PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
c Passer domesticus 
Species Number 
Dates: processed !^QY_2_0 _]9£fl collected ij _ L _ 1G68_ 
Locality Eryp t ± _ Ma t ruh _G* v .. A _ BaM®. 
Sex _ 
__ (dissection ^Iuma ge^) soft parts ) 
Age — _ 4 _(4adT ; plumage soft parts ) 
t 
Weight Fat 
A: Molt- 
Disposition: ( skin skelton alcoholic 
Ectoparasite Exam: Visual 
Preparator: 
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 
