SI-MNH-284G S 
G-23-GfrA 
PMS LABORATORY FORM 
Species 
r'/ _ LyJz. _ N umber 
n 7? T/T'-rlS,* /*?'/,(' 
Dates: processed _ collected 
Locality 
fMo 
Sex _tX_' /dissection^' ^plumage soft parts —Y " \^z. L ) 
GW 4 
Age 
^ L 
plumage soft parts ) 
Weight Fat Molt- 
Disposition: ( (skin/ skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other — 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
HI 
N 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
Positive Virus 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
0 — r-- - - 
-x 
