-284£i 
2&67 
si-: 
PMS LABORATORY FORM 
Species .£ _ Cl D/msi-L £ kX Number 
Dates : processed L'lt & _/ 
Locality ^ClluUJ—f _j_ 
collected 
C-7-./i-p-rjJ— 
n fk "ft , '^ 7 % y % /o *** m 
Sex — -£L-- (dis^ection ; plumage ) soft parts — y VY <■) YiA. ) 
Age — /X j&ull ^ plumage soft parts ) 
Weight Fat Molt 
Disposition: ( Skin ) skelton alcoholic discard) Preparator: 
) i 
4*4 
&JLJL£1£LZj& 
Ectoparasite Exam: Visual f Other 
Ectoparasites -i A L _L 5. 
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 
