PMS LABORATORY FORM 
SI-MNH-2 846 
6 - 23-67 
Species Number 
Dates: processed .^4u--X£!)QJ collected 1>H_ 
Locality 
P£ 
S\r 
u 
Disposition: ( skin skelton ( alcoholic) discard) Preparator: 
.i f^* ***^ 
Ectoparasite Exam: Visual yi Other 
L 
D_Q_ 
Sex (dissection plumage soft parts \ 
Age skull plumage soft parts \ 
Weight Fat Molt- 
Ectoparasites 
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 
Remarks 
