PMS LABORATORY FORM 
SI-MNH-284G 
6-23-67 
a__ Number 
Species _ _ 
Dates: processed ^y.__ collected -Ai 
Locality _._ 
Sex 
Age 
dissection) plumage soft parts fejCs _ 7. H 7 _ 
/ 
5U& ) 
skuiT) plumage soft parts 
jd-l Z 
Weight l ' ! - Fat 
MolL. 
Disposition: ( 
skelton alcoholic discard) Preparator: eri*. 
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 
