PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species -A _fi „ (A L yQl Number Lt Si _ AV 
/*v 
Dates: processed y \d _ collected __0_CZf ___C5_4I7. 
A ty^o i Y j. 
Locality 
Sex k 
Age fV 
Weight ___ 
(dissection plumage soft parts 
skull plumage soft parts ) 
h 
Fat 1Y' MolL- 
Disposition: ( skin skeiton alcoholic discard) Preparator: 2L20K. 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 
Pool _ _ . 
Plasma Analysis 
Tests: VI 
___ HI . 
N 
Plasma Virus Report. VI: Negative 
Positive 
Vims 
Hi 
HI 
. ^ 
HI 
N: - - - - - . 
Blood Smear stain (s) 
Blood Smear Results 
Remarks — -Vflii Lei( 
±A_z_ jAkt _ _C lO_ _ VuyaX 
