_ _.other 
HI - __ _ _N 
_ virus _ 
HI: ____ _____ _ 
HI: __ __ 
N: _ _ _ _ 
Blood smear ____ Stain(s) 
Blood smear results_._„_ 
Remarks .. . ..._... 
Blood sample A _ heart -____ jugular 
Plasma analysis ___._... ._Tests; VI _____ 
Plasma virus report VI: negative 
HI 
positive 
