PMS LABORATORY FORM 
SI-MNH-284G 
G-23-67 
Species — ri y_Q Ll 3 iilirkLLZUj A QSL U 
1 1 ^ 
Cy 
Dates: processed A._CXLT' 
I 
Number 
U ^OT | 
collected Q J?__. 
Locality 
Sex — dZ — ('dissect! 
V it IA 
p 
soft parts 
Age __ skull plumage soft parts ijA \ 
-L*9 r 1 
Weight Fat 
Molt 
Disposition: ( skin s kelton alcoholic discard) Preparator 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
r q \ 
Blood Sample: Single A 1 trAWl 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 
