SI-MNH-284G 
6 - 23-67 
PMS LABORATORY FORM 
Species b L k J_ ! d Number 0-^ 
L?L ri collected i _ i _0_s ri 
Dates : processed 
Locality t v^x) 
Sex _ 
Age 
--JL 
(dissection plumage soft parts ) 
skull plumage soft parts _ ^ jL/cjL._ _ | id^- S^'^l T— ) 
Weight Fat 
Molt 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
HI N 
Virus 
Remarks 
