SI-MNH-284G 
G-23-67 
PMS LABORATORY FORM 
Species 
Dates : processed 
5_V: i Ad k5L N* Number 
lilflB S» collected 13 MAR 19 
17 . 7 , 5 ..... 
Locality ' A _Q=AsQl1 _■ 
.VWi»AAA___ 
ZT) . . v. 
Sex __{i (dissection plumage soft parts 
Age 
skull plumage soft parts ) 
Weight Fat Molt 
Disposition: ( skin skelton alcoholic discard) 1 Preparator 
% 
Ectoparasite Exam: Visual Other 
Ectop 
arasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
17 73 
HI N 
Virus 
Remarks 
