PMS LABORATORY FORM 
SI-MNH-284G 
6-23-67 
__ - /I 
Species / 
Dates: processed 
Number 
collected 
Locality 1 1 5 i _ ^L a J:3L^ _ 5 ? Y • i _ Bah In; 
Sex _ (^dissectiQf? plumage soft parts 
Age — QkulB plumage soft parts JltT'O 
Weight ___Yl 2_'_2 Fat Molt. 
Disposition: ( skin skelton alcoholic (TEscard^ Preparator: ^? . { 
Ectoparasite Exam: Visual Other 
Ectoparasites 
) 
) 
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 
