SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species _ _ -C, Ca, _ _ 
Mf' 
Dales: processed ^ ' collected 
Locality 
Number __0 — b 2 1 2_- 
1 6 WAP. 
y-V "7 ^ 
9- 
Sex (dissection plumage soft parts __ ^ ^ 
Age 
77 
Ski 1 
Disposition: ( skin (^slceTton ^^alc oholi c^) discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
) 
skull plumage soft parts ^ 
Weight Fat Molt 
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 
