SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Weight Fat Molt 
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 
Blood Smear stain (s) 
Blood Smear Results 
^ tn $ / V 
Remarks 
