PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species _ _ _ II 5 ^ 5_ _ _ _4 £>Ja f_ /_/_/ Number 
l- 01 ! 
Dates : processed 
Locality — A / 
collected 
Sex ?? — ^dfssectionP) plumage soft parts \ 
Age — Askulj P plumage soft parts ^ 
Weight ,Z_z_ Fat Molt 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual AA Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
/O 
Remarks -C*/I n _ . 
HI N 
Virus 
