SI-MNH-284G 
G-23-67 
PMS LABORATORY FORM 
% 
aecies 
Lanlus ccllurio 
Dates: processed 
Vo'TTY'v'f' Ufo+riiV i Pnv R Irr 
T Agypx , Max run uov*, v ^ 
LocaJity 
Number 
4312 
collected 
Q 
gnu -u» d a Tig 
Disposition: ( skin skeiton alcoholic 
Ectoparasite Exam: Visual 
negative^ 
Preparator 
Other 
Ectoparasites 
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 
