PMS LABORATORY FORM 
SI-MNH-2846 
0 - 23-67 
0 . Erithacua rubecula 
opeaes Number 
Dates: processed 1 8 
Local ity A'LPjIL JVjj 
collected 
unu i c 
tvJ V 1 C 
O *r\r 
O i. 
_B.ah.ig. 
Sex 
Age ___Aa 
di ssectioru - plumage soft parts — 
/ 
Weight ___ 
Disposition : ( 
skelton alcoholic (kuscard V Preparator: Jt A 
Ectoparasite Exam: Visual | I £ fc_ Other 
P W. if 
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 
