V 
SI-MNH-284G 
6 - 23-67 
PMS LABORATORY FORM 
V 
-s 
Species _ ' tPj. /r/ Number ^L__ _____ 
Dates : processed _ _ j^L __ collected 
Locality .LlLl 
0 
Sex — _T7__ (dissection 
>lumage / soft parts 
- ---- -- - - - -- ) 
Age skull plumage soft parts 
' ^:__ Fat _ ImtM 
Disposition: ( skin -'^skeltony alcoholic discard) 
) 
Weight 
Molt. 
Preparator: _ T. A _ 
Ectoparasite Exam: Visual Other 
Ectoparasites 
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) 
