PMS LABORATORY FORM 
SI-MNH-284G 
6 - 23-67 
Species 
-VAATUto Q C 
v '» 
u/MOt A 
/*_ 
21 
c, Dates: processed 5_J_ collected 
Number _Qj5L]_jLS_*4 
W 
1*\ .fi r*5> Jfk B r » *■ • * 
LJ f J* A a r , \ ; K 1 
rnnnUii 
I, O V 
O 
Sex (dissection 
soft parts - 
Age skull plumage soft parts V^t p _ 
a 
-— ) 
Weight Fat 
Molt- 
*■«& 
Disposition: ( skin | skeitony alcoholic * discard) Preparator: 
x ^ 
, s<cs* i * f * c 
Ectoparasite Exam: Visual Other 
Ectoparasites __ 
Ectoparasite Virus Report 
Blood Sample: Single Pool djk3__T_^i 
Plasma Analysis Tests: VI 
HI 
N 
Plasma Virus Report. VI: Negative Positive 
HI 
Virus 
HI 
HI 
N: 
Blood Smear 
stain (s) 
Blood Smear Results 
Remarks 
