PMS LABORATORY FORM 
SI-MNH-284G 
6-23-67 
n 
Species Number 
0 | )' mep lafig 1 
Dates: processed *. collected f’JL|4||R_t|fi3 
U |L 
6t It 
Locality 
T) 
/ 
Sex tZl__ (dissection plumage soft parts ) 
Age skull plumage soft parts ) 
Weight Fat 
Molt. 
Disposition: ( skin skelton alcoholic discard)} Preparator 
-ctoparas 
ite Exam: Visual Y_ 
Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
