PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
0 . Passer domesticus 
Species Number 
Dates: processed collected ^_Y_<L!Li96ji_ 
Locaiity Gt Y: , _ Bah _ i ? 
Sex 
Age — 
Weight ^LQ-i3. 
Disposition: ( skin skelton alcoholic (^ discar d) Preparator: 
Ectoparasite Exam: Visual Jiagative Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis _ Tests: VI HI N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
Ell 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
