PMS LABORATORY FORM 
SI-MNH-284G 
6-23-67 
Species CCLP_A 
0% i lift?? 
Dates: processed collected 
Number 
__2lJ 
V Hi 

Local it|( yjMt 
nvppi 
Sex 
(dissection plumage soft parts ! jfl L t ) 
Age skull plumage soft parts ) 
Weight Fat 
Disposition: ( skin skelton 
MolL 
discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 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 1- 
<r 
^ l l ■ 
U 
\ 7 
I ML 
3 
K I . 1 « 
f - f - -TSi 
