PMS LABORATORY FORM 
SI-MNH-284G 
6-23-67 
Species 
Dates: processed 
nr 
1 6 MAR 1858 
Number 
collected I 
i~OC 
Locality 4- Y 
Sex __r' (dissection) plumage soft parts ) 
Age skull plumage soft parts ^ 
Weight 
Fat Molt-.. 
y 
Disposition: ( skin skelton alcoholic discard) .) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool Q1 40 7- U IP 
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 
