PMS LABORATORY FORM 
SI-MNH-284G 
6-23-67 
Species . - - _4- \A CJUAXiA _ 
Dates : processed 
Weight 
jLQ_._LL_ Fat ___k Molt. 
Disposition: ( skin skeiton alcoholic 
discar 
Preparator 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single — — Pool — -5..2 
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 
