SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
Species i AZSA JT/I _ _ A-' A W<C-A : S 
Dates : processed -JXJ&L-JZilf..-. 
Locality 
collected . 
Number 
// Jj±. /f_Sf 
Ml \ 
Sex (dissection plumage) soft parts ) 
Age skulls plumage soft parts ) 
Weight Fat 
A 
^ Molt- 
Disposition: ( skin skelton /alcoholic / discard) Preparator: 
• s A. 
Ectoparasite Exam: Visual Other 
/A/ 
Ectoparasites 
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 
tf c{__ /_A_ _ _ _ 
