PMS LABORATORY FORM 
SI-MNH-2846 
0-23-67 
■ y $■ idi/4 uynu 
Vi ( j 
ty r 
( f . s-X 
Number 
' ' > 
Dates: processed 1_\_ 
collected 
Locality 
W V O 
Sex A — (dissection plumage soft parts \ 
A " 
Age — /A — s kul 1 plumage soft parts ^ 
Weight Fat Molt- 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite V irus Report 
Blood Sample: Single ±P_ Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
N 
Virus 
HI 
HI 
HI 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
