SI-MNH-2846 
0 - 23-07 
PMS LABORATORY FORM 
Species 
Dates: 
Locality 
_ Number _ 
collected 
& /oft 
Sex (dissection piumage 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 
