PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species_-- _ 
' • 1 - 
! 
1 
1 
1 
1 
1 
1 
! 
1 
! 
1 
1 
1 
■ if 
IW4., Number 
2 t 
Locality _ 1 Vu _________ 
Sex —Li-(dissection ^umag^ soft parts_) 
Age 
- skull plumage soft parts__) 
K/ 
Weight_ Fat ___'_:__ 
Molt--. 
Disposition: ( skin skeiton 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_ 
