PMS LABORATORY FORM 
SI-MNH- 2846 
6 - 23-67 
Species _ _ _ <-rA,-L {/S _ _ _ . /£_ LL&C- C-dX X~_ A 
Dates : processed collected 
Locality _4i /_ 
Sex _ _2 .. 
Age 
(dissection plumage soft parts 
plumage soft parts 
— Numbed^- 5lS- 

Weight _7-AL 
_ Molt. - 
Disposition: ( skin skelton 
Ectoparasite Exam: Visual 
Ectoparasites 
alcoholic 
[j 
Preparator: 
Other 
) 
) 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain(s) 
Blood Smear Results 
U--> ?. 
HI 
N 
Virus 
Remarks 
