Ectoparasite vims report 
Blood sample _ ^ ... .hearts_._jugular___other__ 
Plasma analysis. .... .Tests: VI_ HI __N 
Plasma vims report VI: negative positive __ vims _ 
HI: ___ __ _ ______ __ __ 
HI: ____ _ __ ________ 
HI: _____ ____ _ _______ __ 
N: __ ______ ______ 
Blood smear _ _____Siain(s)______ 
Blood smear results _____________ 
Remarks_____ 
