SI-MNH-284G 
6 - 23-67 
PMS LABORATORY FORM 
Species 
PhyHosiopUS Collyb Number Q 
Dates : process^ 
collected _ _ 
4?-/-&USa\ 
Sex X/— - ^( cfissec tiony plumage soft parts j 
Age skull plumage soft parts ^ 
Weight 4S — Fat ^ 
Molt-. 
Disposition: ( skin skeiton alcoholic discar dj/ Preparator: 
Ectoparasite Exam: Visual Other 
^ „ i 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 5_ _T 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 
