PMS LABORATORY FORM 
SI-MNH-284G 
6 - 23-67 
Species 
Dates : processed 
Locality 
Number 
'pWmnCcypRUS 
Sex (dissection plumage soft parts 
Age 
Ectoparasite Exam: Visual Other 
h 
■ > a* 
IAR is 
skull plumage soft parts \ 
Weight Fat ___L_ Molt- 
Disposition: ( £kin) skelton alcoholic discard) Preparator: 
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 
