PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species 
Dates : 
Locality 
Sex — 
Age 
i jf*\JcyL£LJ 
_ J t x c : rr^_uUcg :iMA_ 
processed tW.cL U 11 6 C _ collected 
f_ Sbi A LWY Ka,_ 
(dissection plumage soft parts 
skull plumage soft parts 
Number _ 
) 
) 
Weight Fat . 
Disposition: ( skin skeiton 
Ectoparasite Exam: Visual 
Ectoparasites ttT 
Preparator: 
Other 
Ectoparasite Virus Report 
Blood Sample: Single 
Pool 
Plasma Analysis 
Tests: VI 
- HI _ 
N 
Plasma Virus Report. VI: Negative 
Positive 
. Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
