/?*/£> 4- 7 - If 
Blood sample__heart_jugular _other_ 
Plasma analysis __ ____ Tests; VI __ _ HI _ N 
Plasma virus report VI: negative .__._.__ positive _ vims _ 
HI: _ __ 
HI:_ _ 
HI: _ ___ 
N: __ 
Blood smear_ Stain(s) 
Blood smear results_ __ 
Remarks ____ 
