SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species 
Number L? 
Dates : processed 
Locality 
Jof( 
_ collected a* 
Sex (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 
Plasma Analysis 
Plasma Virus Report. VI: Negative 
__ Tests: VI HI 
Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
N 
Virus 
Remarks 
