SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
collected ^ ^ ^ 
Species 
Dates: processed ^ 
Locality _ 
Sex 3^^ 
soft parts ) 
umage soft parts 
C__ _ Fat Molt- 
Disposition: ( skin skelton alcoholic 
) 
Preparator: 
Ectoparasite Exam: Visual _ — — TTZl 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 
Virus 
Remarks 
