• _ 
Ectoparasite virus report 
Blood sample _ lIL 0 't ^ heart _ __ jugular ___._.. other __ 
Plasma analysis _ Tests: VI_HI_:_N 
Plasma virus report VI: negative ___positive __virus _ 
HI: ___ 
HI:__ _ 
HI: __ 
N: ___ 
Blood smear_Siain(s) 
Blood smear results__ 
Remarks ______ 
