SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
**. 
S P 
ecies 
Passer domesticus 
Number 
t y « 
Dates : processed 
Locality 
SEP 2 0 
- ! °£s collected SEP_2. 
.Q_49SR 
_ _ L. 
Sex 
( dis 
issection 
ilumai 
e> soft parts ) 
Age 
skull plumage soft parts ) 
Weight ___A£'5 Fat hi MolL 
Disposition: ( (skin, skelton alcoholic 
discard) 
Ectoparasite Exam: Visual JSega-ive^ 
Preparator 
Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single 

Plasma Analysis 
Plasma Virus Report. VI: Negative 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
Pool 
Tests: VI 
Positive 
HI N 
Virus 
