SI-MNH-284 6 
6-23-67 
PMS LABORATORY FORM 
CgAc^vJI 
v~c s 
Species kn V5L C*- A l P_V?r\lU Number __D 
Dates: processed 
lAc^voix _ Ai__ _ 
^'V_oVv _ _v _v collected AlPiAASC - 
Locality ^ ^ Aj-_pjru^a. 
Sex __ 
Age 
— (dissection plumage soft parts ) 
skull plumage soft parts ) 
Weight __ 15LQ Fat tsl Molt 
Disposition: ( skin 
Ectoparasite Exam: Visual 
alcohol icy discard) Preparator 
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 
