Blood sample ___1_ heart ___ jugular 
Plasma analysis ____ Tests: VI__ 
Plasma virus report VI: negative „_ _ positive 
HI: _ ____ _ 
HI: _____ __ 
HI: _ ____ 
N: _ _____ ____ 
Blood smear_____Stain(s)_ _ 
Blood smear results __ .. . . 
Remarks____ 
_ other _ 
HI _ —N 
__ _ virus _ 
