PMS LABORATORY FORM 
SI-MNH-284G 
G-23-67 
Species Pk tip e lot* 
Number C 
Dates: processed //Ar l. / 
collected 
Locality (j_ 
Disposition: ( skin skelton alcoholic 
1/ 
qiscarclu Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
ll 
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 
