& 
SI-MNH-28 
6 - 23-67 
PMS LABORATORY FORM 
V 
/ 
Species I JeLii- JA Number \_--fi ^ 
- f l ~-v 
Dates: processed collected 
T U 
— /__ 
Locality 
— t “ ■ ~ 
. L — t , 
[issection/ plumage soft parts _ _ iri ^ 
>] u mage soft parts ) 
Weight Fat (MdAA Molt 
Disposition: ( ( skin/ skelton alcoholic discard) Preparator: 
/ 
Ectoparasite Exam: Visual u. Other 
Ectoparasites VVLi|l„k- 
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 
