SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
fny.Jlo3._a of els 
collected 
Species 
UybijL 
Number a? 
6 
Dates : processed 
Locality 
Sex _ ^r.._ ^issection/ plumage soft parts ^ 
f/.MA'J 
Age 
Weight ___ 
_ Molt-. 
__ skull plumage soft parts ) 
Fat _ J~fc 
Disposition: ( skin skelton alcoholic discard^ Preparator: 
Ectoparasite Exam: Visual Other 
/ 
Ectoparasites . 
Ectoparasite Virus Report 
Blood Sample: Single 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 
e_.EuE.3.. -%k 
