PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species _ _ 
Dates : processed 
Number _ X__2<?/ 
- collected 
Locality 
irf 
e) soft parts __ £e?f_ e_l 2-t3 \ 
Age . . .^cuHJ plumage sort parts \ 
"Weight Fat ^ Molt 
Disposition : ( /si; 
skelton alcoholic discard) Preparator; _ W- L-_ L 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis 
Plasma Virus Report. VI: Negative 
Eli 
HI 
HI 
N: 
Blood Smear 
Blood Smear Results 
Remarks 
stain (s) 
Pool ___ 
Tests: VI 
Positive 
HI 
N 
Virus 
