SI-MNH-284G 
0-23-67 
PMS LABORATORY FORM 
Species 
miiOmtL ^___rrtYi_CAWC Number _j U-^LLSids.—. 
t L>t A \ i-* | 
Dates: processed V_IA-ibt_ collected 
\l OOt I«=rb? 
Locality 
Sex JlXL 
L-Ut/ 
Xl 
Age 
X 
(dissection plumage soft parts ) 
skul l p lumag e soft parts ) 
Weight Fat 
Molt. 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 1 + f/jcX _) 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 
