PMS LABORATORY FORM 
SI-MNH-284G 
6-23-67 
Species — jd'£OyLQ. — ikz p. L iJ A -- Number S) b Y / 
4 0 
Dates: processed _ &ct. //.- L9- (k&T- collected _ LjJcLfcZ— 
Locality 2 
lyjl-t- — i 
Sex (dissection plumage soft parts 
Age skull plumage soft parts 
Weight Fat Molt 
Disposition: ( skin skelton alcoholic discard) 
Ectoparasite Exam: Visual 
Ectoparasites 
Preparator: 
Other 
) 
) 
Ectoparasite Virus Report 
Blood Sample: Single S_/_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 
