PMS LABORATORY FORM 
SI-MNH-284G 
6-23-67 
S P 
ecies 
Passer domesticus 
Number 
Dates: processed j^PY_ collected 
Locality 
TTervn'f’ ^fo+T , ' i nT 
y w j JVi d X Lu 
i Gsv. , BaM«? 
NOV 
Sex (dissectiog ^plumag^ soft parts 
Age d s kull J) plumage soft parts 
Weight - y Fat U Molt. 
Disposition: ( skin skelton alcoholic vdiscjuasP) Preparator: 
Other 
Ectoparasite Exam: Visual RagflClYt 
Ectoparasites 
) 
) 
Ectoparasite Virus Report 
Blood Sample: Single S/cl 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 
