SI-MNH-2846 
6-23-67 
PMS LABORATORY FORM 
Bawv 
Locality JfeyiL _ _Ma£ruh- -&* v - 
Sex _ TclTsseclio 
Age __Al. 
Weight S A -S- Fat L> Molt 
Disposition: ( skin skelton alcoholic Cdiscan 
l) 
Preparator : 
Ectoparasite Exam: Visual Other 
C / 
_ L 
Vf 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single S/lC- 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 
