SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
ZJJA _ _ _ k A J: A a: La ~ 
Species a. 11 &J 2 a 1 lSl$- Si /l J . 
Dates : processed _ Js 
Local it v IaIlA-A-- --J-A A- A'Jli. 
Number 
_ collected /A '-[(-A 
-?? 
CS X X 
7 
7 
Sex (dissection piumage soft parts 
Age skull piumage 
Weight ___ -AL 
soft parts 
A 
__ Fat 
Molt. - 
Disposition: ( skin skeiton 
7 > 
alcoholic 
discard) 
Ectoparasite Exam: Visual Other 
Ectoparasites L-JaAAS. 
) 
Preparator: _ _ A A iA A LApAI 
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 
