PMS LABORATORY FORM 
V 
SI-MNH-2846 
6 - 23-67 
Species 
Dates: processed 
(yioo-iu, 
Locality 
p " • /■ —7^ 
collected 
io/) &L^y 
Number _ 
4/3 
Sex t / dissectio rp plumage soft parts _ 3 / 'J-J - _ _T A ) 
Age s jculT ) plumage soft parts ) 
3"//< F*r Molt- _ 
Weight Fat 
Disposition: ( skelton alcoholic discard) Preparator 
: .SAL 7. 
Ectoparasite Exam: Visual _ 
Ectoparasites 
Other 
Ectoparasite Virus Report 
E 
Hood Sample: Single Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
N 
Virus 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks _ 
s 
