SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
•-v 
^(jAAA^/a 
Species 
Dates : processed 
Locality 
i_£i . sAjXMUoX. 
— 1B--MA6-I368 _ collected _ 
_L^OlM£L_L 
Number 
..CLvntf-.- 
r MAP 
ij — •»' — — ’ rtt * 
Sex (dissection plumage soft parts __ 
Age skull plumage soft parts ) 
Weight 
Disposition: ( skin 
Ectoparasite Exam: Visual 
Ectoparasites 
Molt 
discard) 
Preoarator: 
X 
Other 
Ectoparasite Virus Report 
Blood Sample: Single _ Lr 
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 
