SI-MNH- 
6 - 23-67 
PMS LABORATORY FORM 
Species 
. tajie_r_ _ _ yr/i g£ Jpi Tlcus . . 
T - -7 l 
Number 
Locality 
Sex 
t,Ar A 
j ^ 
u 
l J 
v ; ✓ — 
'jfrr__ (dissectioi 
> ) 
Age 
1 
n /plumage y soft parts __ _ ^221 Itt L l Zi7 J__ JL _ ) 
plumage soft parts ) 
Weight _AS_i ix— Fat Molt- 
skelton alcoholic discard) Preparator: 
Disposition: ( 
Ectoparasite Exam: Visual Other 
■ ft, f^e 7 
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 
