SI-MNII-2846 
6 - 23-67 
PMS LABORATORY FORM 
Species 
Number .V* ’o 
Dates: processed _l*l__A<x*s collected 1«L__ J_<x^, ]X(eJ&_ 
Locaj ity - a ^ 3^r-_ _ - _ _?s. V ^ Ir ^gv^t g _x^xs .Sv & _p\ 
Sex 2t__. 
(dissection plumage) soft parts \ 
skull plumage soft parts \ 
Age 
Weight Fat 
Molt. 
Disposition: ( skin skelton alcoholic discard) Preparator: c. S 
Ectoparasite Exam: Visual L-c Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 
t 
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 
