PMS LABORATORY FORM 
SI-MNH-2 846 
G-23-67 
h 
yf 
Species 
Dates : processed 6- 
Locality _ MD«I IMft 
Sex ^ 
___OA 
Number 
collected _ 
-H — 
t ^ 
— M % ■ 
fissectio^ plumage soft parts 
) 
Age 
skull plumage soft parts ) 
Weight Fat ___K/ Molt 
Disposition: ( skin (^skehonj- alcoholic discard) Preparator: 
Ectoparasite Exam: Visual V Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single __ V Pool ___ 
1 Plasma Analysis Tests: VI 
/ 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
HI N 
Virus 
