SI-MN1I-284G 
6-23-67 
PMS LABORATORY FORM 
Species _ 
Number __ A»X 
collected 
Dates : processed 
Locality — 
W**T 
Sex __(*/ ^((dissectioi)/ plumage soft parts ^ 
Age 
Weight 
skull plumage soft parts j 
S'% Fat Molt. 
Disposition: ( skin skelton alcoholic 
Preparator: 
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 
N 
Virus 
Remarks 
