PMS LABORATORY FORM 
SI-MNH-2846 
G-23-67 
Species _ 
4 r • f * 
VjifmXoilLl Number Vl 
/ I 
u. 
L 
Dates: processed 5 C-_C__, 
jr 
collected 
)_C 
\. i t -1 V 
r 
Locality toAiJ 
c f 
Sex ( dis section plumage soft parts \ 
f\A 
Age JJ-L\ s kull plumage soft parts ) 
Weight Fat _ 
Disposition: ( skin skelton 
Molt. 
alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites __ 
Ectoparasite Virus Report 
Blood Sample: Single t^c. C - -A ) _ 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 
