PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species 
Dates : processed -loS- 
Locality JL 
Number _ 
collected 
//& 
Sex (dissection plumage soft parts \ 
skull plumage soft parts ) 
Age ___ 
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 
