PMS LABORATORY FORM 
SI-MNH-234G 
6 - 23-67 
Species 
Dates: 
Locality 
Sex 
Age 
processed 
IklLuzul. 
Cxi — collected 
LlLkWQ 
(diss ectio n plumage soft parts 
skull plumage soft parts 
Number 
5___oci_k£ 
Weight Fat Molt. 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
) 
) 
Ectoparasite Virus Report 
Blood Sample: Single . (1 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 
