PMS LABORATORY FORM 
SI-MNH-2 846 
6 - 23-67 
Species 
Dates : 
Locality 
s _ylYia_curruc_a Number 
processed SEP- 4-g--jgg«. collected 
1 
1 
vf at rah 
L’ v v -o ji 
V ^ 
J, * i w* 
Sex 
(dissection 
plumage 
soft parts 
Age — (3 skull > plumage soft parts 
Weight LL-'-A. Fat 
Disposition: ( skin skelton alcoholic 
Ectoparasite Exam: Visual 
Ectoparasites 
Molt — 
(discard 
Preparator: 
Other 
) 
) 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
Pool 
Tests: VI 
Positive 
HI N 
Virus 
