PMS LABORATORY FORM 
SI-MNH-2 846 
6 - 23-67 
Species iLcCvhgTi Number _GU_\8B.3__ 
Dates : processed _ JHsB-wWB collected __ 
Locality 
4- - -i jdi L i . 
•• - 
Sex 
Age 
(dissection plumage soft parts ) 
skull plumage soft parts ) 
Weight Fat 
Molt- _ 
Disposition: ( skin Q celton ) alcoholic discard) Preparator 
Ectoparasite Exam: Visual V_ 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 
