SI-MNII-284G 
G-23-67 
PMS LABORATORY FORM 
Species _ fUS _ CC> L-C¥&/7jh (m 
HA£ f _AS? 
ber 
Dates : processed 
collected . 
Locality 
Sex _ 
Age 
Weight 
(dissection plumage soft parts ) 
skull plumage soft parts ) 
Fat Molt 
Disposition: ( skin skelton alcoholic discard) Preparator: 
v/ 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 
Pool 
Plasma Analysis 
___ Tests: VI 
___ HI 
N 
Plasma Vims Report. VI: Negative 
Positive 
__ Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
