PMS LABORATORY FORM 
SI-MNH-284G 
G-23-67 
Species j^X^LlPLCL. _ llorijSl Number _ _ \_ _5&_ l 
SS8_ collected JRl_ 
Dates : processed 
Locality 
V 
Sex Y _ _ ( dissection plumage soft parts 
Age 
__ skull plumage soft parts 
) 
) 
it 
Fat 
M 
Molt.. 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool (Si i_ClL fLls^C 
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 
