PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
Species QrALt. XX£X Number 
Dates: processed collected 
Locality X i X J _ i'X'X'X _ X _5 _km .n . Bshlg. 
Ectoparasite Virus Report 
Blood Sample: Single T 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 
