PMS LABORATORY FORM 
SI-MNH-284G 
6 - 23-67 
Species Number ..Oil 3T 
Dates: processed I_6 
Is 
collected 
1 8 WAR 1S8B 
Locality _ 
F 
t 
\f _ CLdL-dLA 
Sex — .<T_ — (dissection plumage' soft parts 
) 
Aee _ 
skull plumage soft parts ^ 
Weight Fat Molt 
Disposition: ( skin ( skelton ) 'akohp)\c\, discard) Preparator: 
Ectoparasite Exam: Visual rTTTITTL Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single rrW ___ITT Pool r 
Plasma Analysis Tests: VI HI _ 
N 
Plasma Virus Report. VI: Negative 
HI ___ 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks _ 
_ Positive Virus 
