PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species 
0 
-L _ _ JL^U CA*slc ±<ljCo_ 
_ Number , A 
Dates: processed at! - 3 -1-1368 collected 
__ ^uprulr Gsv»j Boh to* 
■flGT — 3“~& — ISG-S" 
Locality 
Sex 
dissectiop" plumage soft parts ^:trlUiyi_ _<£rz^?£. ) 
Age — An -C5CTE> plumage soft parts ) 
Weight —JJtzh fl___ Fat Molt. 
Disposition: ( skin skelton alcoholic ffiscarcE^ Preparator: _Si'T3 
Ectoparasite Exam: Visual H ena tlvc 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 
