si-MNH&e-rG'^ 
0 - 23-67 
PMS LABORATORY FORM 
Species Jl 1;_C_ _ Numbe 
/ f) /* . / /£?/' Cs 
Dates: processed collected ^ c c ' / ^ -r 
Locality _ _ _fc. U . ~ _ 
issectipiy (^plumage soft parts'"^^'^?_ ) 
plumage soft parts ) 
q j\ y~) 
Fat 
Age Vr'_ * 
/«'./ 7 \ 
Weight ___AAiA 
O Molt. 
Disposition: 
skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
/J / 
Ectoparasites l-MP-l 1_Y. 
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 
