PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
-C> 
5 >- 
Species 
Dates: processed collected 
— P> , ' 
Locality L_Q=rlr6 r A.L'j 
Number __S«! 
Sex 
% 
Aae 
Weight 
plumage soft parts ) 
— skull plumage soft parts ) 
7-0^0 Fat Molt. 
Disposition: ( skin skelton) alcoholic discard) Preparator: 
« . ~ 
Ectoparasite Exam: Visual L Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single V Pool 
Plasma Analysis Tests: VI HI N 
Plasma Virus Report. VI: Negative Positive " Virus 
A * 
hi 
HI _ 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
