SI-MNH-2846 
0 - 23-67 
PMS LABORATORY FORM 
Species 
/h f i 
rn?:' _ [ 1 (j___ _/>j f_ 4i a. tA y_ ti c hit sr 
C' 
Dates : processed 
Locality 1 _ /_ _ _ 
^ sy * / ; ^ /• ry / 
collected 
Number 
f / I C/ 
Age UAL 
7 x 
skull 'plumage soft parts 
) 
Weight 
£ 
Fat — Molt 
Disposition: ( skin / skelton 7 alcoholic discard) Preparator: 
Ectoparasite Exam: Visual .T 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 
