SI-MNH-284G 
6-23-67 
PMS LABORAJORY FORA 
Species __ 
Number _ 
»RY FORM 
Dates: processed J368 collected _M-1 Y-tQ 
Locality — 
Sex . -_ir7_ ( d issection 
soft parts 
Age 
I 
Weight • 
skull plumage soft parts \ 
'ter-YS 
Fat r L Molt- 
Disposition: ( skin skelton alcoholic c|fscardV) Preparator 
Ectoparasite Exam: Visual irtYY Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool __ J_A Yy 
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 
