SI-MNII-2846 
6-23-G7 
PMS LABORATORY FORM 
H-LoegaY _ _Tc(cJj>? J. Number ___U 
-QaI collected l?OCi ^ 
Species 
Dates: processed /Jr_NrA 
Locality 
Sex 
1 
hr 
h- 
(di ssection p luma ge soft parts \ 
Age — 'A skull plumage soft parts ) 
Weight Fat ___ 
Disposition: ( skin skelton 
Molt. 
lcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 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 
