SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species & 41 oLql.__ £LanV‘i\^ar& 
Dates: processed collected 
— ?aCMl«\ni 
Number cuiy-tio 
& map. m 
Locality 
Sex 
o 
f — ( di 
issection 
:*>V. - - -‘v, 
rn a ge^ sort parts ) 
Age 
skull plumage soft parts \ 
Weight Fat Molt- 
Preparator: 
Disposition: ( skin skelton alcoholic 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool ^.-5-- 
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 
