PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species 
S 
.y. ftT KlCArUL-U f\. 
Dates : processed collected 

Number _ 

Locality 
Disposition: ( skin skelton alcoholic d iscar d^ Preparator 
Ectoparasite Exam: Visual Other 
Ectoparasites hJ- 
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 
