SI-MNH-284G 
6 - 23-67 
PMS LABORATORY FORM 
Species 
fvl 
yji/Ut*. 
Dates: processed f_lX 
//a- 
Number _ 
1 imNctX 
collected 
Locality 
Sex (dissection 
lumadb soft parts 
Age 
Weight Fat __ 
Disposition: ( skin skelton alcoholic discard) Preparator 
Ectoparasite Exam: Visual Other 
d 
Ectoparasites — /-Y 
m 
skull plumage soft parts ) 
i. - Molt 
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 — 
A l-0~7Zul 
