SI-MNH-2 846 
6 - 23-67 
PMS LABORATORY FORM 
q_c< \ hj 
u:m 11*9. collected 
Species 
Dates : processed 
Locality 
Number __ 
llJ/ULiggt 
A-lAQi 
?OLfa.Umcvv 
Sex Jl (dissection plumage soft parts ) 
Age 
skull plumage soft parts ) 
Weight Fat 
Molt- 
Disposition: ( skin skelton alcoholic discard) Preparator: 
/ 
/ 
Ectoparasite Exam: Visual r Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool Lx Ld.M_7 ii_ 
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 
