PMS LABORATORY FORM 
SI-MNH-284G 
6-23-67 
Species flMrtf H t.fAA ims_ ( £ 
Dates: processed collected 

Number ( 
PfA/CA <£/ 
Locality 
Sex — 0 . /(dissection 
ilumage soft parts ) 
Age 
plumage soft parts 2_ ) 
Weight Fat MolL... 
Disposition: ( skin skelton alcoholic /'’discard 
Ectoparasite Exam: Visual x/^ 
Ectoparasites AT 
Preparator: 
. Other 
Ectoparasite Virus Report 
Blood Sample: Single r: Pool 
Plasma Analysis Tests: VI 
HI 
N 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
Positive Virus 
Blood Smear stain (s) 
Blood Smear Results 
Remarks , 
