PMS LABORATORY FORM 
SI-MNH-2 84 6 
6 - 23-67 
Species 0 _Cv tfG ;C(aJ JlMC <hvi Number ^ To | ^ 
Dates: processed ~L 0 5A collected 
■7 o C f bf 
Locality 
L 
u^y t? 
£ 
J “ l 
_ U*_ Ji\ACUrvr_ _ 
— ) 
— ) 
Sex — ~fl — (dissection plumage soft parts 
Age — yV — skull plumage soft parts >h/. 
Weight Fat Molt 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single C-L 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 
