SI-MNH-284G 
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PMS LABORATORY FORM 
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I* 1 ^{8^ rL J 
' ; r.:_ _/ 
Species _ r. /_ j; 
Dates : processed j^Ut c i %±n& 
Locality AUJWO^ 
umber 
;oiiected __ 
Sex I?. ( dissection plumage soft parts ) 
Age 
skull plumage soft parts ) 
Weight Fat 
Molt- 
Disposition: { skin skelton alcoholic discard) Preparator 
Ectooarasite Exam: Visual Other 
L 
Ectoparasites h/ 
Ectoparasite V irus Report 
Blood Sample: Single Pool 
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 
