SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species 
it Oi // 
2 
. _ _ L l *22 j. 
Dates: processed collected 
Local ity ^2-2 222 /i- __ _ _ 
HUL Number L. 
Sex (dissection plumage soft parts ) 
Age skull plumage soft parts ) 
Weight 
/ 
Fat Molt— 
Disposition: ( skin skelton QilcoholicJ> discard) Preparator: 
Ectoparasite Exam: Visual ^22- 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 
__Q slA 
Remarks 
