PMS LABORATORY FORM 
SI-MNH-284G 
6-23-67 
Species XAVYAC V VU U A Number ^ 
Dates: processed collected 
Locality __ W^y_9_ 
Sex ___0 
A 
(dissection plumage soft parts 
Age s kull pl umag e soft parts 
— 
Weight Fat Molt 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
) 
) 
Ectoparasite Virus Report 
Blood Sample: Single L— ,^—QL.X- Pool 
Plasma Analysis Tests: VI HI N 
Plasma Vi rus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
