SI-MNH-284G 
6*23-67 
PMS LABORATORY FORM 
Species _ Passe L dom _ esticu ! Number 
Dates: processed _1968 collected SEP _ 2 _6_ 1368 
Locality 
U-CitA 
Sex tt_ -CT ( dissectiQ $3> 
soft parts ) 
Age 
O 
Weight _ 
:_ ^ lp plumage soft parts _ 
) 
Fat ri- Molt 
Disposition: ( Qkmy skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual 
Other- 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Sy/~C 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 
