SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
Number 
Species /Lijl /?/0 
Dates: processed collected 
z~m 
Locality ^.ZJ'__i__ZaAdr^i 
Disposition: ( An) skelton alcoholic discard) Preparator: vA- 1 
Ectoparasite Exam: Visual id Other 
Ectoparasites M- 
Ectoparasite Virus Report 
Blood Sample: Single 1 Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear 
Blood Smear Results 
Remarks 
stain (s) 
HI N 
Virus 
