PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species 
Dates : 
Locality 
Sex 
Age 
(dissection plumage soft parts 
skull plumage soft parts 
collected 
Number _ 
Weight Fat Molt 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
) 
) 
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 
Pool 
Tests: VI HI N 
Positive Virus 
