PMS LABORATORY FORM 
SI-MNH-284G 
G-23-07 
I I ' | 
Species _ _ 41 Y ftM'L'l _,y .\A4j.tliilLLLd Number 
Dates : processed jS_ _ .O Cj _ 
J^A\J4 V C 
collected 
Locality 
e 
Sex — (dissection plumage soft parts \ 
. \ _ n .ft 
Age _• JZi — skull olumaee soft nari-s ’j-A. pA • 
i umag e soft parts 
Weight Fat Molt- 
Disposition: ( skin skeiton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
) 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
HI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
N 
Virus 
Remarks 
