SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species ■_ ! id id Si I'Lj:: if V \A i£pL fXJJdlUj. Number _ _ U_ 'X \ J? id 
Dates: processed VjALidi: collected \fl_ OjCjf__£sjJ 
Locality L-UlAyC) 
Sex — (dissection p lumage soft parts \ 
Age — Ar. — skul l plum age soft parts 
|! \a. _ _p&!L 4^1 
o4_a } 
Weight Fat Molt 
Disposition: ( skin skeiton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single L/_ft 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 
