SI-MNH-284G 
6-23-07 
PMS LABORATORY FORM 
specie _ lu > scop« s _ _ _ Coixy /s / m _ Number 
Dates : processed collected 
Locality 
/I 
Sex (d issectio n plumage soft parts 
Age skull plumage soft parts 
Weight 3?rf Fat Molt 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
) 
) 
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 
HI 
N 
Virus 
Remarks 
