PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
c 
f\ 
Species \A) 
Dates: processed collected 
P 
Locality dX-A 
Number ___C^._L7_3_3-- 
Q Mm 
_ §*•: i 
f 1 a 1 5 8 * 
■M — — &J*. 
Sex (dissection plumage soft parts 
Age skull plumage 
Weight Fat 
soft parts 
) 
) 
Mol 
L- 
Disposition: ( skin 
ic, discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis 
Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
HI 
N 
Virus 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
