SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species 
phji 
I.U16.3.C.O 
Dates: processed _ // AW 
pus 
LH 
Q-i I y fa * 
collected 
Locality 
Sex _ (J ^dissection ' plumage soft parts 
Age 
Weight i 
skull plumage soft parts 
N— _ Molt. 
Disposition: ( skin skelton alcoholic ^dLcard}^ Prepara tor: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
M 
) 
> 
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 
