SI-MNH-2846 
0-23-67 
PMS LABORATORY FORM 
c, • Passer domesticua . ' Sit? 
Species Number L _ _ _ 
Dates: processed collected Nt.V_ILu_]968 
Locality 
Sex (dissection A*pluma 
Age 
Ir* 
RoV 4 
I i vn I I i 
* • * U Cl 1 1 _L 
O* 
soft parts ) 
skui 1^ ) plumage soft parts <P.O ) 
Weight Fat %i Molt 
Disposition: ( skin skelton alcoholic Qdi scard A'’ Preparator: 
Ectoparasite Exam: Visual negative Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 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 
