PMS LABORATORY FORM 
SI-MNH-284G 
6-23-67 
Dates: processed _ 
Locality _ 
collected 
<Q/OjS3- 
Sex (dissection plumage soft parts 
Age skull plumage soft parts 
Weight Fat MolL 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
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 
HI 
N 
Virus 
Remarks 
