ct 
PMS LABORATORY FORM 
Species '._CSi0p£_ Number 
Dates: processed — 
Locality 
Sex 
collected \ 
plumage soft parts 
Fat 
MolL 
alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
c 
SI-MNH-2346 
6-23-G7 
Age — ®L_( skull plumage soft parts \ 
Weight 
Disposition: ( skin 
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 
