PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species - -CDj«4^fU Yft Number 1 D ^ Q 
Dates : processed I* k? - collected 
Locality _ _(?££/$ L-l M/Ol 
Sex y (dissection plumage soft parts 
Age 
skull plumage 
soft parts 
Weight 
Fat _ _ 
— 
Molt _ 
Disposition: 
( skin skelton 
alcoholic 
discard) 
Preparator : 
Ectoparasite 
Exam: Visual 
Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool / <32-3 — /4 3lq 
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 
