PMS LABORATORY FORM 
SI-MNH-284G 
6 - 23-67 
Species 
t 
Number _ 
l 
1 7 MAR 131 
Dates: processed • nni 1 I3UW collected 
Locality _ _ 
Sex — Ql — (dissection pluma ge soft parts \ 
skull plumage soft parts \ 
Age _ 
Weight 
Fat Molt-_ 
Disposition: ( skin skelton ) alcoholic discard) Preparator 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single AT Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
* 
N 
Virus 
Remarks 
