* 
Ectoparasite virus report 
__other_ 
HI_N 
_virus _ 
HI: ____ 
HI: _ _ 
N: _ _ _ 
Blood smear_Stain(s) 
Blood smear results___ 
Remarks_ _ 
Blood sample __ 
Plasma analysis ________ 
jugular 
.Tests: VI 
Plasma virus report VI: negative 
positive 
HI: 
