PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species 
- -5P- A 3 _ _ c o.iAwri® Number 
Dates: processed 
collected 
;ypt J , 'fatruh Gov _e r 
Locality 
Sex — fl — (dissection plumage,/ soft parts 
I 
Age 
soft parts 
a . moil 
Weight Fat ____ 
Disposition: ( skin skeiton alcoholic 
Preparator: 
Ectoparasite Exam: Visual Hegativsy Other 
Ectoparasites 
) 
) 
Ectoparasite Virus Report 
Blood Sample: Single r _ _ _ _ Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
HI N 
Virus 
