PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species 
Dates : 
Locality 
_ A C rfjU T Mjs _ A * a) a 
processed _4_ 

Number 
collected _ _ 
soft parts 
parts 
Weight Fat /U-<L MolL. 
Disposition: ( skin skelton alcoholic 
Ectoparasite Exam: Visual \*Y 
Ectoparasites m 
Preparator : 
Other 
&ar 
> 
) 
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 
