SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
Species 
Dates : processed 
Locality 
Number 
collected 
ft 
A Jr 
Sex (dissection plumage soft parts 
Age stul 1 plumage 
Weight T3 _ Fat _ 
Molt- 
Disposition: ( . skiiy skelton 
alcoholic discard) 
Preparator: _ _ •_ J ~ t __ 
Ectoparasite Exam: Visual fefT 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 
