PMS LABORATORY FORM 
SI-MNH-284G 
6-23-67 
A 
Species kiiSOjtvlju Ct3 
Number 
Dates: processed EkriOLkldFY collected 
Locality 
l 
Sex (dissectic^ plumage soft parts — 
Age skull plumage soft parts 
Weight Fat 
__ Molt-.-. 
Disposition: ( skin skelton alcoholic 
Freparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
o rr o Q 
) 
) 
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 
Remarks 
