SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
Species 
mn/t 
^01 TA Number 
& 
collected At# & ? 
Dates: professed _ 
Local ity /JlA'i 
Sex __ (dissection plumage soft parts ) 
Age skull plumage soft parts \ 
Weight & _ _ Fat . i4 
Disposition: ( skin skelton alcoholic C discards Preparator: 
Molt-- 
p|iir~ 
Ectoparasite Exam: Visual 
Ectoparasites 
Other 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis 
Plasma Vitus Report. VI: Negative 
Pool ___ 
Tests: VI 
Positive 
HI 
HI 
HI 
N: 
N 
Virus 
Blood Smear 
Blood Smear Results 
Remarks . -U> 
_ stain (s) 
<*o 
