PMS LABORATORY FORM 
SI-MNH-2846 
6 - 23-67 
Species 
Passer domesucus 
/*■ p- 1 ' 
Number 
Dates: processed collected s£p ? g 
Locality -Sumfj 
Sex — ^ (dissection ^umag p soft parts ^ 
Age skull plumage soft parts \ 
Weight /_?c3 Fat -A __ Molt. 
Disposition: ( (^) skelton 
alcoholic 
discard ) Preparator : 
Ectoparasite Exam: Visual Other 
Ectoparasites _ 
Ectoparasite Virus Report 
Blood Sample: Single • -y~ w - • _ Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
HI N 
Virus 
