PMS LABORATORY FORM 
Species Number 
Dates: processed collected 
Locality ___ _ _ _ 
<5> 
Sex t 
OCT 2 1 1S68 
o ( r- 
T»a a 
parts — 'A? ^ ^ 
Age 
ft 
* 
Fat . 
skin 
\ 
Skelton 
Molt-... 
Disposition : 
alcoholic discard) Preparator: 
Ectoparasite Exam: Visual .'rXI Other 
Ectoparasites 
V. f’ fe 
t 'Af r-i 0 i~ K 
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 
