SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species 
__ A: 
- 
l 
cA 
, f) 
1 f 
g I 
— -CCA VT LAA-iJ Number - ’ ^ *1 ^) 
1 7 HAP. 1968 
Dates: processed collected 
jf a fl r A i} 1 I JT\ M. 
7 nano i 
t 
»a 'si (| J * 
Locality 
I » 
iyi 
Sex 
A “V 
(dissection plumage soft parts 
Weight Fat 
Molt. 
Disposition: ( skin skelton alcoholic discard)/ Preparator: 
»■** 
Ectoparasite Exam: Visual **!!_ Other 
) 
Age skull plumage soft parts ) 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 
/f) 
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 
