SI*MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species 
Npxnber _ 
1 C 4 ^ IN-’ 
e: 
Dates: processed__collected _ 
Locality ^ ^. 
• ■ ■ L 
V ./' 4 i 
Sex —^sTl— ^dissecticm;, plumage soft parts_) 
Age-skull plumage soft parts _) 
Weight_ Fat __ 
MolL_ 
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- 
