PMS LABORATORY FORM 
SI-MNH-284G 
G-23-67 
Species _ n"Ji_r_d _ _ p k A i H XXl A , 0 /> 
Number 
4 '_ 2 _ 
c 

Dates: processed _L> 
itiA _ _ i v l !]\_ 
{ ) * 
Locality JL=^_ cfcJkjO^ >TL L 5>_tx 
Sex 
collected __Lb Jp _ 1 A li _S_ 
.L 
— (dissection plumage soft parts ) 
Age — It — (skrill) plumage soft parts \ 
Weight Fat Molt 
Pr eparato r : ^2 _ _L YjU&CJ 
Disposition: ( skin skelton 
alcoholic J discard) 
Ectoparasite Exam: Visual yl Other 
Ectoparasites 'x) 
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 
N 
Virus 
1 
Remarks 
