PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
# _ 
Species OAJiLv\ Us— A p Number 4- 4 4 i - ...f (j ~ ^ 
1 QGR 
1 
t JR 
m r I 
jr a 
- 
r © 
p 
IffTl f 
M nt 
Dates: processed collected __j 
Locality _ JBfiSALi - -C¥PI?U3 
Sex JTiHl — ( dissectio n p lumage soft parts ) 
skull plumage 
Age 
Weight 
soft parts 
<3 A 3-'j M 
Fat - - VA^olt- - - - 
coholic discard) 
) 
Disposition: ( skin skelton Alcoholic j discard) Preparator: 
Ectoparasite Exam: Visual vA Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool s/.. 
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 
