SI-MNH-284G 
6 - 23-07 
PMS LABORATORY FORM 
Species 
Passer domesticus 
Number 55tl2 
Dates: processed collected SEP_J£._4 J968 
Age A (skull; plumage soft parts ) 
Weight Fat Jh! (moB t . 
Disposition: ( Askin 1 skeiton alcoholic discard) 
Ectoparasite Exam: Visual 
Preparator: 
Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single A/ Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
HI N 
Virus 
Remarks 
