* 
SI-MNH-284G 
6 - 23-67 
PMS LABORATORY FORM 
Species ^ P./Z-A* 
I 
4<slZ 
Dates : processed 
collected 
<5l Number 
MAX 1968 
£ 
3563 
Age 
plumage soft parts a 
Weight Fat Molt 
Disposition: ( skin CjkAtaH 
alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single viA?A/£ 
Plasma Analysis Tests: 
Pool 
HI 
N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: _ 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
-T trr .. 
