PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Number xi 5. xx B-* 
Species XluLitk -£AA‘ £ ?_ _ _ 0_ 1 
4tt\ 
Dates: processed collected f§_ J^Uii 
.vTCI ^ 
p-APAI f*\m FI 
Locality JLL.l L*Jyjz l*yJi J i* _ V Mil tyUL^J. 
cP 
Sex _ 
issectioir} plumage soft parts \ 
Age skull plumage soft parts 
Weight Fat 
Molt- .. 
Disposition: ( skin Qjkelton^) alcoholic discard) Preparator 
Ectoparasite Exam: Visual ----.vC Other 
Ectoparasites 
) 
Ectoparasite Virus Report 
Blood Sample: Single - .....w Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
N 
Virus 
HI 
HI 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
