PMS LABORATORY FORM 
SI-MNH-2 84 6 
G-23-67 
Species - V ^C&,o wk.Wli. _ jUviL Number Al.TaLT? 
Dates: processed _ _ _ Acl/vx i-_7_ L?iA l collected 20 
Locality ^-O^Okkshr-- 
Sex (dissection plumage soft parts __ 
Age 
plumage 
— - i 
soft parts 
to 
-) 
Weight 
Fat 
i 
Molt- 
Disposition: 
( skin skelton 
^Icoholi^) 
discard) 
Preparator: 
c 
Ectoparasite 
Exam: Visual __ . 
s/ 
_ Other 
...El 
B 
Ectoparasites 
Vj idJt id€- 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear — tr^r^r=-_ stain (s) 
Blood Smear Results 
HI N 
Virus 
Remarks 
