PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species 
Dates: 
Locality 
Sex 
Age 
Weight 
ClvQ'nMnwS 
processed collected 
A_lciyzt\_Ci 
(dissection plumage soft parts 
1L 
skull 
soft parts 
__ Fat Molt 
Number 
oci tq (n 
Disposition: ( skin skelton alcoholic discard) Preparator: 
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 — 
H lASi't 
