SI-MNH-2 84 G 
6-23-67 
PMS LABORATORY FORM 
Species — fuVvXcu- - - -wrUJllCT- 
Dates: processed ti-MAg-jggg collected 
Locality 
lissection? plumage soft parts 'oC&LbYoY 
Number 
18 
a. Anas 
Sex _ 
Age 
skull plumage soft parts ) 
M Molt. 
Weight Fat 
Disposition: ( skin skelton alcoholic digcar 
Preparator: 
Ectoparasite Exam: Visual .¥l_ Other 
Ectoparasites 
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 
HI N 
Virus 
Remarks 
