PMS LABORATORY FORM 
SI-MNH-284G 
6-23-67 
Species t A? S T A? i j&lCjQ. 
Number 
Dates: processed 
Locality 
Sex 
collected 
V t ~ ~ M at rntr V~crv 7 ~ 5 _ t g ' 
Age 
A 
plumage soft parts 
plumage soft parts _ _ 
M 
Molt- 
Weight Fat 
Disposition: ( skin skelton alcoholic ^iscard)y Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
1 3 
) 
) 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
Pool ___ 
Tests: VI 
Positive 
HI N 
Virus 
