PMS LABORATORY FORM 
Species 
OQ_ Number _^^_l_j(/>^ 
/ 3 %,*/ 
Dates: processed 4 !! !_1__ collected 
Locality 
1 " * C? <t3 
Sex — f. (dissection plumage soft parts 
Disposition: ( skin skelton j alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Sr 1^” Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
HI N 
Virus 
Remarks 
