SI-MNH-2846 
6 - 23-67 
V 
/ 
\ 
PMS LABORATORY FORM 
Species Q-L^j2JdJ^ Number 
Dates: processed . _ _ jL?^Fl collected 
Locality 
£M I- 
Sex (dissection plumage soft parts ) 
Age 
skull (^plumage) soft parts ) 
Weight Fat 
Molt. 
Disposition: ( skin skelton alcoholic" ;, discard) Preparator: 
Ectoparasite Exam: Visual Li Other 
Ectoparasites Y--- - - - — - AA A. _ /i SfL _ _ Qf/C t - .'AlT 
Ectoparasite Virus 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 — llP P. tjA _ _ S~YP9 _ ]ji_ _ _ j_ /c/J__ 
/ 
