PMS LABORATORY FORK! PO Sf' 
if *+ 1 
Species )_ ^^^ckVLilu^xx^^ f?J 
Dates: processed 2_L_ 
mn 
Bft.W WBF ^ S-Jtfl 
M 
col 
% A 
g (T», -V (ft, | 
\ i 
h 
jsAL 
lasafj 
/DPI 1C 
• . 
ol $ . ^ , i 
Sex (dissection/ plumage/ soft parts .* 
IfN 
Age \4 
_ skull / plumage/ soft parts 
Molt.. 
Weight Fat 
Disposition: (( skin) skelton alcoholic discard) 
r 
Ectoparasite Exam: Visual 
Ectoparasites \ J _C_i/ A-t _3r-_ l ft 22l 
- - - - - 1 _2 / / - J1L frjai- _ _ ^22i-£L --- L 
f jf_ 1 2 - 
Ectoparasite Virus Report 
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 ' ddAl// " ’ 
