* > 
SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
Species WiLpCOTYC. 
Dates: processed . 0 flJTP 
CL 
(jl\ 
Number __ 
r;-K 
O f 
jlX 
collected 
A —morn's*.' 
^ . 
D fi ■ 
Ts v" 
Locality 
Sex (dissection plumage soft parts \ 
Age skull plumage soft parts \ 
Weight Fat >V Molt 
Disposition: ( skin skelton {alco holic^ ) discard) Preparator 
Ectoparasite Exam: Visual y/1. Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI Eli N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
