SI-MNH-284G 
6 - 23-67 
PMS LABORATORY FORM 
* 
ft ATft, / Clip? IMA 
Number . 
collected 
QJ-Zf 
Species 
Dates: processed 
Locality 'jPfMt&.JttJMjUj- 
Sex Q — (dissection plumage soft parts ) 
Age 
Weight 
A' 
_ skull p lumag e soft parts ) 
IS*. W L 
_ Fat “ Molt 
skelton alcoholic discard) Preparator: 
Disposition: ( skin 
Ectoparasite Exam: Visual Other 
% 
Ectoparasites -IVu 
Ectoparasite Virus Report 
Blood Sample: Single 
Pool 
Plasma Analysis 
Tests: VI 
___ HI . 
N 
Plasma Virus Report. VI: Negative 
Positive 
__ Virus 
**V 
HI _ _ ___ __ __ 
HI _ 
HI 
N: _ _ 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
