SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Number A. _"3 
Species 
V %_ f 
Dates: processed 1 collected jL / _ M Ail 
Locality 
Sex (dissection plumage soft parts ) 
Age skull plumage soft parts ) 
_ Molt 
l /^alcoholic discard) Preparator: 
Disposition: ( skin 
V 
Ectoparasite Exam: Visual Wl Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single „ Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive _ 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
HI 
LC1.6-2 
N 
Virus 
Remarks 
