SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Number ^ 
Species __ 
A w t 
Dares: processed i_r!_ 
A 
collected _ _ 
Locality - 
Sex ___% 
Age 
(dissection 
soft parts ) 
skull plumage soft parts ) 
Weight Fat (ir^ Molt- 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual V'W Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Tests: VI HI 
Positive 
N 
Virus 
Remarks 
