PMS LABORATORY FORM 
SI-MNH-2846 
G-23-67 
Species - — Number 
Dates: processed collected 
Locality _Jl J*Jt &A .kWYM* _ 
5r:_„ 
\ 1 HAP. t36B 
Sex _. 
Age 
hi* 
Weight 
Disposition: ( skin skeiton alcoholic discard) Preparator: 
(dissection ^tom^e soft parts ^ 
skull plumage \ soft parts \ 
Fat Molt. 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
Pool 
Tests: VI HI . 
Positive 
Virus 
