PMS LABORATORY FORM 
SI-MNH-284G 
G-23-67 
Species J 
PMf’lloScobu : . . 
Dates : processed AW % i $ 
Locality P<hTA,l_imni 
Sex (di ssecti on plumage soft parts __ 
cokus & /Tfl 
Number 
14^.6 
collected 
Age skull plumage soft parts 
it 
Fat Molt_. 
Disposition: ( skin skelton 
alcoholic discard) 
P 
reparator: 
i — ^ 
Ectoparasite Exam: Visual Other 
/ 
Ectoparasites b± 
) 
) 
Ectoparasite Virus Report 
Blood Sample: Single Pool jLLJ^. 
Plasma Analysis Tests: VI HI N 
Plasma Virus Report. VI: Negative Positive Virus 
Eli 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
