SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species _ 
Dates: processed 
*LT _ .All iLr:LoJA.A A Ar: A _ _ 
4 * 4 l 
collected 
— Number 
o j ypp **5£© 
Locality r ttR A LIMN t - CVPR 
Sex 
Age 
0 
(dissection ( v plumage soft parts \ 
_ skull plumage soft parts \ 
Weight Fat 
Molt- 
Disposition: ( skin skelton 
alcoholic f discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool __1 
Plasma Analysis Tests: VI 
Plasma Vitus Pveport. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
HI N 
Virus 
Remarks 
