SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
Species 
Dates : processed 
i8_.MARJ9B8 
Number an 6^ 
18 ¥M fj 
collected 
Locality 3 QYLrXv, LWl'A. 
Y^l 
Sex __AA (dissection plumage soft parts ) 
Age __/A_ 
;kull plum age soft parts 
Weight Fat 
Molt- _ 
X 
Disposition: ( skin skelton 
conouc 
discard) 
Prepara tor: 
Ectoparasite Exam: Visual -jfefe Other 
Ectoparasites 
) 
Ectoparasite Virus Report 
Blood Sample: Single 1 .. Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI ___ 
HI ___ 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks U T _ _ L -- 
imnu, iuvw,. w>i( , fi>f 
HI N 
Virus 
