SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species _ jp ^|\C3^Jt<YLC4AJY^ (3^ Number ■ jlSu‘1 
Dates : processed _ _ 
' ir*» ii 
A t & ft 
tLj!?£® collected 
RXtt Jf5 9 
IpB A 
M 
[ f'jf. 
IAp 
** fP % 
<m t ( v i 
Locality 
3<f > 
Sex i Jr? (dissection^ plumage ) soft parts 
***-> / 
Age-?__-^r skull (plumage^,-so£t parts ) 
Weight Fa 
Disposition: ( skin skeiton 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 
PI asma Analysis 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
Pool 
Tests: VI HI N 
Positive Virus 
