SI-MNH-284G 
6 - 23-67 
l - S' 
Number „ 
PMS LABORATORY FORM 
Species /Y'JI L y!y^ ~ i 
Dates: processed _ ^ ^/YY LYOzY collected ^ j?L 
£//cr Lsrra t*/ 
Locality _ _ _ _<rc :_..._ S' ' DH _CZ 
A 
plumage soft parts 
T 1 hr / / h f W'*'i '*r***^ 
.-If A if' _ Oiktaad- - _ / '•£&. g*S. _ > 
Sex „5Z 
Vee __^_<skulp plumage soft parts T ) 
7-?.c3— Fat Molt- ... _ ddr_s[_ 
Weight c_e 
Disposition: ( 
skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites /.)/-- -L 
Ectoparasite Virus Report 
# 
Blood Sample: Single 
Pool 
Plasma Analysis 
Tests: VI 
___ HI 
N 
Plasma Virus Report. VI: Negative 
Positive 
__ Virus 
HI 
HI 
HI 
M: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
