PMS LABORATORY FORM 
Species 
Dates: processed 
Number __ 
collected 1 5v JifiH Jfftfjt 
Age 
skull 
plumage 
soft parts 
Weight ___ 
i 
i 
i 
P 
r* t- 
1 
1 
u~ 
MolL ... 
Disposition: 
( skin 
skelton 
alcoholic 
discar 
Preparator 
Ectoparasite Exam: Visual ‘Y Other 
SI-MNH-284G 
6 - 22-07 
Locality 
Sex __i-? (dissection plumage soft parts ) 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool (.Y ) 
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 
