PMS LABORATORY FORM 
Species 
Dates : processed c_ _ d3 m m t 
4 '3 »% 
_ collected 
- 
•-'J 
A Vv - < 
r 
/xro / 
f 
Locality / 
Sex — ° ( dis sectio n plumage soft parts ) 
Ase 
ge skull plumage soft parts ) 
Weight Fat __ 
Molt. _ 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual i/_ Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool r_TZ. VI 
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 
