SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species 'Prif _ CO UU? SiT-ft Number ^ | ^ 3j? 
Dates : processed _6fc collected i^:/VV 
Locality 
Sex 0. (dissection plumage soft parts 
Age 
skull plumage 
soft parts 
) 
Weight _ . 
_ Fat . 
Molt.. 
Disposition : 
( skin skelton 
alcoholic discard) 
Preparator: 
Ectoparasite 
Exam: Visual 
Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI HI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
N 
Virus 
