PMS LABORATORY FORM 
SI-MNH-2846 
G-23-67 
Species 
_ A _vjl _ _ J^.WAa aa£aclS 
Dates: processed collected 
p&&0A-/jkl Al A 
Number A fr 
fa#/eA___££„ 
Locality 
£ 
Sex 5T___ ^dissection i plumage soft parts ) 
Age 
-L&tfllTy 
plumage 
soft parts 
Weight __ 
__ Fat . 
Disposition: 
( skin 
skelton 
alcoholic 
Ectoparasite 
Exam: Visual „ 
.__UL- 
discar dV Preparator : 
Ectoparasites 
\ vc 
Ectoparasite Virus Report 
Blood Sample: Single _ 
i 
i 
i 
i 
i 
i 
o 
o 
Ph 
1 
1 
l 
l! 
1 
I 
Plasma Analysis 
_ Tests: VI 
i 
i 
i 
1— t 
X 
i 
i 
i 
N 
Plasma Virus Report. VI: Negative 
Positive 
_ Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
