PMS LABORATORY FORM 
SI-MNH-284G 
G-23-67 
Species _ _ JlC_ {jZ ZlM _ _ _ 
Number 
Dates : processed 
Locality 
collected 
£. 
/ 
t 
Sex — -iri _ _ (^Issection) plumage soft parts J ?± _ ^ /l^Yi _ _5d ) 
— — w ^ 
Age . <fifP plumage soft parts ) 
IS '7 ^ 
Weight Fat . 
skelton 
Disposition : ( 
Molt- 
alcoholic discard) 
Pr epar ator : _ „ —CLl _ Z A 7 ATA A A 
Ectoparasite Exam: Visual Other 
Ectoparasites /tlSl A— 
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 
