SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species 
Dates: processed __ 
ToJu»A 
Number 
QtTZC 
collected 
Locality 
Disposition: ( skin skelton 
Ectoparasite Exam: Visual 
"V 
alcoholic 
(discard 
Preparator: 
Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool — -Q r lY7-Ar..\A.i_P. 
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 _ 
