SI-MNH-284G * 
0 - 23-67 Is*' 
PMS LABORATORY FORM 
Species 
n 
5 
fc*/ /f4f 
Locality 
Sex 
Age ± 
plumage soft parts ^ ) 
Weight .eJJ„ Fat . 
Disposition: skin / skelton 
plumage soft parts 
L 
Molt 
alcoholic discard) Preparator: 
. A*/ 
) 
Ectoparasite Exam: Visual Other 
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 
