PMS LABORATORY FORM 
SI-MNH-2848 
C-23-67 
Species Number QJ-BSH 
Dates: processed ttl 
LZ^QJi- 
5 
- collected L£s.__ 
Locality fCi !|Q h 
$ 
Sex — — (^msectionA plumage soft parts \ 
Age 
skull plumage soft parts \ 
Weight Fat —M Molt- 
alcoholic discard) Preparator 
Disposition : ( skin 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
« 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
Pool _ _ t 1 
Tests: VI HI 
N 
Positive Virus 
» 
