SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
S 
penes -c 
Dales: processed 
Locality _ 
1 Q O 
1 U . 3 
IZLQ-- \/ Number 
-AT-#! collected 
\Qjyr 
soft parts -A? I /TV _ c / A! ) 
/ ' — 
Weight 
Disposition: ( 
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 
