PMS LABORATORY FORM 
SI-MNH-2 846 
6 - 23-67 
Species iuscj-njja. _lucciaia Number LS_7_7 
Dates : processed _ 
Locality 
collected jyjjz jl _ 
■E 
4- 1 ' _ J- __ 
A— ^7 -— — — — -i -3fl 
i-j J jS w j - -*■ 
Sex — (dissection, plumage soft parts ^ 
Age __HQ_(£Ip? plumage soft parts ) 
Weight Fat Molt. 
Disposition: ( skin skelton alcoholic (discard} 5 Preparator: 
Ectoparasite Exam: Visual "ZFjxAX Other C 
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 
