SI-MNH-2846 
G-23-67 
PMS LABORATORY FORM 
Species 
Dates : processed 

tr 
Number _ 
_ collected ^ 
Locality 
Sex : ■■/dissection/ plumage soft parts ) 
Age ... 
Weight 
:uJ 
plumage soft parts 
__ Fat L'L Molt.. 
) 
Disposition: ( skin skelton alcoholic Ldiscardj) Preparator: 
Ectoparasite Exam: Visual Tr Other 
Ectoparasites I. 
Ectoparasite Virus Report 
Blood Sample: Single !rrr.: 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 
