SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species 
Tit £[> US-PJ4 jL o/h_L LoS 
Dates : processed 
Locality 
4m £ 
collected 
Number <3 //3 
Sex __$L < fdissectioi 
plumage soft parts \ 
Age 
-JJkufl , 
^plumage 
soft parts 
Weight _ . 
__ Fat _ 
a. 
Disposition: 
( skin 
skeiton 
alcoholic 
Ectoparasite 
Exam: Visual 
>/ 
Ectoparasites 
--!u 
Molt 
discardWP 1 Preparator: 
Ectoparasite Virus Report 
Blood Sample: Single _• I'Ll L. Pool 
Plasma Analysis Tests: VI HI N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
