PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species . — -CSjl Number 
Dates: processed collected 
Locality _j^TLA,NbiiA' __ 
f 'f? 
Sex (dissection plumage soft parts Q 
Age 
) 
Weight Fa 
^kuj p plumage soft parts 5 kulL <d 99£Sf. L uposs. 
& L )Aiy) 2J±~ u 
?>C25-<i 36ZZ- 
Disposition: ( skin i alcoho lic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite V irus Report 
Blood Sample: Single _T i Pool 
Plasma Analysis Tests: VI 
HI 
N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: 
Blood Smear 
Blood Smear Results 
stain (s) 
Remarks 
rofvs^S 
& 
Wu? nr^o..«sj^ 
