PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species 
_Passer_domesticu3 Number 
Dates: processed N0V_1_3_1968. collected 
Localit _ 
NOV 1 3 iqfiR 
Sex C^- 
ssectiof#^ plumage^ soft parts ) 
JU ^skull) plumage soft parts 
Weight 2JjJ£ 1— Fat M Molt. 
Af>e 
) 
Disposition: ( skin skelton alcoholic 
Preparator: __5:T 
Ectoparasite Exam: Visual _Kegat ive Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single . 
Plasma Analysis __ 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
Pool 
Tests: VI 
Positive 
HI N 
Virus 
