SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
Number 
Species i 
Dates: processed collected AlAGC? 
Locality [-J. _Cr L iXCth W _ _ i 1 fee ( • 
Sex 
Age 
plumage soft parts _ 
Weight Fat 
Disposition: ( 
L 
Molt- 
skelton alcoholic discard) 
4 
I 
Ectoparasite Exam: Visual L Other 
Ectoparasites 
/ 
v 
plumage soft parts \ 
Preparator: ___1 ' z_Z . 
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 
