SI-MNH-284G 
6 - 23-67 
PMS LABORATORY FORM 
Species 
Number 

° 4 c, MSP IQRg * ' 
Dates: processed I _?__™ TT collected & f ~ ft 

Local ity 
Sex (dissection 
Weight Fat 
Disposition: ( skin skelton alcoholic 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 
