PMS LABORATORY FORM 
SI-MNH-2 846 
6 - 23-67 
Species _ 
Dares : processed _ _ 
Locality 
_ Number 
<r> r fJ 
collected 
Age 
Molt- - 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual v' Other 
o r o o 
;JU0 
Sex (dissection plumage soft parts ) 
skull plumage soft parts J 
Weight Fat _** **[ 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis 
Plasma Virus Report. VI: Negative 
HI 
III 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
Pool v^--. 
Tests: VI Eli 
Positive 
Virus 
