PMS LABORATORY FORM 
SI-MNH-2S46 
6-23-67 
c . Passer domesticus 
Species Number 
Dates : processed 
SEP 2 6 1938 
collected SEr_ 2 6 1968 
Locality L . 
Sex . (dissection pluma ge? soft parts 
Age skull plumage soft parts ) 
Weight ___ L7-X- Fat yd Molt 
Disposition: ( ^jarT ) 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 
__ Vims __ 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
