5 * 
SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
Species j^l / _ C_cx i 5 f Number ? ^ 
Dates : processed 
Locality 
Sex (dissection 
collected __Jc 
soft parts 
) 
Age 
skull plumage soft parts \ 
Weight Fat 
L 
Melt_ 
Disposition: ( skin Q kelton ) alcoholic discard) Preparator 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single _kC_ 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 
