PMS LABORATORY FORM 
SI-MNII-284G 
6-23-G7 
Species 
-frlcje&ttJtau _ _ oAks\CoVV i s 
Number 
r> q 
Dates : processed _ _ 2- 5 A PR 19S8 
collected __ 
n O Q ft 
o iJ u 
Locality 
Sex 
_<g _ /yj_ jkT. it 
(dissection ^ pTumag^ soft parts $ _££_ ILL JJ&'l _p _ _ _ _ _T ) 
Age <a S-HH ffiumage^ soft parts ) 
it Fat .i dl Molt 
Disposition : ( 
skelton alcoholic 
Preparator: 
K,i2j. 
✓ 
Ectoparasite Exam: Visual V Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis 
Plasma Virus Report. VI: Negative 
HI 
HI 
Eli 
N: - 
Blood Smear stain (s) 
Blood Smear Results 
Pool 
Tests: VI HI 
Positive 
________ N 
Virus 
Remarks 
