PMS LABORATORY FORM 
SI-MNH-234G 
6 - 23-67 
Species - - ~ ™ Number 
Aljr p Q ifirp 
Dates: processed collected t. 
Locality Arrr=__— 
Sex jL__ (Fiissectlorj plumage soft parts 
Age — Oi) — (^ulj) plumage soft parts 
Weight 
JZiSL-'l?- Fat ttl. 
Molt 
Disposition: ( skin skeiton alcoholic 
Preparator 
Ectoparasite Exam: Visual Negative Other 
Ectoparasites 
) 
) 
Ectoparasite Virus Report 
Blood Sample: Single .1 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 
