PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species 
Dales 
Locality- 
Sex (dissection plumage soft parts 
Age skull plumage soft parts 
Weight Fat 
Molt- 
Disposition: ( 
skeiton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual _ 
Ectoparasites 
_ Other 
) 
) 
Ectoparasite Virus Report 
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 
rVv: A __U JL. 
Remarks 
