SI-MNH-284G 
G-23-67 
PMS LABORATORY FORM 
Species 
Dates : processed 
Number _? 
Locality 
(.dissection 
#(£ L if 
collected _ 
Sex _ 
Age __| 
soft parts 
plumage soft parts 
^t-i- Molt. 
) 
) 
Weight Fat 
Disposition: ( skin skelton alcoholic 
Preparator: 
Ectoparasite Exam: Visual Other 
aL- 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single ' Pool — 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
HI N 
Virus 
