SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
H CjD ftO& _ ./jKjSNumber ^ V ^ 
L 
AC-.J* 
Species 
Dates: processed _ * f collected KftK fGISffe' 
Locality P< 
S. 
t 
-- -T- 
Sex . (dissection plumage soft parts ) 
Age skull plumage soft parts ) 
Weight Fat 
Molt 
Disposition : ( skin 
skelton alcoholic discard) 
/ 
Preparator : 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI HI N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
