SI-MNH-284G 
6 - 23-67 
PMS LABORATORY FORM 
Species Number 5- 7-1-4 
Dates: processed QQI_i 1958 collected QCI_2 IPRS 
Locality ?§ypt_._ Bah is 
'k 
/ 
Sex C^- ^issectiou^* plumage soft parts 
Age ^skuiT'' plumage soft parts ) 
Weight 3J_i J2 Fat $4 Molt 
Disposition: ( (skiiT ) skelton alcoholic discard) Preparator: 
-VX — 
Ectoparasite Exam: Visual ITTAliiY® Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single .ST - 
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 
