SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
Species 
Dates: processed Vn a fi- 1 i> 
Locality 
Number ' 
* 
i i+/Ui 
collected 
Sex (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 niLT-tL Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Virus 
Remarks 
