard) Preparator: A _ / _ * ti 
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 _ _ _ iWW WfJA _ JL*_ _ . W?_ /A_W_ _ ty_as_ _ 
n_4_ _ _ des_ tfOvgdj. 
