SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Locality _ 
D A n A' f''^»f f" 
rfYufA... yS waj 
Sex 
issection r^mag^ soft parts 
Disposition: ( skin 
r ^ \ 
e|tc@ \jicph(yie\ idistarcl) Preparator 
Ectoparasite Exam; Visual_Other 
— ) 
Age-skull plumage soft parts _) 
Weight - Fat_ Molt_;_ 
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 
