PMS LABORATORY FORM 
SI-MNH-284G 
6 - 23-67 
Species _ _ _ / Number 
Dates: processed collected ^ 
Locality _ _ . £?_ _ Jf/ . _jEsr4 £._ / 
Sex (dissection plumage soft parts 
Age skull plumage soft parts 
Weight Fat Molt 
Disposition: ( skin skeltcn ^^oholi^) 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 
