SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species____Number_ilO/t'. 
Dates: processed _collected __ 
Locality__ 
Sex -j_^_ ft ^(d issectio n plumage soft parts_ 
Age 
skull plumage soft parts 
Weight_ Fat_ Molt_ 
Disposition: ( skin skelton alcoholic discard) 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_ 
