PMS LABORATORY FORM 
Species _ _ j _ tl ^222 Jpj_ A Number r 
’t-'Z'Zs 
Ectoparasite Virus Report 
Blood Sample: Single 
Pool 
Plasma Analysis 
j 
Tests: VI 
___ HI 
N 
Plasma Virus Report. VI: Negative 
Positive 
Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
