SI-MNII-284 6 
G-23-67 
PMS LABORATORY FORM 
Species — ^jl tlUL. WclYIA Number _ _ _(_ Y 
Dates: processed S OCjV collected OC"f __5_^ 
Locality LmA-Y-D 
Sex 
Age __/l— • 
Weight ___ 
- (d issection plumage soft parts \ 
- skul l plumage soft parts ) 
Fat Q Molt 
Disposition: ( skin skelton alcoholic d iscard ) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Al' 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 
