PMS LABORATORY FORM 
SI-MNH-2 8 4 6 
6 - 23-67 
Species 
Dates: processed AilG._2_8._ 1 ( 3£ 
Locality 
soft parts 
collected 
Number 
Age QS^__ 
Weight .GtiZ-— Fat Molt_ 
Disposition: ( skin skelton alcoholic (^ hsca rcl) Preparator: 
Ectoparasite Exam: Visual ?f®8®t_lve Other 
Ectoparasites 
(4adT) plumage soft parts 
) 
) 
Ectoparasite Virus Report 
Blood Sample: Single 
Plasma Analysis 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
N: 
Pool 
Tests: VI 
Positive 
Blood Smear stain (s) 
Blood Smear Results 
HI 
N 
Virus 
Remarks 
