SI-MNH-I 
6 - 23-67 
PMS LABORATORY FORM 
Species 
C V 1 r ry C y( 
v 
Dates: processed collected 
S 
Number 1 
2. o O <s 
Locality 
2 , c, , IfL&t&b s 
Sex _Si (pissectip«r plumage soft parts ^ i__ ) 
Age plumage soft parts ) 
Weight JS-. b? Fat 
Molt_ 
Disposition: ^ skin > skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
SS f/S‘ r €~ < y<y> 
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 
