SI-MNH-284G 
0 - 23-67 
PMS LABORATORY FORM 
Species H'Ai ££-. Number __d/L-5v? V V 
Dates: processed 1 collected 
) . 
Locality 1 Ad 
Sex 
6 1 
Age __J 
/X 
( di ssectio n plumage soft parts \ 
s kull plumage soft parts ^ 
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 HI N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
