SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
Ectoparasite Exam: Visual L -•rn'I'' Other 
Ectoparasites 
Ectoparasite Virus Report 
Biooci 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 JL_ J_*y 
_ A 
3 
