PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species LifjlA.1 — j — _L ' — — 1-- — 1 Number 
Dates: processed __|r 
collected 
t13 HAH t» | 
Locality L_l 
Sex (dissection plumage soft parts ) 
Age skull plumage soft parts _) 
Weight Fat A Molt 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
t/ 
Blood Sample: Single Pool 
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 __ 
