PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species V- V _ __ Number _____Q_1H1X— 
Dates: processed collected 
Locality 
Sex — 9- (dissection pl umag e soft parts ) 
Age skull plumage soft parts ) 
Weight Fat Molt 
Disposition: ( skin skelton alcoholic discard) Preparator: 
/ 
/ 
Ectoparasite Exam: Visual l Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI HI N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
Eli 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
