SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
Species i _ Ll IJl — fhoAor/. /<? J Number 
Dates : processed _ iJs. -idJlj. ^ collected 
Locality 
>< 
Sex 
o 
r 
(dissection plumage soft parts _A'r_ ) 
/•£ 
S)s 
Age /I skull Alumage soft parts ) 
Weight Fat 'A Molt. 
Disposition: ( skin ( skelton J alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Inar i 
Co, 
s?/’ tf to 
NOh I 
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 
