SI-MNH-2846 
6-23-C7 
PMS LABORATORY FORM 
i?) 
Species 
by rOyMctui Number __ 
Dates : processed LA 
i s o c 4 
collected 
K oc-f (A 
Locality V 
Lv 
Sex __ 
A o-e 
U. 
¥ Da 
( d issectio n plpmage soft parts iLALLi ) 
4r_ s kull plumage soft parts ) 
Weight Fat 
Molt 
Disposition: ( skin skelto n alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 1 Pool 
Plasma Analysis Tests: VI Eli N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
