PMS LABORATORY FORM 
SI-MNH-284G 
6-23-67 
Species US: — - AilB- Number 
Dates : processed _ _ i*Z. collected jiSS?! 
M4 aJJ 
//02s 
Locality 
Sex 
(dissection piurnage 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 
N 
Plasma Virus Report. VI: Negative Positive 
Virus 
HI _ 
HI 
HI 
N: _ 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
