PMS LABORATORY FORM 
SI-MNH-2846 
G-23-67 
r . Passer domesticus , 
Species Number 
Dates: processed JN0V_X.3_J9.6S collected 
1QRP 
Locality MoX-c. J*at -_i_ JBah lg 
Sex ip. (Cjjissection) (jolumagsf soft parts ) 
Age __V-I skull ) plumage soft parts ) 
Weight Fat U Molt. 
Disposition: ( skin skelton alcoholic ( fdisca r^) Preparator: JSX 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single __ 
< A. 
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 .. _ 
