PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Tf -f~% F * 3 
Species CU.C_ £ _ _ _ OA JMQ. R. Ul S. Number ^ U 3 3 
Dates: processed AUG 
Locality 
collected 
AllG 3 0 mu 
iJUJ 
Age _J? 
Weight __ 
Disposition: ( skin skelton alcoholic 
Preparator: 
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 
