PMS LABORATORY FORM 
SI-MNH-284G 
G-23-67 
Species fijU* C6 U-9 (k iTAmmber . 
Dates: processed __ collected 
Locality 
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 Pool 
Plasma Analysis Tests: VI HI 
Plasma Virus Report. VI: Negative Positive _ 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
N 
Virus 
Remarks 
