SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
Species 
__ Number \li 
_ „ , f o *shp ia r . „ , 
Dates: processed if collected 
.ocality 
Sex r. (dissection plumag,e soft parts 
Age skull plumage soft parts ) 
Weight Fat 
Molt- 
Disposition: ( skin skelton 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 
