SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species 
0 . QV3 
• , 1J 1 : ‘ - l /v 
Dates: processed 
Locality 
Sex _jy__ 
collected _ 
. Number _ 
<P_a?M 
plumage soft parts ) 
Age 
skull plumage soft parts } 
Weight Fat Molt 
Disposition: ( skin skelton 
Ectoparasite Exam: Visual 1/ Other 
Icoholic 
Preparator: 
Ectoparasites 
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 
Virus 
Remarks 
