PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
US 3 
c 
Species lij^R Number 
Dates: processed collected 1 
Locality _ a 

Sex ^issect^ ^) plunge soft parts ) 
Age -~A <j k5T ) plumage soft parts ) 
Fat }J- Molt 
lcoholic discard) Preparator: J TPl'L 
Disposition: ( skin 
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) 
Blood Smear Results 
Remarks 
