SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
r c r T 
Species 
P: v - domesticu^ 
Number 
Dates: processed collected _SEP_ _2_ _C ,1££3. 
Locality (H irku_ QjL 
Sex Gif -- _ ( ^issectioj i <^plumagj| soft parts ) 
Age Fir___ ^kullj ) plumage soft parts 
Weight LSLL 1 Fat Jsi Molt 
Disposition: ( (Akin, skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual fTe_grt__i_ve Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single £ LZfuc 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 
