SI-MNH-284G 
6 - 23-67 
PMS LABORATORY FORM 
£ _ _C_ <0> 4C tjft Number Q 
Species 
Dates : processed M&vck lO V 
Locality AW_ 
collected 
Wa/ycXy AO 
Sex — if (dissection plumage soft parts ) 
Age skull plumage soft parts ^ 
Weight — Fat Molt 
Disposition: ( skin skeiton alcoholic 
Preparatory 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus 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 
