SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species 
Dates: 
Locality 
Sex — l2 -(dissection plumage soft parts — 
Age-skull plumage soft parts_ 
AtL 
Weight_ Fat_t_ MolL. 
collected 
Number_ 
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__ 
