SI-MNH-284G 
0-23-67 
PMS LABORATORY FORM 
T Number __(3^A_A^fA 
Dates: processed ^ ^ lfH<wcA\ iTlA^ collected _ A3_ __ !A_<x*-dU_ -AT 
Species 
Locality 
Sex ___' 
V-MA/ V. Ca. t 
plumag e soft parts 
— -) 
Age skull plumage soft parts j 
Weight __LLj Fat —A/ Molt- 
Disposition: ( skin sLelt<ixA alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI HI N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
