— 
Blood sample A ~ & b heart 
. . iuguiar 
other 
Plasma analysis 
Tests: VI 
HI 
Plasma virus report VI: negative 
...._ positive 
_virus 
HI: _ _ 
HI:__ 
HI: __ 
N:__ 
Blood smear__ Stain(s) 
Blood smear results_ 
Remarks __ _ 
