SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
A-n 
Species J — " — .Vtr r>_ _ jJy __ 1 ^ Number jCZ._ 
Dates : processed ^ . coilected 
Locality _ _ Zf_ 
« , 
Sex (L- (di 
issection plumage/ soft parts ) 
Age 
Weight Fat 
Molt 
Disposition: ( skin skelton ^alcohoiigA discard) Preparator: ^^Cfi 
Ectoparasite Exam: Visual *!T^T Other 
€ 
4-7 
Ectoparasites A___ 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI HI N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
Blood Smear stain (s) 
Blood Smear Results 
C o //f e /<? 
Remarks A_ Yi ICi? : _T_ _ _ _ 
