SI-MNH-284G 
6-23-G7 
PMS LABORATORY FORM 
Species fO -Sr ("TW Number -C^~/-/Q 
Dates : processed _ _ fo yPt*W-fap collected 
Locality 
Sex (dissection plumage soft parts __ 
Age 
skull 
plumage 
soft parts 
Weight 
. Fat - 
MolL... 
Disposition : ( 
skin 
skeiton 
alcoholic discard) 
Prepara tor: 
Ectoparasite Exam: Visual 
Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
HI 
N 
Plasma Virus Report. VI: Negative Positive 
Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
