PMS LABORATORY FORM 
SI-MNH-284G 
6-23-G7 
Species 
Dates: processed _ 
Locality 
Sex (dissection plumage soft parts 
Age skull plumage soft parts 
— collected 
o 

Weight Fat Molt 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
) 
) 
Ectoparasite Virus Report 
Blood Sample: Single ATA Pool 
Plasma Analysis Tests: VI HI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
N 
Virus 
