PMS LABORATORY FORM 
SI-MNH-284G 
6 - 23-67 
Locality 
Sex 
/ 
(dissection plumage soft parts ^ 
Age 
skull plumage soft parts \ 
Weight Fat __ Molt-_ 
Disposition: ( skin skelton alcoholic <^scardp Preparator 
Other __ 
Ectoparasite Exam: Visual 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: 
HI 
N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
