SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Species /Tflbe, 
Dates : processecD . Am r ^ collected 
Locality 
Sex_a"^ 
Age 
Weight __ 
Disposition: ( skin skelton alcoholic j^^card^ ) Prepara tor: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
N 
Virus 
