M Karuppasamy Report-2

Blood reports in 6 hours
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Name M karuppasamy Age / Sex 71 Y / Male Collected On 15/07/2024 08:50 PM
BL91964701
Ref. Doctor - Patient ID OHPH4UB2885011 Received On 15/07/2024 11:03 PM
Partner Visit ID BL91964701 Reported On 16/07/2024 01:02 AM
Test Results Units Biological Reference

BIOCHEMISTRY
Liver Function Test (LFT)

Serum
Bilirubin, Total 0.55 mg/dL

Adult: 0.2-1.3
MC-6367 Diazo Method Neonate: 1.0-10.5
Bilirubin, Direct Neonate: 0.0-0.6

0.43 mg/dL Adult: 0.0-0.3
MC-6367 Calculated
Bilirubin, Indirect 0.13 mg/dL

Adult: 0.1-1.1
MC-6367 Reflectance Spectrophotometry Neonate: 0.6-10.5
Aspartate Aminotransferase
(AST) 72 U/L 17-49
MC-6367
Multipoint-Rate/UV with Pyridoxal-5-
Phosphate (P-5-P)
Alanine Transaminase (ALT) 43 U/L < 50

MC-6367 LDH, UV Kinetic
Aspartate
Aminotransferase/Alanine 1.7 0.7-1.4
Transaminase (AST/ALT) Ratio
Calculated
Alkaline Phosphatase (ALP)

MC-6367
Multipoint-Rate/UV with Pyridoxal-5- 55 U/L 38-126
Phosphate (P-5-P)
Protein
6.0 g/dL 6.0-8.3
MC-6367 Biuret
Gamma-Glutamyl
MC-6367
Transpeptidase (GGT) 34 U/L 15-73
SZAZ Carboxylated Substrate
Albumin
3.5 g/dL 3.5-5.0
MC-6367 Bromo-Cresol Green
Globulin
2.5 g/dL 2.3-3.5
MC-6367 Calculated
Albumin/Globulin (A/G) Ratio

1.4 0.8-2.0
MC-6367 Calculated
In certain individuals, total bilirubin up to 2.0 mg/dl is considered normal. High bilirubin values can be due to jaundice.
Total bilirubin is invariably increased in jaundice. Causes of jaundice are prehepatic, resulting from various hemolytic diseases;
hepatic, resulting from hepatocellular injury or obstruction; and posthepatic, resulting from obstruction of the hepatic or
common bile ducts.
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BL91964701

Increased direct bilirubin levels can occur in hepatobiliary disorders, including intrahepatic and extrahepatic biliary tree
obstruction, liver cell damage, Dubin-Johnson syndrome, and Rotor syndrome.
High indirect bilirubin levels can occur in hemolytic disorders, Gilbert’s syndrome, Crigler-Najjar syndrome, neonatal jaundice,
and ineffective erythropoiesis.
High Aspartate Aminotransferase values can occur in Myocardial infarction, pulmonary emboli, skeletal muscle trauma, alcoholic
cirrhosis, viral hepatitis, or drug-induced hepatitis.
Elevated Alanine Aminotransferase levels are seen in liver cell necrosis, hepatitis, hepatic cirrhosis, liver tumours, obstructive
jaundice, Reye’s syndrome, extensive trauma to skeletal muscle, myositis, myocarditis, or myocardial infarction.
High alkaline phosphatase levels can be be due to primary and secondary hyperparathyroidism, Paget’s disease of bone,
carcinoma metastatic to the bone, osteogenic sarcoma, Hodgkin’s disease, Hepatobiliary diseases involving cholestasis,
inflammation, or cirrhosis.
ALP levels can also be elevated in fever and increased bone metabolism(e.g., in adolescents and during the healing of a fracture),
in renal infarction and failure and in pregnancy complications.
Low ALP levels may occasionally be seen in hypothyroidism.
Gamma-glutamyl transferase (GGT) is a sensitive indicator of hepatobiliary disease. It is useful in the diagnosis of obstructive
jaundice and chronic alcoholic liver disease, in the follow-up of chronic alcoholics undergoing treatment, and in the detection of
hepatotoxicity. GGT is more responsive to biliary obstruction than AST, ALT, or ALP.
Total protein levels can be used to evaluate nutritional status.

High protein concentrations can be due to dehydration, Waldenström’s macroglobulinemia, multiple myeloma,
hyperglobulinemia, granulomatous, and some tropical diseases.
Low protein concentrations can be due to pregnancy, excessive intravenous fluid administration, cirrhosis or other liver diseases,
chronic alcoholism, heart failure, nephrotic syndrome, glomerulonephritis, neoplasia, protein-losing enteropathies,
malabsorption, and severe malnutrition.
Increased albumin levels may indicate dehydration or hyperinfusion with albumin.

Decreased albumin levels are found in rapid or over-hydration, severe malnutrition and malabsorption, severe diffuse liver
necrosis, chronic active hepatitis, and neoplasia.
Albumin is commonly reduced in chronic alcoholism, pregnancy, renal protein loss, thyroid dysfunction, peptic ulcer disease, and
chronic inflammatory diseases.
Globulin includes carrier proteins, enzymes, complement, and immunoglobulins. Most of these are synthesised in the liver,
although immunoglobulins are synthesised by plasma cells.
Increased globulin level usually results from an increase in immunoglobulins.
Malnutrition and congenital immune deficiency can decrease globulin levels due to decreased synthesis. Nephrotic syndrome
can cause decreased globulin levels due to protein loss through the kidney.
AST/ALT Ratio > 2:1 (AST is two times higher than ALT) is indicative of alcoholic liver disease.
AST/ALT Ratio < 1:1 (ALT is higher than AST) indicates non-alcoholic fatty liver disease.

BL91964701

HAEMATOLOGY
Peripheral Smear for Malarial

MC-6367
Parasite Not seen Not seen
Whole Blood,Leishman Stain
Complete Blood Count (CBC) with ESR

Whole Blood
Red Blood Cells (RBC) Count

4.23 mill/mm³ 4.5-5.5
MC-6367 DC Impedance Method
Hemoglobin (Hb)
12.6 g/dL 13.0-17.0
MC-6367 Cyanide-free SLS method
Hematocrit (HCT) | Packed Cell

MC-6367
Volume (PCV) 38.4 % 40-50
Calculated
Mean Corpuscular Volume (MCV) 90.7 fL 83-101

MC-6367 Calculated
Mean Corpuscular Hemoglobin

MC-6367
(MCH) 29.7 pg 27-32
Calculated
Mean Corpuscular Hemoglobin

MC-6367
Concentration (MCHC) 32.8 g/dL 31.5-34.5
Calculated
Red Cell Distribution Width (RDW)

CV 13.7 % 11.6-14.0
Calculated
Mentzer Index Beta Thalassemia trait: < 14

21.4 Iron deficiency anaemia: >= 14
Calculated
Sehgal Index Beta Thalassemia trait: < 972

1944.8 Iron deficiency anaemia: >= 972
Calculated
Total White Blood Cell Count (TC) 2880 cells/mm³ 4000-10000

MC-6367 Flow Cytometry
Comments Kindly correlate clinically and advise follow up.
Differential Count
Neutrophils 45.8 % 40-80


BL91964701

Lymphocytes
33.0 % 20-40
Monocytes
8.3 % 2-10
Eosinophils 12.6 % 1-6

Comments Kindly correlate clinically and advise IgE levels for further evaluation.
Basophils 0.3 % 0-2

Absolute Neutrophil Count (ANC) 1319 /mm³ 2000-7000

MC-6367 Calculated
Absolute Lymphocyte Count (ALC)

950 /mm³ 1000-3000
MC-6367 Calculated
Absolute Monocyte Count (AMC)

239 /mm³ 200-1000
MC-6367 Calculated
Absolute Eosinophil Count (AEC) 363 /mm³ 20-500

MC-6367 Calculated
Absolute Basophil Count (ABC)

9 /mm³ 0-100
MC-6367 Calculated
Neutrophil Lymphocyte Ratio

(NLR) 1.4 1.0-3.0
Calculated
Platelet Count
148 10^3/µL 150-450
MC-6367 DC Impedance Method
Comments Kindly correlate clinically and advise follow up.
Platelet Hematocrit 0.169 % 0.20-0.50

MC-6367 Calculated
Mean Platelet Volume (MPV)

11.5 fL 7-13
Calculated
Erythrocyte Sedimentation Rate

MC-6367
(ESR) 9 mm/h 0-10
Quantitative Capillary Photometry
1. Reference Ranges are in accordance with Dacie & Lewis Practical Hematology International Edition (12th)
2. As per International Council for Standardization in Hematology's recommendations Differential Leucocyte counts are
additionally reported in Absolute numbers in each cell per unit volume of blood.

BL91964701

SEROLOGY
Typhidot
Serum
Typhidot IgG
Negative Negative
Immunochromatography
Typhidot IgM
Negative Negative
Immunochromatography
A negative result does not preclude the possibility of exposure to S.typhi or paratyphi. It can occur if the quantity of antibodies is
below the detection limit of the assay or the antibodies that are detected are not present during the stage of disease in which the
sample is collected.
It is a screening test. If the symptoms persist and the test is negative, it is recommended to correlate clinically and test with an
alternative test method, such as blood culture.
Dengue Profile
Serum
Dengue NS1 Antigen Negative: < 0.8

Enzyme-Linked Immunosorbent Assay 0.03 Positive: >= 1.1
(ELISA) Equivocal: 0.8-1.1
Dengue IgM Antibody Negative: < 0.8

Dengue IgG Antibody Negative: < 0.8

ANTIBODY OR ANTIGEN RESULT (INDEX) INTERPRETATION
Dengue IgG Antibody No detectable IgG

NEGATIVE (<0.8)
antibody.
The sample should be re-

tested. If the samples
remain
EQUIVOCAL (0.8 to <1.1)
Equivocal, the sample
should be tested with
alternative method.
POSITIVE (≥1.1) Presence of detectable IgG

antibody. It indicates

BL91964701

primary/ secondary
Dengue virus infection.
No detectable IgM
NEGATIVE (<0.8)
antibody.

remain
Dengue IgM Antibody Equivocal, the sample
alternative method.
Presence of detectable IgM

antibody. It indicates
POSITIVE (≥1.1)
primary Dengue virus
infection.
NEGATIVE (<0.8) No detectable NS1 antigen.

remain
Equivocal, the sample
Dengue NS1 Antigen
alternative method.
Presence of detectable NS1

antigen. It indicates
POSITIVE (≥1.1)
primary Dengue virus
infection.
Recommended test is NS1 Antigen by ELISA in the first 5 days of fever. After 7-10 days of fever, the recommended test is Dengue
fever antibodies IgG and IgM by ELISA.
Cross reactivity is seen in the Flavivirus group between Dengue Virus, Leptospira, Rheumatoid arthritis (RA), Hepatitis-A, Influenza
A & B, Salmonella Typhi, Japanese encephalitis, Epstein-Barr virus, West Nile virus disease.
Chikungunya IgM Antibody

Negative Negative
MC-6367 Serum,Immunochromatography

BL91964701

Clinical Significance:
Chikungunya is a viral infection transmitted by the bite of an infected Aedes aegypti mosquito. Symptoms are very similar to
those of Dengue fever, but unlike Dengue there is no hemorrhagic or shock syndrome. The disease is characterized by rash, fever
and severe joint pain (arthralgia).
Note:
Negative result does not exclude the possibility of exposure to Chikungunya virus False negative results are seen if IgM antibody
is below the detectable limit or is absent during the stage of the disease in which specimen has been collected. All results to be
clinically correlated.

BL91964701

CLINICAL PATHOLOGY
Urine Complete Analysis

Urine
Urine, Physical Examination
Volume 40 mL
Manual
Colour Pale yellow Pale yellow

MC-6367 Manual
Appearance
Clear Clear
MC-6367 RGB Sensor Technology
Urine, Chemical Examination
pH 6.0 5.0-8.0
MC-6367 Double Indicator Method
Specific Gravity 1.010 1.001-1.035

MC-6367 Bromo Thymol Blue Indicato
Protein
Nil Nil
Protein Error of pH Indicator
Glucose
MC-6367
Enzyme Method Glucose Oxidase- Nil Nil
Peroxidase (GOD-POD)
Ketones Nil Nil

MC-6367 Nitroprusside Method/Dipstick
Bilirubin
Nil Nil
Azo Coupling Method
Blood
Negative Negative
MC-6367 Peroxidase Activity
Urobilinogen
Normal Normal
MC-6367 Azo Coupling Method
Leucocyte Esterase
Negative Negative
MC-6367 Granulocyte Esterase Method
Nitrites
Negative Negative
MC-6367 Griess Method
Urine, Microscopic Examination
Pus Cells
1-2 /hpf 0-5
MC-6367 Automated Morphological Microscopy

BL91964701

Epithelial Cells 1-2 /hpf 0-2
Red Blood Cells (RBC) Nil 0-2

Granular Casts
Nil /hpf Nil
Automated Morphological Microscopy
Hyaline Casts
Nil /hpf Occasional
Uric Acid Crystals

Nil /hpf Nil
Phosphate Crystals
Nil /hpf Nil
Calcium Oxalate Crystals Nil /hpf Nil

Amorphous Urates Nil /hpf Nil

Amorphous Phosphates
Nil /hpf Nil
Yeast
Nil Nil
Bacteria
Nil Nil
Parasites
Nil /hpf Nil
Mucus
Nil Nil
Increased protein in urine is seen in dehydration, kidney disorders, heart failure and transplant rejection. 24 hour urine protein
and Protein/creatinine ratio in a random urine sample recommended if increased.
Glucosuria can be seen in kidney disorders, uncontrolled diabetes mellitus, hormonal disorders, and pregnancy. To be correlated
with plasma glucose levels.
Ketonuria is seen in physical exercise, starvation, severe vomiting, exposure to cold, uncontrolled diabetes (diabetic ketoacidosis)
Increased bilirubin levels should be followed up with Liver function tests and indicates conjugated hyperbilirubinemia.
Increased urobilinogen can be seen due to haemolysis, megaloblastic anaemia and haemorrhage in tissues. Urobilinogen is
absent or reduced in obstructive liver disease and antibiotic therapy.
RBCs in urine (Haematuria) can be seen in anticoagulant therapy, bleeding diathesis and traumatic catheterization history to be
looked into. Dysmorphic RBCs suggestive of glomerular pathology. Non glomerular diseases line calculus, infections, tumours,
after strenuous exercise and diseases of the prostate.

BL91964701

Increase in pus cells are elevated in cases of UTI, to be correlated with urine culture, if clinically indicated. Infection can be in
either the upper or lower urinary tract or with acute glomerulonephritis, tubule interstitial nephritis. Leucocyte esterase detects
esterase enzyme released from the granules of leucocytes.
Infected urine may contain considerable amounts of nitrite as a result of bacterial nitrate reductase activity, and detection of
nitrite in urine is routinely used in the diagnosis of bacterial cystitis. It is indicative of the requirement of Urine culture and
sensitivity testing for identification and treatment of UTI.
Hyaline casts are seen normally (not associated with disease states) seen after strenuous exercise and with non renal diseases,
such as dehydration.
Granular casts can be seen in acute glomerulonephritis and pyelonephritis.
Dr. Alekya Seerapu Dr. Akshay Prashantkumar Vadavadgi Dr. Aekta

MD Pathology MD Pathology MD Pathology
CONDITIONS OF LABORATORY TESTING & REPORTING
Tests marked with NABL symbol are accredited by NABL vide certificate no MC-6367
It is presumed that the test sample belongs to the patient named or identified in the test requisition form. Test results released
pertain to the specimen submitted.
Laboratory investigations are only a tool to facilitate arriving at a diagnosis and should be clinically correlated by the Referring
Physician.
All tests are performed and reported as per the turnaround time stated in the Orange Health Labs Directory of Services (DOS).
Orange Health Labs confirms that all tests have been performed or assayed with the highest quality standards, clinical safety &
technical integrity.
All test results are dependent on the quality of the sample received by the Laboratory and the assay technology.
Report delivery may be delayed due to unforeseen circumstances. Inconvenience is regretted.
A requested test might not be performed if:
The specimen received is insufficient or inappropriate, or the specimen quality is unsatisfactory
Incorrect specimen type
Request for testing is withdrawn by the ordering doctor or patient
There is a discrepancy between the label on the specimen container and the name on the test requisition form
Test results may show interlaboratory variations.
Test results are not valid for medico-legal purposes.
This is a computer-generated medical diagnostic report that has been validated by an Authorized Medical Practitioner/Doctor.
The report does not need a physical signature.

IN MATTERS RELATED TO HEALTH,
FASTER IS BETTER.
We equate showing care to showing
urgency.
Blood starts deteriorating the minute it

leaves the human vein, unless stored right.
We have built our logistics to achieve the
fastest vein-to-machine testing time in the
industry, and in our journey ahead will strive
to reduce it further as much as possible.
HOW ARE WE
FASTER THAN OTHERS?
We identified two gaps in diagnostics:
sample transportation time and
processing delays.
We have solved for these problems by our approach of:
NO COLLECTION NO BATCH NO TIME

CENTRES TESTING WASTED
Your samples are sent We don’t batch your Since we test your
straight to our labs at samples to save costs. blood the fastest, you
the right temperature. They are tested the get the most accurate
moment they come in. reports in the industry.
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Blood reports in 6 hours

Highest Rated Lab Recommended by Trusted by

Name M karuppasamy Age / Sex 71 Y / Male Collected On 15/07/2024 08:50 PM

Partner Visit ID BL91964701 Reported On 16/07/2024 01:02 AM

Test Results Units Biological Reference

Liver Function Test (LFT)

Bilirubin, Total 0.55 mg/dL

Bilirubin, Direct Neonate: 0.0-0.6

Bilirubin, Indirect 0.13 mg/dL

Alanine Transaminase (ALT) 43 U/L < 50

Alkaline Phosphatase (ALP)

Albumin/Globulin (A/G) Ratio

Orchard Healthcare Pvt. Ltd. Get your reports

Name M karuppasamy Age / Sex 71 Y / Male Collected On 15/07/2024 08:50 PM

Partner Visit ID BL91964701 Reported On 16/07/2024 01:02 AM

Test Results Units Biological Reference

Total protein levels can be used to evaluate nutritional status.

Increased albumin levels may indicate dehydration or hyperinfusion with albumin.

Orchard Healthcare Pvt. Ltd. Get your reports

Name M karuppasamy Age / Sex 71 Y / Male Collected On 15/07/2024 08:50 PM

Partner Visit ID BL91964701 Reported On 16/07/2024 01:22 AM

Test Results Units Biological Reference

Peripheral Smear for Malarial

Complete Blood Count (CBC) with ESR

Red Blood Cells (RBC) Count

Hematocrit (HCT) | Packed Cell

Mean Corpuscular Volume (MCV) 90.7 fL 83-101

Mean Corpuscular Hemoglobin

Mean Corpuscular Hemoglobin

Red Cell Distribution Width (RDW)

Mentzer Index Beta Thalassemia trait: < 14

Sehgal Index Beta Thalassemia trait: < 972

Total White Blood Cell Count (TC) 2880 cells/mm³ 4000-10000

Comments Kindly correlate clinically and advise follow up.

Neutrophils 45.8 % 40-80

Orchard Healthcare Pvt. Ltd. Get your reports

Name M karuppasamy Age / Sex 71 Y / Male Collected On 15/07/2024 08:50 PM

Partner Visit ID BL91964701 Reported On 16/07/2024 01:22 AM

Test Results Units Biological Reference

Eosinophils 12.6 % 1-6

Basophils 0.3 % 0-2

Absolute Neutrophil Count (ANC) 1319 /mm³ 2000-7000

Absolute Lymphocyte Count (ALC)

Absolute Monocyte Count (AMC)

Absolute Eosinophil Count (AEC) 363 /mm³ 20-500

Absolute Basophil Count (ABC)

Neutrophil Lymphocyte Ratio

Comments Kindly correlate clinically and advise follow up.

Platelet Hematocrit 0.169 % 0.20-0.50

Mean Platelet Volume (MPV)

Erythrocyte Sedimentation Rate

Orchard Healthcare Pvt. Ltd. Get your reports

Name M karuppasamy Age / Sex 71 Y / Male Collected On 15/07/2024 08:50 PM

Partner Visit ID BL91964701 Reported On 16/07/2024 08:23 AM

Test Results Units Biological Reference

Dengue NS1 Antigen Negative: < 0.8

Dengue IgM Antibody Negative: < 0.8

Dengue IgG Antibody Negative: < 0.8

ANTIBODY OR ANTIGEN RESULT (INDEX) INTERPRETATION