PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species 
.tosolnla »egarhynoho3_ Number ___ 
Dates: processed collected 
Locality P>j_ 
l\ I f r\ 
ALJIt v « 
Sex __ 
dissection/ plumage soft parts 
Age 05S_ plumage soft parts 
Weight Fat Molt. 
Disposition: ( skin skelton alcoholic discard)) Preparator 
Ectoparasite Exam: Visual 
Other 
Ectoparasites 
) 
) 
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 
