PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species 
_ -oJc 
Number 
a 
Dates : processed 
-\^D — collected 
Locality 
Sex __^T (dissection 
>liunage / soft parts 
) 
skull plumage soft parts ) 
lei - _ 2L — Fat ~hj. ~ Molt 
Age 
Weight _ 
Disposition: ( skin skeiton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
nctoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
Tests: VI HI N 
Positive Virus 
