SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species 
C *^ v C'l/LCt_^ ( 1^) 
Number 
Dates: processed collected ' _M^Rj9f§[ 
Locality 
P% /* 
I 15 ,f 5 Ei 
it A' % li 'w*" fc id* » . i t j ‘sg ii 
r 
A T-- 1 
3 ii a V :.*> 
v A -A 
\ / 
Sex (dissection plumage soft parts 
Age 
__ skull plumage 
soft parts 
L 
Weight 
Fat __ 
MolL 
Disposition: 
( skin skelton 
1 §** 1 
\ )— * .j 
discard) 
Preparator: 
Ectoparasite 
Exam: Visual 
Other 
Ectoparasites 
) 
Ectoparasite Virus Report 
Blood Sample: Single l*c_ Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
V 
HI 
c 
HI 
Virus 
HI 
N: 
Blood Smear 
stain (s) 
Blood Smear Results 
Remarks 
L-CVi' ■j'A.yVl _ . I?J3 _ it 
K _ _ _ rr _ _ „AlQ _ _ 
c 
jlL C/s. e 
rvv 
a 
■j* 
i__C6. 
ft, 
