LabReport 240408 224257

Patient Name : Mrs.
CHHOTI DEVI Barcode NO : 10115092

Age/Gender : 54 Y 0 M 0 D /F Registration ON : 08/Apr/2024 10:51AM
LabNo : BIO54578 Sample Collected ON : 08/Apr/2024 10:51AM
Referred By : SELF Sample Received ON : 08/Apr/2024 10:51AM
Refer Lab/Hosp : VANDAN DIAGNOSTIC CENTRE & POL Report Generated ON : 08/Apr/2024 01:19PM
DEPARTMENT OF HAEMATOLOGY
Test Name Result Unit Bio. Ref. Range Method
ERYTHROCYTE SEDIMENTATION RATE

Sample Type : WHOLE BLOOD EDTA
ERYTHROCYTE SEDIMENTATION 6 mm/1hr 0-12 Automated with Citrated
Blood
RATE (ESR)
Method: Automated with Citrated Blood
Page 1 of 13
Patient Name : Mrs.CHHOTI DEVI Barcode NO : 10115092
Refer Lab/Hosp : VANDAN DIAGNOSTIC CENTRE & POL Report Generated ON : 08/Apr/2024 11:37AM
DEPARTMENT OF HAEMATOLOGY
COMPLETE BLOOD COUNT

Sample Type : WHOLE BLOOD EDTA
Haemoglobin (HB) 12.6 gm/dl 12.0 - 15.0 Cyanide free SLS
Total Leucocyte Count (TLC) 5.88 10^3/µL 4.0 - 10.0 Flow Cytometry
Hematocrit (PCV) 38.5 % 36 - 46 Calculated
Red Blood Cell Count (RBC) 4.36 millions/cumm 3.8 - 4.8 Electrical Impedance
Mean Corp Volume (MCV) 88.2 fl 83 - 101 Calculated
Mean Corp Hb (MCH) 28.8 pg 27 - 32 Calculated
Mean Corp Hb Conc (MCHC) 32.7 gm/dl 31.5 - 34.5 Calculated
RDW - CV 12.9 % 11 - 16 Calculated
DIFFERENTIAL LEUCOCYTE COUNT

Neutrophils 58.9 % 40 - 75 Flow Cytometry
Lymphocytes 32.3 % 20 - 40 Flow Cytometry
Monocytes 5.2 % 2 - 10 Flow Cytometry
Eosinophils 3.6 % 1-6 Flow Cytometry
Basophils 0 % 0.0 - 2.0 Flow Cytometry
ABSOLUTE LEUCOCYTE COUNT

Absolute Neutrophil Count (ANC) 3.46 10^3/µL 1.6-8.0 Calculated
Absolute Lymphocyte Count (ALC) 1.90 10^3/µl 1.4-3.5 Calculated
Absolute Monocyte Count (AMC) 0.31 10^3/µl 0.2-1.0 Calculated
Absolute Eosinophil Count (AEC) 0.21 10^3/uL 0.04-0.44 Calculated
Absolute Basophil Count 0.00 10^3/uL 0.0-1.0 Calculated
Platelet Count(PLT) 156 1000/ul 150 - 450 Electrical Impedance
MPV 12.30 fl 6.0-9.0 calculated
Comment: A complete blood count is a blood panel that gives information about the cells in a patient's blood, such as the cell count for each cell type and the
concentrations of various proteins and minerals. The cells that circulate in the blood stream are generally divided into three types: white blood cells , red blood cells, and
platelets . Abnormally high or low counts may indicate the presence of many forms of disease, and most commonly performed blood tests in medicine, as they can
provide an overview of a patient's general health status.
Page 2 of 13
DEPARTMENT OF BIOCHEMISTRY
C.REACTIVE PROTEIN
Sample Type : Serum
CRP (C.REACTIVE PROTEIN) 1.1 mg/L 0-6 Nephelometry
CLINICAL INFORMATION
C-reactive protein (CRP) is one of the most sensitive acute-phase reactants. Plasma CRP levels can increase dramatically (100-
fold or more) after severe trauma, bacterial infection, inflammation, surgery, or neoplastic proliferation. Measurement of CRP is
used to assess activity of inflammatory disease,to detect infections after surgery, to detect transplant rejection, and to monitor
these inflammatory processes.
Page 3 of 13
GLUCOSE FASTING
Sample Type : PLASMA
Glucose Fasting 93.0 mg/dl 70-106 GOD-POD
Crteria for Diagnosis of Diabetes Mellitus

(2016 American Diabetes Association (ADA) Diabetes Guideline)
Glucose Fasting(mg/dl) Post Glucose(PG) 2 hours HbA1c%

Non-Diabetic 70-99 Upto 139 <5.7
Pre-Diabetic 100-125 140-199 5.7-6.4
Diabetic 126 or >126 200 or >200 6.5 or >6.5
Remarks:-
Fasting is deifined as no caloric intake (No food or liquid except water) for atleast 8 hrs.
Post Glucose(PG) means the test should be performed using Glucose load as per the requirement.
Post Parandial(PP) means 2 hours after intake of a meal counting from the first bite of food.
Random is defined as any time of the day irrespective of the time of the meal.
HbA1c and Microalbuminuria are important tests for diagnosis and follow up of diabetes Millitus.
Page 4 of 13
HBA1C-HAEMOGLOBIN GLYCOSYLATED BLOOD

Sample Type : EDTA (HBA1C)
HbA1c (Glycosylated Hemoglobin) 5.7 % See Below HPLC
Average Blood Glucose 117 mg%
Criteria for Dignosis of Diabetes Mellitus

(2016 American Diabetes Association (ADA) diabetes guidelines
HbA1c(%)
DEGREE OF GLUCOSE CONTROL

Non-Diabetic <5.7
Pre-Diabetic 5.7-6.4
Diabetic 6.5 or > 6.5 For Prognosis
Remarks:-
Glucose combined with Hb continuously and nearly irrespectivly durin the lifespan of RBC i.e. 120 days.Therefore, glycosylated Hb(GHb) will
be proportional to mean plasma glucose level during previous 6-12 weeks. Factors such as duration of diabetes, adherence to therapy and
the age of patient should also be considered in assessing the degree of blood glucose control. these values are for nonpregnant
individuals
Clinical Information:
Glycosylated hemoglobin testing is recommended for checking blood sugar control in people who might be pre-diabetic and monitoring
blood sugar control in patients with more elevated levels, termed diabetes mellitus. The American Diabetes Association guidelines
suggest that the glycosylated hemoglobin(HbA1c) test be performed at least two times a year in patients with diabetes that are meeting
treatment goals (and that have stable glycemic control) and quarterly in patients with diabetes whose therapy has changed or that are not
meeting glycemic goals.
Glycated hemoglobin(HbA1c)measurement is not appropriate where there has been a change in diet or treatment within 6 weeks. Hence,
people with recent blood loss, hemolytic anemia, or genetic differences in the hemoglobin molecule (hemoglobinopathy) such as sickle-
cell disease and other conditions, as well as those that have donated blood recently, are not suitable for this test.
Page 5 of 13
LIPID PROFILE
Sample Type : Serum
Total Cholesterol 205.00 mg/dl CHOD-PAP
Triglyceride 142.0 mg/dl GPO-ADPS
HDL Cholesterol 63 mg/dl Direct
LDL Cholesterol 82 mg/dl Direct
NON HDL Cholesterol 142.00 Calculated
CHOL/HDL Cholesterol Ratio 3.25 Ratio Calculated
Total Lipid 750.00 mg/dl Calculated
BIOLOGICAL REFERANCE INTERVAL ;

National Lipid Total Cholesterol in Triglyceride in mg/dl LDL Cholesterol in NON HDL Cholesterol
Association mg/dl mg/dl in mg/dl
Recommendations
(NLA-2014)
Optimal <200 <150 <100 <130
Above Optimal -- -- 100-129 130-159
Borderline High 200-239 150-199 130-159 160-189
High >=240 200-499 160-189 190-219
Very High -- >=500 >=190 >=220
Remarks Cholesterol : HDL RATIO

Low Risk 3.3-4.4
Average Risk 4.5-7.1
Moderate Risk 7.2-11.0
High Risk >11.0
HDL Cholesterol (mg/dl) Gender
<35
High risk
>60 Low risk
Page 6 of 13
LIVER FUNCTION TEST (LFT)

Sample Type : Serum
Serum AST/SGOT 14.00 U/L 5 - 35 IFCC
Serum ALT/SGPT 23.00 U/L 5-41 IFCC
Alkaline Phosphatse 64.00 U/L 30 - 105 Serum by AMP
Bilirubin (Total) 0.75 mg/dl 0.10 - 1.20 Diazo
Bilirubin (Direct) 0.21 mg/dl 0.0 - 0.30 Diazo
Bilirubin (Indirect) 0.54 mg/dl Calculated
Protein(Total) 7.21 g/dl 6.30 - 8.30 Biuret
Albumin 4.4 g/dl 3.5-5 Biuret
Globulin 2.81 gm/dl 1.5-3.5 Biuret
A/G Ratio 1.57 Ratio 1.5 - 2.5 : 1 Calculated
GAMMA GT 13.0 U/L 9 - 38 Auto-Zyme
INTERPRETATION OF LIVER FUNCTION TEST

Mildly elevated ALT
level (less than 1.5 ALT value could be normal for gender, ethnicity or body mass index. Consider muscle injury or myopathy.
times normal)
Laboratory values can appear cholestatic, and symptoms can mimic cholecystitis. Minimal elevations of AST and ALT
Alcoholic hepatitis.
often occur.
AST level greater
The AST elevation is unlikely to result from alcohol intake alone. In a heavy drinker, consider acetaminophen toxicity.
than 500 U per L .
Common bile duct
Condition can simulate acute hepatitis AST and ALT become elevated immediately, but elevation of AP and GGT is delayed.
stone.
Isolated elevation of
unconjugated bilirubin Consider Gilbert Syndrome or Hemolysis.
level.
Low albumin is most often caused by acute or chronic inflammation, urinary loss, severe malnutrition or liver disease; it is
Low albumin level sometimes caused by gastrointestinal loss (e.g., colitis or some uncommon small bowel disease). Normal values are lower in
pregnancy.
Page 7 of 13
RENAL/KIDNEY FUNCTION TEST

Sample Type : SERUM
Blood Urea 19 mg/dl 15 - 39 Urease-GLDH
Creatinine 0.71 mg/dL 0.6 - 1.10 Enzymatic
Uric acid 2.70 mg/dL 2.30 - 5.70 Uricase-POD
CALCIUM 9.4 mg/dl 8.4 - 10.2 Arsenazo III
PHOSPHORUS Inorganic 4.05 mg/dl 2.5 - 4.5 (Adult)~4.0 - 7.0 UV Molybdate

(Child)
Blood Urea Nitrogen 8.9 mg/dL 7 - 17 Calculated
BUN CREATININE RATIO 12.5

UREA/CREATININE RATIO 26.76 CALCULATION
ELECTROLYTES PANEL
Sodium 141 mmol/l 137 - 145 ISE Direct
Potassium 4.01 mmol/l 3.5 - 5.1 ISE Direct
Chloride 101.0 mmol/l 98 - 107 ISE Direct
Remarks:-
eGFR unit : ml/min./1.73m2
eGFR <60 for Hemopdynamically unstable patients.
For Individuals of 19 years or more this calculator is used.
eGFR for less than 19 years of age is calculated by Pediatric eGFR calculator
Page 8 of 13
RHEUMATOID FACTOR SERUM

Sample Type : Serum
RHEUMATOID FACTOR (RA) 9.6 IU/ml 0 - 18 Nephelometry
CLINICAL INFORMATION
Positive results are consistent with rheumatoid arthritis. Non-rheumatoid and rheumatoid arthritis (RA) populations are not clearly
separate with regard to the presence of rheumatoid factor (RF) (15% of RA patients have a nonreactive titer and 8% of
nonrheumatoid patients have a positive titer). Patients with various non-rheumatoid diseases, characterized by chronic inflammation
may have positive tests for RF. These diseases include systemic lupus erythematosus, polymyositis, tuberculosis, syphilis, viral
hepatitis, infectious mononucleosis, and influenza
Page 9 of 13
DEPARTMENT OF CLINICAL PATHOLOGY

URINE ROUTINE EXAMINATION

Sample Type : Urine
PHYSICAL EXAMINATION
COLOUR PALE Pale Yellow Manual
YELLOW
SP. GRAVITY 1.010 1.001 - 1.035 Strip Method
APPEARANCE CLEAR Clear Manual
PH 5.50 4.5 - 9.0 Strip Method
CHEMICAL EXAMINATION
PROTEIN NEGATIVE NEGATIVE Strip Method
URINE SUGAR NORMAL NEGATIVE Strip Method
KETONES NEGATIVE Negative Strip Method
UROBILINOGEN NEGATIVE Normal Strip Method
BILIRUBIN NEGATIVE Negative Strip Method
NITRITE NEGATIVE Negative Strip Method
BLOOD ABSENT Negative Strip Method

MICROSCOPIC EXAMINATION
PUS CELLS 3-5 /HPF 0-5 Microscopy
EPITHELIAL CELLS 2-4 /HPF 0-2 Microscopy
RBCs Absent /HPF Microscopy
CASTS Absent Microscopy
CRYSTALS Absent Microscopy
BACTERIA NOT SEEN Absent Microscopy
YEAST CELLS ABSENT Absent Microscopy
OTHERS Absent
Page 10 of 13
DEPARTMENT OF HORMONES & MARKER

THYROID STIMULATING HORMONE (TSH)

Sample Type : SERUM
TSH Ultra 1.479 μIU/mL 0.38 - 5.33 CMIA WITH SERUM
Normal Range of TSH for Children and Pregnant Females:
Age Children Pregnancy

1 - 2 Days 3.20 - 34.6 Ist Trimester (0.30 - 4.50 )
3 - 4 Days 0.70 - 15.4 2nd Trimester (0.50 - 4.60 )
15Days - 5 Months 1.70 - 9.10 3rd Trimester (0.80 - 5.20)
5Months - 20 Years 0.70 - 6.40
Clinical Information
TSH levels are subject to circadian variation, reaction peak levels between 2-4 am and at a minimum between 6-10 pm. The variation is
of the day has influence on the measured serum TSH concentrations.
TSH values <0.03 uIU/ml need to be clinically correlated due to presence of a rare TSH variant in some individuals.
Page 11 of 13

VITAMIN - B12
Sample Type : SERUM
VITAMIN B12 177.00 pg/ml 187 - 883 CMIA WITH SERUM
INTERPRETATION:-
* Clinical and laboratory findings for Vitamin B12 deficiency include neurological abnormalities,
macrocytic anemias, low Vitamin B12 intake, gastrectomy, diseases of the small intestine ,
malabsorption, and trans-cobalamin deficiency.
* Disorders associated with elevated serum vitamin B12 levels include renal failure, liver disease and
myeloproliferative diseases.
Page 12 of 13

25 OH Vitamin D
Sample Type : SERUM
25 OH Vitamin D (Total) 22.50 ng/ml See below CMIA WITH SERUM
Biological Reference Interval :
Adult Pediatric
Deficiency of Vita.D < 10 ng/ml < 15 ng/ml
Insuficiency of Vita. D 10-30 ng/ml 15-20 ng/ml
Suficiency of Vita. D 30-100 ng/ml 20-100 ng/ml
Toxic of Vita. D >100 ng/ml >100 ng/ml
Clinical Information :
Vitamin D deficiency is a cause of secondary hyperparathyroidism and diseases related to impaired bone metabolism.Reduced 25-OH vitamin
D concentration in blood (vitamin D insufficiency) have been associated with an increasing risk of many chronic illnesses ,including common
cancers, autoimmune or infectious diseases or cardiovascular problems. The major storage form of vitamin D is 25 -OH vitamin D and is
present in blood at up to 1000 fold higher concentration compared to the active 125 ( OH ) - vitamin D .
*** End Of Report ***
Page 13 of 13

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Patient Name : Mrs.

CHHOTI DEVI Barcode NO : 10115092

ERYTHROCYTE SEDIMENTATION RATE

COMPLETE BLOOD COUNT

Hematocrit (PCV) 38.5 % 36 - 46 Calculated

Mean Corp Volume (MCV) 88.2 fl 83 - 101 Calculated

Mean Corp Hb (MCH) 28.8 pg 27 - 32 Calculated

Mean Corp Hb Conc (MCHC) 32.7 gm/dl 31.5 - 34.5 Calculated

RDW - CV 12.9 % 11 - 16 Calculated

DIFFERENTIAL LEUCOCYTE COUNT

Lymphocytes 32.3 % 20 - 40 Flow Cytometry

Monocytes 5.2 % 2 - 10 Flow Cytometry

Eosinophils 3.6 % 1-6 Flow Cytometry

Basophils 0 % 0.0 - 2.0 Flow Cytometry

ABSOLUTE LEUCOCYTE COUNT

Absolute Lymphocyte Count (ALC) 1.90 10^3/µl 1.4-3.5 Calculated

Absolute Monocyte Count (AMC) 0.31 10^3/µl 0.2-1.0 Calculated

Absolute Eosinophil Count (AEC) 0.21 10^3/uL 0.04-0.44 Calculated

Absolute Basophil Count 0.00 10^3/uL 0.0-1.0 Calculated

Platelet Count(PLT) 156 1000/ul 150 - 450 Electrical Impedance

MPV 12.30 fl 6.0-9.0 calculated

Crteria for Diagnosis of Diabetes Mellitus

Glucose Fasting(mg/dl) Post Glucose(PG) 2 hours HbA1c%

HBA1C-HAEMOGLOBIN GLYCOSYLATED BLOOD

Average Blood Glucose 117 mg%

Criteria for Dignosis of Diabetes Mellitus

DEGREE OF GLUCOSE CONTROL

Triglyceride 142.0 mg/dl GPO-ADPS

HDL Cholesterol 63 mg/dl Direct

LDL Cholesterol 82 mg/dl Direct

NON HDL Cholesterol 142.00 Calculated

CHOL/HDL Cholesterol Ratio 3.25 Ratio Calculated

Total Lipid 750.00 mg/dl Calculated

BIOLOGICAL REFERANCE INTERVAL ;

Very High -- >=500 >=190 >=220

Remarks Cholesterol : HDL RATIO

High Risk >11.0

HDL Cholesterol (mg/dl) Gender

LIVER FUNCTION TEST (LFT)

Serum ALT/SGPT 23.00 U/L 5-41 IFCC

Alkaline Phosphatse 64.00 U/L 30 - 105 Serum by AMP

Bilirubin (Total) 0.75 mg/dl 0.10 - 1.20 Diazo

Bilirubin (Direct) 0.21 mg/dl 0.0 - 0.30 Diazo

Bilirubin (Indirect) 0.54 mg/dl Calculated

Protein(Total) 7.21 g/dl 6.30 - 8.30 Biuret

Albumin 4.4 g/dl 3.5-5 Biuret

Globulin 2.81 gm/dl 1.5-3.5 Biuret

A/G Ratio 1.57 Ratio 1.5 - 2.5 : 1 Calculated

GAMMA GT 13.0 U/L 9 - 38 Auto-Zyme

INTERPRETATION OF LIVER FUNCTION TEST

RENAL/KIDNEY FUNCTION TEST

Creatinine 0.71 mg/dL 0.6 - 1.10 Enzymatic

Uric acid 2.70 mg/dL 2.30 - 5.70 Uricase-POD

CALCIUM 9.4 mg/dl 8.4 - 10.2 Arsenazo III

PHOSPHORUS Inorganic 4.05 mg/dl 2.5 - 4.5 (Adult)~4.0 - 7.0 UV Molybdate

BUN CREATININE RATIO 12.5

Potassium 4.01 mmol/l 3.5 - 5.1 ISE Direct

Chloride 101.0 mmol/l 98 - 107 ISE Direct

RHEUMATOID FACTOR SERUM

* End Of Report *