SI-MlSl455846^ 
6 - 23-67 
Q 
PMS LABORATORY FORM 
Species A- Qc Jd L- C. fA _S Number ;S> c ^ 
Dates: processed collected h^SLlL (2.k/_* 
^ i * 
Locality A it J till, i jT_[_ _ .L J. /c£2li it _ i 
Sex — ^ ""^issection * ^plumage j soft parts 
AgeVi'i . ^skul l / plumage soft parts ) 
"Weight Fat Molt 
S 
Disposition: ( 
Ectoparasite Exam: Visual 
Ectoparasites L ^J£YIJL 
kelton alcoholic discard) Preparator: 
/ 
k_ Other 
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 
