*/ 
SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
Species ^-Vlj:V___k(yiriQ_ Number 
Dates : processed _ y _ Mh yL _ collected xSTlA. 
C 
Locality 
Sex 
/ 
.. / rtffS 
-?■ 
4 ~ 
issection) plumage soft parts —L^?Ssj ibidyTLe, ) 
skull plumage soft parts ) 
Age 
Weight Fat b— Molt 
Disposition:' skin iskelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual y Other 
Ectoparasites Q.Ofeefc 
•v r /3 y 
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 
