PMS LABORATORY FORM 
is 
SI-MNH-2846 
6 - 23-67 
// 
Species _ Uk'Ju 'Q&jJdt 
n 
r 
£ Number 
n 
u 
Dates: processed ]j LV'_^ collected 
Locality 
A. _ _ 
1/ 
Sex (dissection plumage soft parts ) 
skull plumage soft parts ) 
Weight 
Fat Molt_ 
Disposition: ( skin skelton ^ilcoholic N discard) Preparator: 
Ectoparasite Exam: Visual trAA Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool — 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
N 
Virus 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
1 ,/! f / I ~ v 
Remarks _ i _ L _ _ 
