Patient NAME : Mr Shankar Chincholkar

DOB/Age/Gender : 67 Y/Male Report STATUS : Final Report

Patient ID / UHID : 9873229/OF9873229 Barcode NO : HQ481251
Referred BY : Dr. Priti sarbare Sample Type : Whole blood EDTA
....

Sample Collected : Sep 25, 2024, 08:52 PM Report Date : Sep 26, 2024, 02:06 PM.
Test Description Value(s) Unit(s) Reference Range

Bharat Swastham C Pro

Complete Blood Count (CBC)

RBC Parameters
Hemoglobin 14 g/dL 13.0 - 17.0
colorimetric
RBC Count 5.1 10^6/µl 4.5 - 5.5
Electrical impedance
PCV 41.7 % 40 - 50
Calculated
MCV 82.3 fl 83 - 101
Calculated
MCH 27.7 pg 27 - 32
Calculated
MCHC 33.7 g/dL 31.5 - 34.5
Calculated
RDW (CV) 11.2 % 11.6 - 14.0
Calculated
RDW-SD 42.8 fl 35.1 - 43.9
Calculated
WBC Parameters
TLC 9.2 10^3/µl 4 - 10
Electrical impedance and microscopy
Differential Leucocyte Count
Neutrophils 78.2 % 40-80
Lymphocytes 16.8 % 20-40
Monocytes 3.5 % 2-10
Eosinophils 1.2 % 1-6
Basophils 0.3 % <2
Absolute Leukocyte Counts
Neutrophils. 7.19 10^3/µl 2-7
Lymphocytes. 1.55 10^3/µl 1-3
Monocytes. 0.32 10^3/µl 0.2 - 1.0
Eosinophils. 0.11 10^3/µl 0.02 - 0.5
Basophils. 0.03 10^3/µl 0.02 - 0.5
Platelet Parameters
Platelet Count 236 10^3/µl 150 - 410
Electrical impedance and microscopy
Mean Platelet Volume (MPV) 10.2 fL 9.3 - 12.1
Calculated
PCT 0.2 % 0.17 - 0.32
Calculated

Booking Centre :- Desire Healthcare (Chandrapur), Desire health care In front of Dr devtale hospital Above jet computer
New gurudwara road Tukum chandrapur 442401
Processing Lab :- Redcliffe Lifetech Pvt. Ltd., Ground Floor, Dr. Saboo Hospital, H.N.-505, A-5 CA Road Mahal,
Nagpur- 440002

Page 1 of 14
Patient NAME : Mr Shankar Chincholkar
DOB/Age/Gender : 67 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9873229/OF9873229 Barcode NO : HQ481251
Referred BY : Dr. Priti sarbare Sample Type : Whole blood EDTA
Sample Collected : Sep 25, 2024, 08:52 PM Report Date : Sep 26, 2024, 02:06 PM.
Test Description Value(s) Unit(s) Reference Range
P-LCR 37.4 % 18 - 50
Calculated
P-LCC 88 10^9/L 44 - 140
Calculated
Mentzer Index 16.14 % > 13
Calculated

Interpretation:
CBC provides information about red cells, white cells and platelets. Results are useful in the diagnosis of anemia, infections, leukemias, clotting
disorders and many other medical conditions.

Booking Centre :- Desire Healthcare (Chandrapur), Desire health care In front of Dr devtale hospital Above jet computer
New gurudwara road Tukum chandrapur 442401
Processing Lab :- Redcliffe Lifetech Pvt. Ltd., Ground Floor, Dr. Saboo Hospital, H.N.-505, A-5 CA Road Mahal,
Nagpur- 440002

Page 2 of 14
 Patient NAME : Mr Shankar Chincholkar
DOB/Age/Gender : 67 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9873229/OF9873229 Barcode NO : HQ481251
Referred BY : Dr. Priti sarbare Sample Type : Whole blood EDTA
....

Sample Collected : Sep 25, 2024, 08:52 PM Report Date : Sep 26, 2024, 02:06 PM.
Test Description Value(s) Unit(s) Reference Range

HbA1C (Glycosylated Haemoglobin)

Glycosylated Hemoglobin (HbA1c) 5.8 < 5.7

Enzymatic
Estimated Average Glucose 119.76 mg/dL Refer Table Below
Interpretation:
Interpretation For HbA1c% As per American Diabetes Association (ADA)
Reference Group HbA1c in %
Non diabetic adults >=18 years <5.7
At risk (Prediabetes) 5.7 - 6.4
Diagnosing Diabetes >= 6.5
Age > 19 years
Goal of therapy: < 7.0
Therapeutic goals for glycemic control
Age < 19 years
Goal of therapy: <7.5

Note:
1. Since HbA1c reflects long term fluctuations in the blood glucose concentration, a diabetic patient who is recently under good control may still
have a high concentration of HbA1c. Converse is true for a diabetic previously under good control but now poorly controlled.
2. Target goals of < 7.0 % may be beneficial in patients with short duration of diabetes, long life expectancy and no significant cardiovascular
disease. In patients with significant complications of diabetes, limited life expectancy or extensive co-morbid conditions, targeting a goal of < 7.0 %
may not be appropriate.

Comments :
HbA1c provides an index of average blood glucose levels over the past 8 - 12 weeks and is a much better indicator of long term glycemic control as
compared to blood and urinary glucose determinations ADA criteria for correlation between HbA1c & Mean plasma glucose levels.
HbA1c(%) Mean Plasma Glucose (mg/dL) HbA1c(%) Mean Plasma Glucose (mg/dL)
6 126 12 298
8 183 14 355
10 240 16 413

Booking Centre :- Desire Healthcare (Chandrapur), Desire health care In front of Dr devtale hospital Above jet computer
New gurudwara road Tukum chandrapur 442401
Processing Lab :- Redcliffe Lifetech Pvt. Ltd., Ground Floor, Dr. Saboo Hospital, H.N.-505, A-5 CA Road Mahal,
Nagpur- 440002

Page 3 of 14
 Patient NAME : Mr Shankar Chincholkar
DOB/Age/Gender : 67 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9873229/OF9873229 Barcode NO : ZE668409
Referred BY : Dr. Priti sarbare Sample Type : Serum
....

Sample Collected : Sep 25, 2024, 08:52 PM Report Date : Sep 26, 2024, 02:10 PM.
Test Description Value(s) Unit(s) Reference Range

Liver Function Test (LFT)

Bilirubin Total 0.6 mg/dL 0.2 - 1.2

Diazonium Salt
Bilirubin Direct 0.2 mg/dL 0.0 - 0.5
Diazo Reaction
Bilirubin Indirect 0.4 mg/dL 0.1 - 1.0
Calculation (T Bil - D Bil)
SGOT/AST 20 U/L 5 - 34
NADH without P5P
SGPT/ALT 14 U/L 0 to 55
NADH without P5P
SGOT/SGPT Ratio 1.43 % -
Calculated
Alkaline Phosphatase 77 U/L 40 - 150
Para-Nitrophenyl Phosphate
Total Protein 7.6 g/dL 6.4 - 8.3
Biuret
Albumin 4.8 gm/dL 3.8 - 5.0
BCG
Globulin 2.8 g/dL 2.3 - 3.5
Calculation (T.P - Albumin)
Albumin :Globulin Ratio 1.71 - 1.3 - 2.1
Calculation (Albumin/Globulin)
Gamma Glutamyl Transferase (GGT) 15 U/L 12 - 64
L-Gamma-Glutamyl-3-Carboxy-4-Nitroanilide Substra-

Interpretation:
The liver filters and processes blood as it circulates through the body. It metabolizes nutrients, detoxifies harmful substances, makes blood
clotting proteins, and performs many other vital functions. The cells in the liver contain proteins called enzymes that drive these chemical
reactions. When liver cells are damaged or destroyed, the enzymes in the cells leak out into the blood, where they can be measured by blood
tests Liver tests check the blood for two main liver enzymes. Aspartate aminotransferase (AST),SGOT: The AST enzyme is also found in
muscles and many other tissues besides the liver. Alanine aminotransferase (ALT), SGPT: ALT is almost exclusively found in the liver. If ALT
and AST are found together in elevated amounts in the blood, liver damage is most likely present. Alkaline Phosphatase and GGT: Another of
the liver's key functions is the production of bile, which helps digest fat. Bile flows through the liver in a system of small tubes (ducts), and is
eventually stored in the gallbladder, under the liver. When bile flow is slow or blocked, blood levels of certain liver enzymes rise: Alkaline
phosphatase Gamma-utamyl transpeptidase (GGT) Liver tests may check for any or all of these enzymes in the blood. Alkaline phosphatase is
by far the most commonly tested of the three. If alkaline phosphatase and GGT are elevated, a problem with bile flow is most likely present. Bile
flow problems can be due to a problem in the liver, the gallbladder, or the tubes connecting them. Proteins are important building blocks of all
cells and tissues. Proteins are necessary for your body's growth, development, and health. Blood contains two classes of protein, albumin and
globulin. Albumin proteins keep fluid from leaking out of blood vessels. Globulin proteins play an important role in your immune system. Low
total protein may

Indicate:
1.Bleeding
2.Liver disorder
3.Malnutrition
4.Agammaglobulinemia High Protein levels 'Hyperproteinemia: May be seen in dehydration due to inadequate water intake or to excessive

Booking Centre :- Desire Healthcare (Chandrapur), Desire health care In front of Dr devtale hospital Above jet computer
New gurudwara road Tukum chandrapur 442401
Processing Lab :- Redcliffe Lifetech Pvt. Ltd., Ground Floor, Dr. Saboo Hospital, H.N.-505, A-5 CA Road Mahal,
Nagpur- 440002

Page 4 of 14
Patient NAME : Mr Shankar Chincholkar
DOB/Age/Gender : 67 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9873229/OF9873229 Barcode NO : ZE668409
Referred BY : Dr. Priti sarbare Sample Type : Serum
Sample Collected : Sep 25, 2024, 08:52 PM Report Date : Sep 26, 2024, 02:10 PM.
Test Description Value(s) Unit(s) Reference Range
water loss (eg, severe vomiting, diarrhea, Addison's disease and diabetic acidosis) or as a result of increased production of proteins Low
albumin levels may be

Caused by:
1.A poor diet (malnutrition).
2.Kidney disease.
3.Liver disease. High albumin levels may be caused by: Severe dehydration.

Booking Centre :- Desire Healthcare (Chandrapur), Desire health care In front of Dr devtale hospital Above jet computer
New gurudwara road Tukum chandrapur 442401
Processing Lab :- Redcliffe Lifetech Pvt. Ltd., Ground Floor, Dr. Saboo Hospital, H.N.-505, A-5 CA Road Mahal,
Nagpur- 440002

Page 5 of 14
 Patient NAME : Mr Shankar Chincholkar
DOB/Age/Gender : 67 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9873229/OF9873229 Barcode NO : ZE668409
Referred BY : Dr. Priti sarbare Sample Type : Serum
....

Sample Collected : Sep 25, 2024, 08:52 PM Report Date : Sep 26, 2024, 02:13 PM.
Test Description Value(s) Unit(s) Reference Range

Kidney Function Test (KFT)

Blood Urea 53.5 mg/dL 18 - 55

Urease
Bun 25 mg/dL 8 - 23
Calculated
Creatinine 2.17 mg/dL 0.72 - 1.25
Kinetic Alkaline Picrate
eGFR (CKD-EPI) 32.55 ml/min/1.73 sq m Normal Or High: >= 90
Mild Or Decrease: 60-89
Mild To Moderate Decrease:
45-59
Mild To Severe Decrease:
30-44
Severe Decrease: 15-29
Kidney Failure: < 15
Bun/Creatinine Ratio 11.52 12 - 20
Calculated
Urea / Creatinine Ratio 24.65 25.68- 42.8
Calculated
Uric Acid 7.8 mg/dL 3.5 - 7.2
Uricase
Calcium Serum 9.4 mg/dL 8.8 - 10.0
Arsenazo III
Phosphorus 4 mg/dL 2.3 - 4.7
Phosphomolybdate
Sodium 134.0 mEq/L 135 - 145
Direct ISE
Potassium 5.7 mmol/L 3.5 - 5.3
Direct ISE
Chloride 104.6 mEq/L 95 - 107
Direct ISE

Interpretation:
Kidney function tests is a collective term for a variety of individual tests and proceduresthat can be done toevaluate how well the kidneys are functioning. Many
conditions can affect the ability of the kidneys to carryout their vital functions. Somelead to a rapid (acute) decline in kidney functionothers lead to a gradual
(chronic) declineinfunction. Both result in a buildup of toxic waste subst done on urine samples, as well as on blood samples. A number of symptoms may indicate
a problem with your kidneys. These include : high blood pressure,blood in urine frequent urges to urinate,difficulty beginning urination,painful urination,swelling
in the hands and feet due to a buildup of fluids in the body. A single symptom may not mean something serious. However, when occurring simultaneously, these
symptoms suggest that your kidneys are not working properly. Kidney function tests can help determine the reason. Electrolytes are present in the human body
and the balancing act of the electrolytes in our bodies is essential for normal function of our cells and organs. There has to be a balance.Ionized calcium this test if
you have signs of kidney or parathyroid disease. The test may also be done to monitor progress and treatment of these diseases.

Booking Centre :- Desire Healthcare (Chandrapur), Desire health care In front of Dr devtale hospital Above jet computer
New gurudwara road Tukum chandrapur 442401
Processing Lab :- Redcliffe Lifetech Pvt. Ltd., Ground Floor, Dr. Saboo Hospital, H.N.-505, A-5 CA Road Mahal,
Nagpur- 440002

Page 6 of 14
 Patient NAME : Mr Shankar Chincholkar
DOB/Age/Gender : 67 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9873229/OF9873229 Barcode NO : ZE668409
Referred BY : Dr. Priti sarbare Sample Type : Serum
....

Sample Collected : Sep 25, 2024, 08:52 PM Report Date : Sep 26, 2024, 02:10 PM.
Test Description Value(s) Unit(s) Reference Range

Lipid Profile

Total Cholesterol 149 mg/dL <200

Enzymatic - Cholesterol Oxidase
Triglycerides 218 mg/dL <150
Glycerol Phosphate Oxidase
HDL Cholesterol 32 mg/dL >40
Accelerator Selective Detergent
Non HDL Cholesterol 117 mg/dL <130
Calculated
LDL Cholesterol 73.4 mg/dL <100
Calculated
V.L.D.L Cholesterol 43.6 mg/dL < 30
Calculated
Chol/HDL Ratio 4.66 Ratio 3.0 - 5.0
Calculated
HDL/ LDL Ratio 0.44 Ratio 0.5 - 3.0
Calculated
LDL/HDL Ratio 2.29 % 2.5 - 3.5
Calculated

Interpretation:
Lipid level assessments must be made following 9 to 12 hours of fasting, otherwise assay results might lead to erroneous interpretation. NCEP recommends of 3
different samples to be drawn at intervals of 1 week for harmonizing biological variables that might be encountered in single assays.

National Lipid Association Recommendations Total Cholesterol Triglyceride LDL Cholesterol Non HDL Cholesterol
(NLA-2014) (mg/dL) (mg/dL) (mg/dL) (mg/dL)
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

HDL Cholesterol
Low High
<40 >=60

Risk Stratification for ASCVD (Atherosclerotic Cardiovascular Disease) by Lipid Association of India.

Risk Category A. CAD with > 1 feature of high risk group

B. CAD with >1 feature of very high risk group of recurrent ACS (within 1 year) despite LDL-C <or = 50 mg/dl
Extreme risk group
or poly vascular disease
1.Established ASCVD 2.Diabetes with 2 major risk factors of evidence of end organ
Very High Risk
damage 3. Familial Homozygous Hypercholesterolemia

Booking Centre :- Desire Healthcare (Chandrapur), Desire health care In front of Dr devtale hospital Above jet computer
New gurudwara road Tukum chandrapur 442401
Processing Lab :- Redcliffe Lifetech Pvt. Ltd., Ground Floor, Dr. Saboo Hospital, H.N.-505, A-5 CA Road Mahal,
Nagpur- 440002

Page 7 of 14
Patient NAME : Mr Shankar Chincholkar
DOB/Age/Gender : 67 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9873229/OF9873229 Barcode NO : ZE668409
Referred BY : Dr. Priti sarbare Sample Type : Serum
Sample Collected : Sep 25, 2024, 08:52 PM Report Date : Sep 26, 2024, 02:10 PM.
Test Description Value(s) Unit(s) Reference Range
1. Three major ASCVD risk factors 2. Diabetes with 1 major risk factor or no evidence
of end organ damage 3. CHD stage 3B or 4. 4 LDL >190 mg/dl 5. Extreme of a single
High Risk
risk factor 6. Coronary Artery Calcium - CAC > 300 AU 7. Lipoprotein a >/= 50 mg/dl
8. Non stenotic carotid plaque
Moderate Risk 2 major ASCVD risk factors
Low Risk 0-1 major ASCVD risk factors

Major ASCVD (Atherosclerotic cardiovascular disease) Risk Factors

1. Age >/=45 years in Males &
3. Current Cigarette smoking or tobacco use
>/= 55 years in Females
2. Family history of premature
4. High blood pressure
ASCVD
5. Low HDL

Newer treatment goals and statin initiation thresholds based on the risk categories proposed by Lipid Association of India
in 2020.

Risk Group Treatment Goals Consider Drug Therapy

LDL-C (mg/dl) Non-HDL (mg/dl) LDL-C (mg/dl) Non-HDL (mg/dl)
Extreme Risk Group Category A <50 (Optional goal <OR = 30) <80 (Optional goal <OR = 60) >OR = 50 >OR = 80
Extreme Risk Group Category B >OR = 30 >OR = 60 > 30 > 60
Very High Risk <50 <80 >OR = 50 >OR = 80
High Risk <70 <100 >OR = 70 >OR = 100
Moderate Risk <100 <130 >OR = 100 >OR = 130
Low Risk <100 <130 >OR = 130* >OR = 160

* After an adequate non-pharmacological intervention for at least 3 months.

References : Management of Dyslipidaemia for the Prevention of Stroke : Clinical practice Recommendations from the Lipid Association of
India. Current Vascular Pharmacology,2022,20,134-155.

Booking Centre :- Desire Healthcare (Chandrapur), Desire health care In front of Dr devtale hospital Above jet computer
New gurudwara road Tukum chandrapur 442401
Processing Lab :- Redcliffe Lifetech Pvt. Ltd., Ground Floor, Dr. Saboo Hospital, H.N.-505, A-5 CA Road Mahal,
Nagpur- 440002

Page 8 of 14
 Patient NAME : Mr Shankar Chincholkar
DOB/Age/Gender : 67 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9873229/OF9873229 Barcode NO : ZE668409
Referred BY : Dr. Priti sarbare Sample Type : Serum
....

Sample Collected : Sep 25, 2024, 08:52 PM Report Date : Sep 26, 2024, 02:10 PM.
Test Description Value(s) Unit(s) Reference Range

Iron Studies

Iron 73 µg/dL 65 - 175

Ferene
TIBC,(Total Iron Binding Capacity) 308 µg/dL 228 – 428
Calculated
UIBC 235 µg/dL 69 - 240
Ferene
Transferrin Saturation 23.7 % 16 - 45
Calculated

Interpretation:
Increased levels due to iron ingestion or ineffective erythropoiesis.Decreased levels due to infection, inflammation, malignancy, menstruation
and Fe deficiency.Needs to be taken into consideration with TIBC. Transferrin Saturation:- Low level Transferrin Saturation can indicate iron
deficiency, erythropoiesis, infection, or inflammation. High level Transferrin Saturation can indicate recent ingestion of dietary iron,ineffective
erythropoiesis,haemochromatosis or liver disease.High TIBC, UIBC, or transferrin usually indicates iron deficiency, but they are also increased
in pregnancy and with the use of oral contraceptives. Low TIBC, UIBC, or transferrin may occur if someone has:Hemochromatosis, Certain
types of anemia due to accumulated iron,Malnutrition,kidney disease that causes a loss of protein in urine.

Booking Centre :- Desire Healthcare (Chandrapur), Desire health care In front of Dr devtale hospital Above jet computer
New gurudwara road Tukum chandrapur 442401
Processing Lab :- Redcliffe Lifetech Pvt. Ltd., Ground Floor, Dr. Saboo Hospital, H.N.-505, A-5 CA Road Mahal,
Nagpur- 440002

Page 9 of 14
 Patient NAME : Mr Shankar Chincholkar
DOB/Age/Gender : 67 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9873229/OF9873229 Barcode NO : ZE668409
Referred BY : Dr. Priti sarbare Sample Type : Serum
....

Sample Collected : Sep 25, 2024, 08:52 PM Report Date : Sep 26, 2024, 02:10 PM.
Test Description Value(s) Unit(s) Reference Range

High Sensitivity C-Reactive Protein (Hs-CRP)

HIGHLY SENSITIVE C-REACTIVE PROTEIN (hs- 0.8 mg/L <1.00

CRP)
Immunoturbidimetry

Interpretation:
Cardio CRP In mg/L Cardiovascular Risk
<1 Low
1-3 Average
3-10 High
Persistent elevation may represent
>10
Non cardiovascular inflammation

Note: To assess vascular risk, it is recommended to test hsCRP levels 2 or more weeks apart and calculate the average

Comments:
High sensitivity C Reactive Protein (hsCRP) significantly improves cardiovascular risk assessment as it is a strongest predictor of future
coronary events. It reveals the risk of future Myocardial infarction and Stroke among healthy men and women, independent of traditional risk
factors. It identifies patients at risk of first Myocardial infarction even with low to moderate lipid levels. The risk of recurrent cardiovascular events
also correlates well with hsCRP levels. It is a powerful independent risk determinant in the prediction of incident Diabetes.

Booking Centre :- Desire Healthcare (Chandrapur), Desire health care In front of Dr devtale hospital Above jet computer
New gurudwara road Tukum chandrapur 442401
Processing Lab :- Redcliffe Lifetech Pvt. Ltd., Ground Floor, Dr. Saboo Hospital, H.N.-505, A-5 CA Road Mahal,
Nagpur- 440002

Page 10 of 14
 Patient NAME : Mr Shankar Chincholkar
DOB/Age/Gender : 67 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9873229/OF9873229 Barcode NO : ZE668409
Referred BY : Dr. Priti sarbare Sample Type : Serum
....

Sample Collected : Sep 25, 2024, 08:52 PM Report Date : Sep 26, 2024, 02:29 PM.
Test Description Value(s) Unit(s) Reference Range

Vitamin B12 / Cyanocobalamin

Vitamin - B12 1608 pg/mL 187 - 883

CMIA

Interpretation:
Low Values are a sign of a vitamin B12 deficiency. People with this deficiency are likely to have or develop symptoms.
Causes of vitamin B12 deficiency include:Not enough vitamin B12 in diet (rare except with a strict vegetarian diet), Diseases that cause
malabsorption (for example, celiac disease and Crohn's disease), Lack of intrinsic factor, Above normal heat production (for example, with
hyperthyroidism), Pregnancy. Increased vitamin B12 levels are uncommon. Usually excess vitamin B12 is removed in the urine. Conditions that
can increase B12 levels include: Liver disease (such as cirrhosis or hepatitis), Myeloproliferative disorders (for example, polycythemia vera and
chronic myelocytic leukemia).

Vitamin B12: Low Levels can cause malabsorption, Lack of intrinsic factor, Above normal heat production (for example, with hyperthyroidism),
Pregnancy.High Level Liver disease, Myeloproliferative disorders (for example, polycythemia vera and chronic myelocytic leukemia).

1. Out of 140 healthy indian population, 91% of Vitamin B 12 concentrations was at lower level: 59.00 pg/ml and upper level: 700.00 pg/ml

"Patients on Biotin supplement may have interference in some immunoassays. Ref: Arch Pathol Lab Med—Vol 141, November 2017. With
individuals taking high dose Biotin (more than 5 mg per day) supplements, at least 8-hour wait time before blood draw is recommended."

Booking Centre :- Desire Healthcare (Chandrapur), Desire health care In front of Dr devtale hospital Above jet computer
New gurudwara road Tukum chandrapur 442401
Processing Lab :- Redcliffe Lifetech Pvt. Ltd., Ground Floor, Dr. Saboo Hospital, H.N.-505, A-5 CA Road Mahal,
Nagpur- 440002

Page 11 of 14
 Patient NAME : Mr Shankar Chincholkar
DOB/Age/Gender : 67 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9873229/OF9873229 Barcode NO : ZE668409
Referred BY : Dr. Priti sarbare Sample Type : Serum
....

Sample Collected : Sep 25, 2024, 08:52 PM Report Date : Sep 26, 2024, 02:29 PM.
Test Description Value(s) Unit(s) Reference Range

Vitamin D 25 Hydroxy

Vitamin D 25 - Hydroxy 27.7 ng/mL Deficiency : < 10 ng/mL

CMIA Insufficient : 10-30 ng/mL
Sufficient : 30-100 ng/mL
Hypervitaminosis : > 100
ng/mL
Interpretation:
25-Hydroxy vitamin D represents the main body reservoir and transport form. Mild to moderate deficiency is associated with Osteoporosis /
Secondary Hyperparathyroidism while severe deficiency causes Rickets in children and Osteomalacia in adults. Prevalence of Vitamin D
deficiency is approximately >50% specially in the elderly. This assay is useful for diagnosis of vitamin D deficiency and Hypervitaminosis D. It is
also used for differential diagnosis of causes of Rickets & Osteomalacia and for monitoring Vitamin D replacement therapy.

Booking Centre :- Desire Healthcare (Chandrapur), Desire health care In front of Dr devtale hospital Above jet computer
New gurudwara road Tukum chandrapur 442401
Processing Lab :- Redcliffe Lifetech Pvt. Ltd., Ground Floor, Dr. Saboo Hospital, H.N.-505, A-5 CA Road Mahal,
Nagpur- 440002

Page 12 of 14
 Patient NAME : Mr Shankar Chincholkar
DOB/Age/Gender : 67 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9873229/OF9873229 Barcode NO : ZE668409
Referred BY : Dr. Priti sarbare Sample Type : Serum
....

Sample Collected : Sep 25, 2024, 08:52 PM Report Date : Sep 26, 2024, 02:29 PM.
Test Description Value(s) Unit(s) Reference Range

Thyroid Profile Total

Triiodothyronine (T3) 94.4 ng/dL 35 - 193

CMIA
Total Thyroxine (T4) 8.4 µg/dL 4.87 - 11.2
CMIA
Thyroid Stimulating Hormone (Ultrasensitive) 3.5 mIU/L 0.35 - 4.94
CMIA

Interpretation:
Pregnancy Reference ranges TSH
1st Trimester 0.1 - 2.5
2nd Trimester 0.2 - 3.0
3rd Trimester 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 50 %, hence time of the day has influence on the measured serum TSH concentrations.

Clinical Use:
- Diagnose Hypothyroidism and Hyperthyroidism
- Monitor T4 replacement or T4 suppressive therapy
- Qunatify TSH levels in the subnormal range

Increased Levels : Primary hypothyroidism, Subclinical hypothyroidis, TSH dependent Hyperthyroidism, Thyroid hormone resistance
Decreased Levels: Grace disease, Autonomous thyroid hormone secretion, TSH deficiency

Primary malfunction of the thyroid gland may result in excessive (hyper) or below normal (hypo) release of T3 or T4. In addition as TSH
directly affects thyroid function, malfunction of the pituitary or the hypo - thalamus influences the thyroid gland activity. Disease in any
portion of the thyroid-pitutary-hypothala- mus system may influence the levels of T3 and T4 in the blood. In primary hypothyroidism,
TSH levels are significantly elevated, while in secondary and tertiary hypothyroidism, TSH levels may be low. In addition, in the
Euthyroid Sick Syndrome, multiple alterations in serum thyroid function test findings have been recognized in patients with a wide
variety of non-thyroidal illnesses (NTI) without evidence of preexisting thyroid or hypothalami c-pitutary diseases. Thyroid Binding
Globulin (TBG) concentrations remain relatively constant in healthy individuals. However, pregnancy, excess estrogen's, androgen's,
antibiotic steroids and glucocorticoids are known to alter TBG levels and may cause false thyroid values for Total T3 and T4 tests.

TSH T4 T3 INTERPRETATION
High Normal Normal Mild (subclinical) hypothyroidism
Low or
High Low Hypothyroidism
Normal
Low Normal Normal Mild (subclinical) hyperthyroidism
High or High or
Low Hyperthyroidism
normal normal

Booking Centre :- Desire Healthcare (Chandrapur), Desire health care In front of Dr devtale hospital Above jet computer
New gurudwara road Tukum chandrapur 442401
Processing Lab :- Redcliffe Lifetech Pvt. Ltd., Ground Floor, Dr. Saboo Hospital, H.N.-505, A-5 CA Road Mahal,
Nagpur- 440002

Page 13 of 14
Patient NAME : Mr Shankar Chincholkar
DOB/Age/Gender : 67 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9873229/OF9873229 Barcode NO : ZE668409
Referred BY : Dr. Priti sarbare Sample Type : Serum
Sample Collected : Sep 25, 2024, 08:52 PM Report Date : Sep 26, 2024, 02:29 PM.
Test Description Value(s) Unit(s) Reference Range
Low or Low or
Low Nonthyroidal illness; pituitary (secondary) hypothyroidism
normal normal
Thyroid hormone resistance syndrome (a mutation in the thyroid hormone
Normal High High
receptor decreases thyroid hormone function)

*** End Of Report ***

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