PMS LABORATORY FORM 
SI-MNII-2846 
6 - 23-67 
Species LAJCiJAI Number 
Dates: processed OSiL 
collected LL’y^-I 'O 
? „ ✓ r f 
Locality 
Sex 
-- (dissection plumage soft parts 
A 
Age — skull plumage soft parts 
Weight Fat Molt 
Disposition: ( skin skelto n alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
) 
) 
Ectoparasite Virus Report 
Blood Sample: Single L 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 
