4 -- 
SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
Sex (dissection plumage soft parts ) 
Age 
- skull plumage soft parts ) 
uof !4_ Molt. 
Weight Fat . 
Disposition: ( skin skelton 
discard) 
Preparator : _ _ L >_ _ /_ J__ 
Ectoparasite Exam: Visual r_ Other 
Ectoparasites 
Ectoparasite V irus 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 
