PMS LABORATORY FORM 
l/ 
SI-MNH-2846 
6 - 23-67 
Species tt±4rL Number _ Jr. ftJl J _ 
. _ _ _ collected £ 
Dates : processed _ 
£ j J( 
Locality 
Q f 
Sex __A___i_ (dissection /'plumage soft parts ) 
Ag 
skull plumage soft parts ) 
rk. 
L 
Fat Molt-.. 
Weight ___. 
Disposition: ( skin skelton /alcoholic ' discard) Preparator: _iT\ 
& — " 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
Pool 
Tests: VI ______ 
Positive 
HI N 
Virus 
