SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
Species 
^(4 — Number ^ 
i 2 tS® 
Locality 
Sex 
Age 
Rssection 7 plumage soft parts ) 
Weight 
— skull plumage soft parts ) 
Fat 
__ Molt 
Disposition: ( skin skelton alcoholic ^iscard) J) Preparator: 
Ectoparasite Exam: Visual Other 
M-~ 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool _/_2seJdA4J___‘k £- 
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 
