SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
h 
LUXCiL. 
Species 
Dates : processed collected __ 
Locality IvWiiL 
Sex . . "I~ ( cliss ection 
Number 
>-S 
ge^7 soft parts ) 
Age skull plumage soft parts 
Weight _ Fat 
) 
MolL_ 
Disposition : ( skin 
Ectoparasite Exam: Visual 
A 
alcoholic 
-4^ 
discard) Preparator: 
Other ___‘J 
O-Vw 
Ectoparasites 
Ectoparasite Virus Report 
Cv» 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI HI N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: 
Blood Smear rtzxr?’ stain (s) 
Blood Smear Results 
Remarks 
