Blood sample—_____heart__L__jugular . _ other , 
Plasma analysis_ _ ____Tests: VI__HT n 
Plasma vims report VI: negative ... .. _positive___vims „ 
HI: _______ _ 
HI: ____ ___ _ 
HI: ___ _ _ 
N: _____ __ 
Blood smear . Stain(s) 
Blood smear results ___ 
Remarks — . . . 
