PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Dates : 
Locality 
processed (AA-fc- J_0. __<?_£ 
_ _ _ j 
I 0 ietf 
collected 
Sex 
Age __ 
Weight 
(dissection plumage soft parts 
skull plumage soft parts 
Fat Molt 
) 
) 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
