SI-MNH-2846 
6 - 23-67 
pms laboratory form 
y£, /]: 
Species -dxj/ZLfii Number __ ctz.i 
/ 
Dates: processed collected 
777 
£7 
S’ 
. 1 * 
V* 
Locality 
Sex __ (dissection plumage soft parts \ 
Age _ 
Weight Fat 
Disposition: ( skin skelton /alcoholic* > discard) Preparator: - *' - ( 
Ectoparasite Exam: Visual •* Other 
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 
