SI-MNH-284G 
6 - 23-67 
PMS LABORATORY FORM 
Species 
Passer domesucus 
Number 
Dates: processed SEP _2_6_1_9b8 collected JtJLJSSS. 
Locality -CX^jL 
Sex . ...ZT (dissection 
>lumai 
soft parts 
Age 
Weight ___/ 
Disposition: ( ^Jdn skelton alcoholic discard) Preparator 
Ectoparasite Exam: Visual _ 
Other 
Ectoparasites 
) 
skull plumage soft parts ) 
Eat A Molt- 
Ectoparasite Virus Report 
Blood Sample: Single -A/ --- - 
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 
