PMS LABORATORY FORM 
SI-MNH-2 846 
6 - 23-67 
cz 
\/ — Number - _ _ _Li 
rr'f r / 
kK 
Species 
- r ■■ 
Dates: processed % CrlCT collected 
Locality DAD 
<P ' 
Sex xl — ( d issection plumage soft parts 1 
Age skull plumage soft parts ) 
Weight Fat Molt 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Y. IPs- 2 LTD) 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 j 
Remarks 
