PMS LABORATORY FORM 
SI-MNH-2846 
6-23-67 
c • Passer domesticu3 ^ , r ro Q 
Species Number DjJjQjJ 
Dates: processed 
SEP__ 2_._4 — ii collected 
SEP 2 4 1968 
Locality 
Sex — (dissection plumage soft parts ) 
Age 
skull plumage soft parts ) 
Weight Fat N] Molt 
Disposition: ( Qskip^ skelton alcoholic discard) 
ctoparasite Exam: Visual 
i 
j Preparator: 
— Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single y__C=- p 00 l 
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 
