PMS LABORATORY FORM 
SI-MNII-2846 
G-23-C7 
Species 
Dates : 
i 
processed | 
Locality 
S' 

Sex u — (dissection plumage soft parts 
Age skull plumage soft parts 
collected 
Weight Fat Molt. 
Disposition: ( skin skelton 
Ectoparasite Exam: Visual 
Ectoparasites TZ 
alcoholic 
discard) Preparator: 
Other 
Ectoparasite Virus R.eport 
Blood Sample: Single Pool ___ 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
HI N 
Virus 
Remarks 
