PMS LABORATORY FORM 
SI-MNH-2 84 6 
6 - 23-67 
Species 
p. Number P’/jfiK. 
Disposition: ( skin skelton alcoholic (^discard)* Preparator: jK&. 
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 
HI N 
Virus 
