SI-MNH-2846 
6 - 23-67 
/TA... Number 
collected 
PMS LABORATORY FORM 
Species j2L(S>- 
Dates : processed _ mft <r 
Locality l 1,.\ i 
t\ 
Sex y_ (dissection plumage soft parts ) 
Age skull plumage soft parts ) 
Weight __ Fat Molt 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Fxtoparasite 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 
