SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
Go !h 
A -1? 
Species _ aJCI 11 L — GfJdfJll o Number 
Dales: processed ^ fGfL G l Z.4V collected A- ~AA1l _ 
Locality _ _ ltG]? 2 __ H___ o£_ _ _ GGAoJI^JZ^ / 
Sex 
Age 
(dissection plumage soft parts ) 
skull plumage soft parts \ 
Weight Fat 
Molt. 
Disposition: ( skin skelton 
alcoholic discard) Preparator: _ 
Ectoparasite Exam: Visual Other 
iT. V fel 
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 
Rexmarks 
