PMS LABORATORY FORM 
SI-MNH-284 G 
6-23-67 
Species ■ 
Number .S_OJQi± 
y-x-4-T.ii- ca ^ on-4-L~c.n^C>- 
Dafes: processed -SEP- A -0— 19S& collected ,$£ [ i_3_£._ig 6 g 
Locality ^ > _Mat ruh _G i v , _ Bah iij* 
Sex — c£!— dis sectio n (plumage'- soft parts \ 
Age — A — ^skullc plumage soft parts ) 
Weight Fat Molt. 
Disposition: ( skin skelton alcoholic ^d iscard ) Preparator: 
Ectoparasite Exam: Visual Negative Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single ip_Cl Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
HI N 
Virus 
