/ 
SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
/0 S) 
Species 
Dates : processed 
/ 
Number _ 
Locality 
*r_g collected E 
7 
(9 
Sex ^ 
Ussectioi 
plumage soft parts j 
Age A=-~ (^ulL) plumage soft parts ^ 
Weight Fat __Z 
Molt. 
Disposition: ( skin : 
Ectoparasite Exam: Visual 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
(/ 
4 / /a# 4 A 
ddi SYf 
HI N 
Virus 
