SI-MNH-284G 
G-23-67 
PMS LABORATORY FORM 
Species 
4 - -1&- g/qS- 
Dates: processed collected _ 
Locality _ Y< 
Sex 
Number 
\LJf 
k~r_ J J/\(L ^ 
plumage soft parts \ 
Age 
skull plumage soft parts \ 
Ji/ij Fat __ m Molt 
Disposition: ( skin skelton alcoholic Preparator: 
Weight 
Ectoparasite Exam: Visual 
Ectoparasites 
Other 
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 
