SI-MNH-2840 
6 - 23-67 
PMS LABORATORY FORM 
Species 
(/) H -1 Cf 
Number 
J - '* 
n , V ; 
Locality 
Sex — ^dissection) plumage soft parts 7-C ) 
Age j-L. 
i A 
& 
o 
Disposition : ( 
skelton alcoholic 
discard) Preparator: L 
-^cU-/ 
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 
Remarks 
