\J 
SI-MNH-2 846 
G-23-67 
PMS LABORATORY FORM 
Species 
Locality P-iLlolLiacULt. 
Number -I5(_ -ON _7- 
-lS4MP r |9» 
Sex 
Age 
ht 
-- (dissection plumage soft parts \ 
skull plumage soft parts _ ^ 
Fat P_ Molt 
Disposition: ( skin /skefton alcoholic discard) Preparator 
r • „ J , 
Ectoparasite Exam: Visual Other 
Ectoparasites 
4 
Ectoparasite Virus Report ;* 
* 
. : *~r — — 
Blood Sample: Single Pool jAi'J Lilt &-SI.I7- 
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 
