SI-MNH-284< 
6-23-67 
PMS LABORATORY FORM 
Species f/ff... Number _J__ 
Dates: processed collected _ No V. __ / Jp C? 
Locality _ _ C £ f.L.. 
Sex — I ^dissection/ plumage soft parts 0'_ t ia . i _ ) 
Age . 
Weight Fat 
Disposition : ( £ skin 
skuii^piumage soft parts 
i Fat ^2 Molt N^f 
skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
i3 *. ■ No £ 
Jbctopar asites 
) 
if- 
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 
