PMS LABORATORY FORM 
SI-MNH-2346 
6-23-67 
Passer domesticus ^ r. £ 
Species Number 
Dates: processed !tQV__2: 0_ J968. collected 'icf! 
Locality 
17 + 
Mto'vn 
O « ill 
j. l-ci a vJ -r » « 
Bah 13 
Age 
Sex j?l__ (dissection ( plumage 
L- / JXVUli / M1WUAAIVC.V O W L I 
Weight Fat 4Z. Molt- 
Disposition: ( skin skelton alcoholic (Miscard^ Preparator: 
Ectoparasite Exam: Visual LVfA'AJ'JL Other 
Ectoparasites 
Ectoparasite V irus Report 
Blood Sample: Single .^/LC 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 
