SI-MNH-284G 
6 - 23-67 
PMS LABORATORY FORM 
Species 
To i ! o jte e Los 
Number 
Dates : processe 
Locality _ 
Sex 
collected _ 
A )/f& 
lumage soft parts 
Age _ 
Disposition: ( skin skeiton alcoholic 
Freparator: 
Ectoparasite Exam: Visual "lL Other 
Ectoparasites 
skull plumage soft parts } 
Fat Molt 
Ectoparasite Virus Report 
Blood Sample: Single 
Pool 
Plasma Analysis 
j 
Tests: VI 
___ HI 
N 
Plasma Virus Report. VI: Negative 
Positive 
Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
