SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
Species J 
Dates : processed^ \ 2 _ 51 It A 5 ***! collected 
Pj 
1_ Number 
Locality _ 
Sex _ _ _^(dissection^} plumage soft parts ) 
Age 
Disposition: ( skin skelton 
Preparator: 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool Lx C gz 
** m fi 
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 
