PMS LABORATORY FORM 
SI-MNH-2 846 
6 - 23-67 
Species 
p r> r 
c_QlLurio Number 
Dates: processed collected £ 0 ffigg 
Locality 1 _ "1 1 f l firiA - 6 - Ion. » . h^jg 
Sex — — (dissection (plumage/ soft parts \ 
Age _ A: _-Arl J^ skuU y plumage soft parts ) 
Weight Fat Molt- 
Disposition: ( skin skelton alcoholic 
Preparator: 
Ectoparasite Exam: Visual „ Other 
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 
