Nanubala - Subramanyam@gmail - Com 20220326181643

Laboratory Investigation Report
Patient Name : Mr. Subramanyam Nanubala Centre : 585 - Max Hospital - Gurugram
Age/Gender : 42 Y 8 M 21 D /M OP/IP No : OP/GNCR153661
Max ID/Mobile : SHGN.131424/9971391906 Collection Date/Time : 26/Mar/2022 08:41AM
Lab ID : 0167032207729 Receiving Date : 26/Mar/2022
Ref Doctor : SELF Reporting Date : 26/Mar/2022
Passport No. :
BLOOD CENTRE
Blood Grouping and RH Factor*, EDTA

Date 26/Mar/2022 22/Feb/20 Unit Bio Ref Interval
08:41AM 10:50AM
Blood Group B POSITIVE B
Haemagglutination POSITIVE
Kindly correlate with clinical findings
*** End Of Report ***
Page 1 of 19
SIN No:GGN0138048, Test Performed at :1103 - Max Hospital Saket(East Block), 1, 2, Press Enclave Marg, Saket Institutional Area, Saket, New
Delhi
Booking Centre :585 - Max Hospital - Gurugram, Opposite HUDA City Centre Metro Station, B - Block, 0124662300
The authenticity of the report can be verified by scanning the Q R Code on top of the page
Passport No. :
Clinical Biochemistry
HbA1c (Glycated/ Glycosylated Hemoglobin) Test*

HPLC
Date 26/Mar/2022 22/Feb/20 06/Feb/18 Unit Bio Ref Interval

08:41AM 10:50AM 09:12AM
Glycosylated 5.5 5.3 4.9 % < 5.7
Haemoglobin(Hb A1c)
Glycosylated 36.6 34.41 mmol/mol < 39.0
Haemoglobin(Hb A1c)
IFCC
Average Glucose Value 111.15 105.41 93.93 mg/dL
For the Last 3 Months
Average Glucose Value 6.16 5.84 mmol/L
For the Last 3 Months
IFCC
Interpretation The following HbA1c ranges recommended by the American Diabetes Assocation(ADA) may be used as an aid in the diagnosis of diabetes
mellitus.
HbA1C(NGSP %) HbA1C(IFCC mmol/mol) Suggested Diagnosis

> 6.5 > 48 Diabetic
5.7 - 6.4 39 - 47 Pre- Diabetic
< 5.7 < 39 Non - Diabetic
HbA1C provides a useful index of average glycaemia over the preceding 6-8 weeks.
It is suggested that HbA1c is measured every 6 months in stable patients, every 3 months in patients with unstable metabolic control and every month in
pregnancy.
Increased Glycated hemoglobin is a reflection of Hyperglycemia.
Page 2 of 19
SIN No:GGN0138048, Test Performed at :585 - Max Hospital - Gurugram, Opposite HUDA City Centre Metro Station, B - Block
Passport No. :
Page 3 of 19
Passport No. :
Immunoassay
Thyroid Profile*,Serum*
08:41AM 10:50AM 09:12AM
Free Triiodothyronine 3.43 3.87 3.69 pg/mL 2.6 - 4.2
(FT3)
CLIA
Free Thyroxine (FT4) 1.01 0.87 0.84 ng/dL 0.58 - 1.64
CLIA
Thyroid Stimulating 1.36 1.87 1.25 µIU/mL 0.34 - 5.6
Hormone
CLIA
Comment
Premature Cord Blood
Upto 2 1st 2nd 3rd
Parameter Unit (28 - 36 (> 37 Adult
Month Trimester Trimester Trimester
weeks) weeks)
FT3 Pg/mL 0.15 - 3.91 2.4 - 5.6 2.6 - 4.2 2.11 - 3.83 1.96 - 3.38 1.96 - 3.38
TSH uIU/ml 0.7 - 27.0 2.3 - 13.2 0.5 - 10 0.38 - 5.33 0.1 - 2.5 0.2 - 3.0 0.3 - 3.0
Note : TSH levels are subject to circadian variation, reaching peak levels between 2 – 4 am
and at a minimum between 6 – 10 pm. The variation is of the order of 50% - 206 %, hence
time of the day has influence on the measured serum TSH concentrations.
Page 4 of 19
Passport No. :
Immunoassay
Vitamin D, 25 - Hydroxy Test (Vit. D3)*
08:41AM 10:50AM 09:12AM
25 Hydroxy, Vitamin D 22.19 19.70 20.72 ng/mL 30-100
CLIA
Ref Range
25 (OH) Vitamin D Concentration Range
Vitamin D Status
(ng/ml)
Sufficiency 30-100
Insufficiency 20-29
Deficiency <20
Potential Toxicity
>100
Interpretation
Vitamin D toxicity can be due to
1. Use of high doses of vitamin D for prophylaxis or treatment
2. Taking vitamin D supplements with existing health problems such as kidney disease, liver disease , tuberculosis and hyperparathyroidism
Vitamin D deficiency can be due to:
1. Inadequate exposure to sunlight,
2. Diet deficient in vitamin D
3. Malabsorption
Advice: Serum calcium, phosphorus and PTH
Prostate Specific Antigen (P.S.A.) - Total*, Serum

08:41AM 10:50AM 09:12AM
Prostate Specific Antigen 0.55 0.50 0.52 ng/mL <4.00
CLIA
Page 5 of 19
Passport No. :
Immunoassay
Page 6 of 19
Passport No. :
Serology
Test Name Result Unit Bio Ref Interval
HCV IgG Antibody (Hepatitis C Virus)*

CLIA
HCV,IgG Test Value 0.01
Ref. Range
Negative < 0.90
Borderline 0.90 - 8.0
Positive > 8.0
Interpretation
This test is a screening test performed on VITROS immunodiagnostic system using immunometric technique.
1. Hepatitis C (HCV) is an RNA virus of Flavivirus group transmitted via blood transfusions, transplantation, injection drug users, accidental needle
punctures in healthcare workers, dialysis patients and rarely from mother to infant.
2. 10% of new cases show sexual transmission. As compared to HAV & HBV, chronic infection with HCV occurs in 85% of infected individuals.
3. This test is indicator of past or present infection, but does not differentiate between Acute / Chronic / Resolved infection .HCV RNA PCR recommended
in all reactive results to differentiate between past and present infection
4. A definitive clinical diagnosis should not be made by result of a single test only, but should be made by taking clinical history and other laboratory
findings in to account.
HIV I & II*, Serum

CLIA
HIV (I and II) Negative
Interpretation
1) A Negative result implies that no Anti HIV-1 or HIV-2 antibodies have been detected in the sample by this method. This means that either the patient has not
been exposed to HIV-1 or HIV-2 infection or the sample has been taken during the "WINDOW PERIOD" (before the development of detectable levels of
antibodies).
2) Positive result suggests the possibility of HIV-1 or HIV-2 infection.
Advise:
To rule out false positivity, false negativity and window period, kindly perform "Confirmatory Tests"like HIV I RNA (Qualitative) Real Time PCR.
Page 7 of 19
Passport No. :
Serology
Hepatitis B Surface Antigen,Serum*

CLIA
HBsAg Test Value 0.26
Ref. Range
Negative < 0.90
Borderline 0.90 - 5.0
Positive > 5.0
Interpretation
This test is used to detect hepatitis B surface antigen (HBsAg) in serum sample based on VITROS immunometric immunoassay technique and aid in the
laboratory diagnosis of HBV infection.
Viral hepatitis is a major public health problem with an estimated 257 million persistent carriers of hepatitis B virus (HBV) worldwide. Infection with
HBV results in a wide spectrum of acute and chronic liver diseases that may lead to cirrhosis and hepatocellular carcinoma.
Transmission of HBV occurs by percutaneous exposure to blood products, needle stick injury, sexual contact and perinatally from HBV-infected mothers
to baby.
Hepatitis B surface antigen (HBsAg), derived from the viral envelope, is the first antigen to appear following infection.
Positive results should be correlated with other potential laboratory abnormalities and clinical picture.
A negative test result does not exclude the possibility of exposure to or infection with hepatitis B virus.
Levels of HBsAg may be undetectable both in early infection and late after infection.
In rare cases HBsAg tests do not detect certain HBV mutant strains.
HBs Ag disappears with recovery from clinical disease in most patients, however, it persists for years in carriers.
Page 8 of 19
Passport No. :
Serology
Page 9 of 19
Max ID/Mobile : SHGN.131424/9971391906 Collection Date/Time : 26/Mar/2022 12:06PM
Passport No. :
Creatinine, Serum
08:41AM 10:50AM 09:12AM
Creatinine 0.82 0.77 0.67 mg/dL 0.9 - 1.3
Alkaline picrate kinetic
eGFR 102.68 111.54 132.35 ml/min/1.73
MDRD m²
Ref. Range
eGFR - Estimated Glomerular Filteration Rate is calculated by MDRD equation which is most accurate for GFRs ≤ 60ml / min /1.73 m².MDRD equation is used
for adult population only.
<60ml / min / 1.73 m² - Chronic Kidney Disease
<15 ml / min /1.73 m² - Kidney failure
Fasting Blood Sugar (Glucose) , (FBS)

08:41AM 10:50AM 09:12AM
Glucose (Fasting) 108 104 99 mg/dL 74 - 99
Hexokinase
Uric Acid
08:41AM 10:50AM 09:12AM
Uric Acid 4.6 5.1 4.7 mg/dL 3.5 - 7.2
Uricase, Colorimetric
Interpretation
Increased in gout, renal failure, inherited metabolic disorders, excess dietary purine intake, Increased nucleic acid turnover (e.g. Leukemia, Myeloma, Radiotherapy,
Chemotherapy, Trauma) Psoriasis, preeclampsia and Alcohol consumption.
Decreased in Wilson’s disease, Fanconi’s syndrome xanthinuria, SIADH, deficiency of adenosine deaminase, purine and nucleoside phosphorylase and low purine
diet.
Page 10 of 19
Passport No. :
B.U.N (Blood Urea Nitrogen), Serum
08:41AM 10:50AM 09:12AM
Blood Urea Nitrogen 6.06 5.1 8.0 mg/dL 7.9 - 20.0
Calculated
Comment Serum urea nitrogen is increased in Intra vascular volume depletion, diuretics, CCF, GI bleeding, tetracycline intake and renal failure.
Reduced levels are seen in chronic liver disease and alcohol abuse.
Page 11 of 19
Passport No. :
Lipid Profile,Serum
08:41AM 10:50AM 09:12AM
Cholesterol 157 190 159 mg/dL < 200
Cholesterol oxidase, esterase,
peroxidase
HDL Cholesterol 43.0 47.0 39.5 mg/dL > 40
Direct measure, immunoinhibition
LDL Cholesterol 105.0 139.0 110.8 mg/dL < 100
Direct measure
Triglyceride 76.0 115.0 81.0 mg/dL < 150
Enzymatic, end point
VLDL Cholesterol 15.2 23.0 16.2 mg/dl < 30
Calculated
Total Cholesterol/HDL 3.6 4.0 4.0 .. 0.0-4.9
Ratio
Calculated
Non-HDL Cholesterol 114.00 143.00 mg/dL < 130
Calculated
HDL/LDL 0.41 Ratio 0.3 - 0.4
Calculated
Interpretation
Optimal: < 100 mg/dL

Near Optimal/ Above Optimal: 100-
Desirable: < 200 mg/dL
129
Borderline High: 200-239
Total mg/dL
mg/dL LDL-C
Cholesterol Borderline High: 130-159 mg/dL
High ≥ 240 mg/dL
High: 160-189 mg/dL
Very High: ≥ 190 mg/dL
Normal: <150 mg/dL

Low HDL: < 40 mg/dL Borderline High: 150-199 mg/dL
HDL-C Triglyceride
High HDL: ≥ 60 mg/dL High: 200-499 mg/dL
Very High: ≥ 500 mg/dL
Page 12 of 19
Passport No. :
Blood Sugar PP (After Lunch), Fluoride Plasma

12:06PM 11:12AM 01:48PM
PP (After Lunch) 96 99 98 mg/dL 100 - 139
Hexokinase
Page 13 of 19
Passport No. :
Liver Function Test (LFT)

08:41AM 10:50AM 09:12AM
Total Protein 6.97 7.40 7.50 g/dL 6.6 - 8.3
Biuret
Albumin 4.5 4.8 4.9 g/dL 3.5 - 5.2
Bromcresol Green (BCG)
Globulin 2.4 2.6 2.6 g/dl 2.3 - 3.5
Calculated
A.G. ratio 1.9 1.8 1.9 1.2 - 1.5
Calculated
Bilirubin (Total) 0.49 0.67 0.5 mg/dL 0.3 - 1.2
DPD
Bilirubin (Direct) 0.10 0.14 0.1 mg/dL 0.0 - 0.2
Diazotization
Bilirubin (Indirect) 0.39 0.53 0.40 mg/dL 0.1 - 1.0
Calculated
SGOT- Aspartate 20 20 19 U/L < 50
Transaminase (AST)
UV without P5P
SGPT- Alanine 28 28 25 U/L < 50
Transaminase (ALT)
UV without P5P
AST/ALT Ratio 0.71 Ratio
Calculated
Alkaline Phosphatase 92 90 64 U/L 30 - 120
PNPP, AMP Buffer
GGTP (Gamma GT), 30.0 30.0 23.0 U/L < 55
Serum
Enzymatic Rate
Interpretation In Case of deranged AST and/or ALT, the AST/ALT ratio is < 2.0 in alcoholic liver damage and > 2.0 in non – alcoholic liver damage
Page 14 of 19
Passport No. :
Page 15 of 19
Passport No. :
Clinical Pathology
Urine Routine And Microscopy

12:06PM 11:12AM 09:12AM
Macroscopy
Reflectance photometry
Colour PALE Green Light-Yellow Pale Yellow

YELLOW
PH 6.0 5.0 5.5 .. 5-6
Specific Gravity 1.010 1.006 1.009 1.015 - 1.025
Protein Nil Nil Nil Nil
Glucose. Nil Nil Nil Nil
Ketones Nil Nil Nil Nil
Blood Nil Nil Nil Nil
Bilirubin Nil Nil Nil Nil
Urobilinogen NORMAL Normal Normal Normal
Nitrite Negative Negative Negative
Microscopy
Light Microscopy/Image capture microscopy
Red Blood Cells (RBC) Nil Nil Nil /HPF Nil

White Blood Cells Nil 3-5 1-2 /HPF 0.0-5.0
Squamous Epithelial Cells 0-1 3-5 2-3 /HPF
Cast Nil Nil Nil /LPF Nil
Crystals Nil Nil Nil .. Nil
Bacteria Nil Nil Nil /HPF Nil
Page 16 of 19
Passport No. :
Clinical Pathology
Page 17 of 19
Passport No. :
Hematology
Complete Haemogram, Peripheral Smear and ESR,EDTA

08:41AM 10:50AM 09:12AM
Haemoglobin 13.9 14.3 14.6 g/dl 13.0 - 17.0
Modified cyanmethemoglobin
Packed Cell, Volume 42.9 43.1 44.1 % 40-50
Calculated
Total Leucocyte Count 6.7 6.4 7 10~9/L 4.0-10.0
(TLC)
Electrical Impedance
RBC Count 5.08 4.93 5.2 10~12/L 4.5-5.5
MCV 84.4 87.4 84.9 fL 83-101
MCH 27.4 28.9 28.1 pg 27-32
Calculated
MCHC 32.4 33.1 33.1 g/dl 31.5-34.5
Calculated
Platelet Count 245 219 206 10~9/L 150-410
MPV 9.7 9.8 9.6 fl 7.8-11.2
Calculated
RDW 14.2 14.4 13.9 % 11.5-14.5
Calculated
Differential Cell Count

VCS / Light Microscopy
Neutrophils 56.5 59.3 55 % 40-80

Lymphocytes 31.4 31.1 30.7 % 20-40
Monocytes 8.8 7.4 7.7 % 2-10
Eosinophils 2.1 1.9 6.3 % 1-6
Basophils 1.2 0.3 0.3 % 0-2
Absolute Leukocyte Count

Calculated from TLC & DLC
Absolute Neutrophil Count 3.79 3.8 10~9/L 2.0-7.0

Absolute Lymphocyte 2.1 2.0 10~9/L 1.0-3.0
Count
Absolute Monocyte Count 0.59 0.47 10~9/L 0.2-1.0
Page 18 of 19
Passport No. :
Hematology
Absolute Eosinophil Count 0.14 0.12 10~9/L 0.02-0.5
Absolute Basophil Count 0.08 0.02 10~9/L 0.02-0.1
ESR (Westergren) 08 4 02 mm/hr <=10
Peripheral Smear
Examination
RBC: - Normocytic Normochromic
WBC: - Counts within normal limits
Platelet: - Adequate

Page 19 of 19

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Laboratory Investigation Report

Blood Grouping and RH Factor*, EDTA

Kindly correlate with clinical findings

*** End Of Report ***

HbA1c (Glycated/ Glycosylated Hemoglobin) Test*

Date 26/Mar/2022 22/Feb/20 06/Feb/18 Unit Bio Ref Interval

HbA1C(NGSP %) HbA1C(IFCC mmol/mol) Suggested Diagnosis

Kindly correlate with clinical findings

*** End Of Report ***

Prostate Specific Antigen (P.S.A.) - Total*, Serum

*** End Of Report ***

HCV IgG Antibody (Hepatitis C Virus)*

HCV,IgG Test Value 0.01

HIV I & II*, Serum

HIV (I and II) Negative

Hepatitis B Surface Antigen,Serum*

HBsAg Test Value 0.26

Kindly correlate with clinical findings

*** End Of Report ***

Fasting Blood Sugar (Glucose) , (FBS)

Optimal: < 100 mg/dL

Normal: <150 mg/dL

Blood Sugar PP (After Lunch), Fluoride Plasma

Liver Function Test (LFT)

Kindly correlate with clinical findings

*** End Of Report ***

Urine Routine And Microscopy

Colour PALE Green Light-Yellow Pale Yellow

Red Blood Cells (RBC) Nil Nil Nil /HPF Nil

Kindly correlate with clinical findings

*** End Of Report ***

Complete Haemogram, Peripheral Smear and ESR,EDTA

Differential Cell Count

Neutrophils 56.5 59.3 55 % 40-80

Absolute Leukocyte Count

Absolute Neutrophil Count 3.79 3.8 10~9/L 2.0-7.0

Kindly correlate with clinical findings

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