SI-MNH-2846 
6 - 23-87 
PMS LABORATORY FORM 
, v 
Species ClQ-1 n A J Number _„jQL_2j 
Dates: processed collected 
4t 
wi 
Locality 
Sex (dissection plumage soft parts \ 
Age skull plumage soft parts \ 
Weight Fat _ _ Molt 
Disposition: ( skin skelton {alcoholic > discard) 
reparator: 
/ 
Ectoparasite Exam: Visual \J_ Other 
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 
