SI-MNH-2S4G 
G-23-67 
PMS LABORATORY FORM 
Passer domesucua ^ _ . r r j r- r* 
Species Number im4.ll 
Dales: processed collected 
Locality jflrbu jL 
Sex — S . — (dissection p lumag e) soft parts ) 
Age skull plumage soft parts \ 
Weight Fat A:_ Molt 
Disposition: ( ( ^skirT ) skelton alcoholic discard) 
Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
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 
