PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species Number 
Dates : processed Vti&rl*-' T S' collected 
Locality v_ 
Sex 
( dissection plumage soft parts 
Age skull plumage soft parts 
2 -"-' Uaf l 
Weight 'T-iAr^l. Fat 
_ Molt 
Disposition: ( skin skelton alcoholic discard) 
Ectoparasite Exam: Visual __ 
Ectoparasites 
aZ 
Preparator: 
Other 
) 
) 
Ectoparasite Virus Report 
Blood Sample. Single — — Bool 
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 
