PMS LABORATORY FORM 
SI-MNH- 2846 
6 - 23-67 
Species Pkoc ^ A ^ _ 1/ 0_jC_^|l£IAC J 0_S_ Number 
Dates: processed t collected ntf 
Locality Pa,?#,! / 
Sex 
Age _ 
Weight Fat 
Disposition: ( skin 
plumage soft parts 
plumage soft parts 
n 
Molt. - 
aicohoiic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
) 
) 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
Pool 
Tests: VI HI N 
Positive Virus 
N: 
Blood Smear 
Blood Smear Results 
Remarks — fSi J9 — 
V ? 
stain (s) 
TmuJ. 
81 
