PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species 
Number 
Dates: processed collected / < l 4^T 
Locality _ jM- Jjl 
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 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
N 
Virus 
Remarks 
