PMS LABORATORY FORM 
SI-MNH-284G 
6 - 23-67 
0 
f 
Species Srd Number 
Dates: processed collected 
r% 
Locality 
Sex (dissection plumage soft parts — 
Age skull plumage soft parts 
Weight Fat 
Molt- 
Q 
J H 
Disposition: ( skin skeiton) alcoholic discard) Preparator 
Ectoparasite Exam: Visual Other 
Ectoparasites 
GlUS 
) 
) 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis 
Piasma Virus Report. VI: Negative 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
i 
Pool _ Q 
( 
_:_iL_Cc_ 
Tests: VI 
HI 
N 
_ „ Positive 
. Virus 
