PMS LABORATORY FORM 
SI-MNH-284G 
6-23-67 
Species 
„ , v mm 
Dates: processed collected 
p* ^ i 
Locality 
Number J'r5. 
f, ? MAP faf 
k t nnn Kf 1 
c 
a 
Sex (dissection plumage soft parts \ 
skull plumage soft parts ^ 
A S 
Weight Fat 
Molt- 
Disposition: ( skin skelton alcoholic discard) Preparator 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single l*C Pool 
Plasma Analysis Tests: VI Eli N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
