Ectoparasite virus report 
Blood sample _____^lieart„____ jugular __ other _ 
Plasma analysis _ _ _ Tests; VI_ _HT _N 
Plasma vims report VI: negative ___positive ___virus _ 
HI: ___ __ _ _ 
HI:_____ 
HI: _____ 
N: __ ___ 
Blood smear ___Stain(s) 
Blood smear results___ 
Remarks _ 3 )1 EO _ -... . 
