PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
r ^ 
Species Ph O CK / CM- ft 05 _ h O& K) ldU f (l 5 _ _ Number j3JbL3_2 
Dates: processed JI&MR collected _ 1 8 a PR m 
I3AD/M r • 
Locality _ i 3iii 
Sex 
Age 
(dissection plumage soft parts ) 
skull plumage soft parts ) 
Weight Fat 
Molt- 
Disposition: ( skin skelton alcoholic discard) Preparatoi 
Ectoparasite Exam: Visual Other 
Ectoparasites 
TICK? 
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 
