SI-MNH-284G 
6-23-G7 
PMS LABORATORY FORM 
lCml Number X-V X \ 3 
Species __ 
Dates: processed __a^i collected _/Li ^$ts.dk 
I '•: A “ P* ' - ''I 
Locality 
Sex O. 
plurnagr-/ soft parts _ -U-1 
i- -- t? STvc 
Age 
Weight Fat 
__L\ 
Molt 
— ) 
skull plumage soft parts ) 
Disposition: ( skin skeiton alcoholic discard) Preparator: 
11 “ 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
4 .-' 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
N 
Virus 
HI 
HI 
Blood Smear stain (s) 
Blood Smear Results 
Remarks £*±__iL_ _a_ 
