SI-MNH-2846 
6 * 23-67 
PMS LABORATORY FORM 
Species 
Dates : processed 
collected 
Number S/. 
, 2 m «• 
Locality 
Sex jv___ (dissection) plumage soft parts \ 
Age 
skull plumage soft parts ^ 
Weight Fat 
Molt. ... 
Disposition: ( skin skeiton alcoholic 
Preparator 
Ectoparasite Exam: Visual zi_ Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Pool 
«t *"% "f 
iSr 
Tests: VI HI 
N 
Positive Virus 
Remarks __ 
