SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Age 
Weight /t Fat 
Disposition: ( skin skelton 
alcoholics 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 
