____ other _ 
Hi_ - .. . N 
_ virus _ 
HI: _-___ _ 
HI: __ 
N: _ _ _ __ 
Blood smear __Stain(s) 
Blood smear results__ 
Remarks___ 
Blood sample 
iZ 
Plasma analysis 
.Tests: VI 
jugular 
Plasma virus report VI: negative 
positive 
HI: 
