SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species CO iWdv- Number $ J 4 2 I 
Dates: processed collected V? 
Locality 
p r~~. , 
Sex __tt (dissection/ plumage soft parts ) 
Age 
Weight Fat 
Disposition: ( skin : 
skull plumage soft parts ) 
_ Molt. 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool JL" 
Plasma Analysis Tests:, VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Virus 
Remarks 
