PMS LABORATORY FORM 
SI-MNH-284G 
6-23-67 
Species Number fflL- i-ttSi©—- 
Dates: processed __ collected 
Locality 
ft 
Sex — (dissection plumage soft parts \ 
Age skull plumage soft parts \ 
Weight Fat Molt 
Disposition: ( skin skelton alcoholic di scard ) Preparator: 
/ 
^ • v / 
Ectoparasite Exam: Visual Other 
Ectoparasites I 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Virus 
Remarks 
