PMS LABORATORY FORM 
Species_ 
A 
C 9 
V^T--, 
SI-MNH-2846 
G-23-67 
\ 
u 
.1 
‘\ L 
Dates: 
Number__P_£>_-B- 
10 MOP ">«» 
a f ^0’^'"'” Yl I T"^' 
' i J k 3 b 'V'J^' ■' 
_collected 
Locality _ 
Sex Hi-(dissection ([pkimag^j soft parts 
\ 
/ 
Age-skull plumage soft parts _) 
X tNj 
Weight_ Fat —_MolL_ 
Disposition: ( skin skelton alcoholic discard) 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_.\_ 
_ 3 -_L.^w'c_r___^_■ 
