PMS LABORATORY FORM 
SI-MNH-284G 
6-23-67 
s 
pedes jL ?s«' r ry, b Qp) Number 
jnR_m 
Dates : processed 
collected 
^ 1 OTO jOB/tA 
,8'^ fm “S*— r~ 
Locality 
APS A! IMMI 
T ~j&— r -%-fy O 'K 4 — 
<y7 
n 
Sex _<p2 (dissection plumage soft parts — J*/. 
Age skull plumage soft parts 
nsi 
Weight Fat __VJ— 
Disposition: ( skin 
Ectoparasite Exam: Visual 
Ectoparasites 
alcoholic 
Molt 
discard) 
Preparator: 
Other 
Or/; a o 
-*Jt if ~ ~ ^ ^ 
) 
) 
Ectoparasite Virus Report 
Blood Sample: Single A. Pool 
Plasma Analysis Tests: VI HI 
N 
- *> 
$ ,r 
Plasma Virus Report. VI: Negative ^ Positive Virus 
HI 
HI 
HI 
Blood Smear stain (s) 
Blood Smear Results 
Remarks - QJJ---d-t--5L±-C-(Lhjj&ja J.£l_ “ JJ: 
