SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
Species _ 
"D rt H f) ft 
^ l i cl «> 
. - A? j,;PUrtC*,_ _ _ 
n „ , 0 5 ftliP 
Dates: processed 
/<? OH Q O 
Number vl'L _ _ _ 
collected 
Locality 
Sex 
£1 
ssectior v ) plumage soft parts ) 
Age skull plumage soft parts ) 
Weight Fat r=rr 
Molt. 
Disposition: ( skin skelton | v alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single -rrTT. Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
Eli 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
HI N 
Virus 
