SI-MNH-284G 
6-23-67 
PAIS LABORATORY FORM 
Species 
« 2 MKK 
Number 
< 012*2 
Dates: processed 1 collected 
*&Aj\ 
Locality _ 
Sex 
^X 2- 
isseciion plumage soft parts ---TTt^trL ) 
(^2k3- 
Age skull plumage soft parts ) 
Weight 
>_fr 
Fat 
, // 
Molt- 
Disposition: ( skin ) skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites A*_ 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI HI N 
. ( 
Plasma Virus Report. VI: Negative Positive Virus 
Eli 
HI 
hi : 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
