PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species 
i5l^WvA..__JoatMOOrSA.& 
>, M 
Dates: processed 4 
Locality 
5 
collected 
Number ks4_ 
Sex 
Age 
Weight Fat 
Molt. 
Disposition: ( skin skelton alcoholic discard! Preparator: 
— ' 
Ectoparasite Exam: Visual Other 
(dissection plumage soft parts } 
skull plumage soft parts } 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Virus 
Remarks 
