A ) 
X ^ 
C 
3 
SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species — fL'fiErXJ- Sl / -S3 
1 2 MAE $68 
Dates: processed collected 
Number 
i 0 
Locality 
Ljft&ft-ha. 
11 83 8 0S 
M tix 
Sex _ 
_y_. (^EssectipX 
plumage soft parts ) 
Age skull plumage soft parts ) 
Weight — Fat Molt 
Disposition: ( skin skelton alcoholic 
Ectoparasite Exam: Visual 
Ectoparasites 
U 
discard) Preparator 
Other 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI HI 
Plasma Virus Report. VI: Negative Positive 
HI 
* 
Hi ; 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
N 
Virus 
Remarks 
