SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
I la 5- COp UJ>- _ _ Co llyJ&Ttiu. 
Species 
Dates: processed __ 

_ Number 
collected 
Locality 
? 
Sex _b (dissection plumage soft parts ) 
Age skull plumage soft parts 
Weight 
AM..... 
Fat ___Lr_A___ Molt. 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual A:. Other 
Ectoparasites -fcA 
Ectoparasite Virus Report 
Blood Sample: Single Pool _&< 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
_iO _4.r_.XB- 
HI N 
Virus 
