PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species ^ _ _ Number Q_A_ ^5L5L 
In# ft i 
Vih 
Locality 
Sex — (S----- (dissection 
Age 
soft parts ^ 
skull plumarge sort parts 
Weight Fat Molt-._ 
Disposition: ( skin skelton alcoholic ''"discard 
) 
Preparator 
Ectoparasite Exam: Visual d^fT Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
N: 
Pool 
Tests: Vi HI N 
Positive Virus 
Blood Smear 
Blood Smear Results 
Remarks 
stain (s) 
