4 ^' 
SI-MNH-284G 
6 - 23-67 
PMS LABORATORY FORM 
Age 
skull plumage soft parts ) 
Weight Fat Molt 
Disposition: ( skin skelton 
icoholic ) discard) Preparator: 
Ectoparasite Exam: Visual Other 
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 
Remarks 
