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Lab Report

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L83 - WALK IN LPL DWARKA-2


Plot No. 60, Sector 12B Dwarka New
Delhi-110075
DELHI

Name : Mr. BRAJ KISHORE SRIVASTWA Collected : 15/11/2021 12:32:00PM


Received : 15/11/2021 12:34:41PM
Lab No. : 160434010 Age: 60 Years Gender: Male Reported : 15/11/2021 4:22:15PM
A/c Status : P Ref By : ECHS Report Status : Final

Test Name Results Units Bio. Ref. Interval


C-REACTIVE PROTEIN; CRP, SERUM** <0.50 mg/L <5.00
(Immunoturbidimetry)

Comments
CRP is an acute phase reactant which is used in inflammatory disorders for monitoring course and effect of
therapy. It is most useful as an indicator of activity in Rheumatoid arthritis, Rheumatic fever, tissue injury or
necrosis and infections. As compared to ESR, CRP shows an earlier rise in inflammatory disorders which
begins in 4-6 hrs, the intensity of the rise being higher than ESR and the recovery being earlier than ESR.
Unlike ESR, CRP levels are not influenced by hematologic conditions like Anemia, Polycythemia etc.
VITAMIN B12; CYANOCOBALAMIN, SERUM** 228.00 pg/mL 211.00 - 911.00
(CLIA)

Notes
1. Interpretation of the result should be considered in relation to clinical circumstances.
2. It is recommended to consider supplementary testing with plasma Methylmalonic acid (MMA) or
plasma homocysteine levels to determine biochemical cobalamin deficiency in presence of clinical
suspicion of deficiency but indeterminate levels. Homocysteine levels are more sensitive but MMA is
more specific

3. False increase in Vitamin B12 levels may be observed in patients with intrinsic factor blocking
antibodies, MMA measurement should be considered in such patients

4. The concentration of Vitamin B12 obtained with different assay methods cannot be used
interchangeably due to differences in assay methods and reagent specificity

VITAMIN D, 25 - HYDROXY, SERUM** 31.24 nmol/L 75.00 - 250.00


(CLIA)

Interpretation
-------------------------------------------------------------
| LEVEL | REFERENCE RANGE | COMMENTS |
| | IN nmol/L | |
|---------------|-----------------|---------------------------|
| Deficient | < 50 | High risk for developing |
| | | bone disease |
|---------------|-----------------|---------------------------|
| Insufficient | 50-74 | Vitamin D concentration |
| | | which normalizes |
| | | Parathyroid hormone |
| | | concentration |
|---------------|-----------------|---------------------------|
| Sufficient | 75-250 | Optimal concentration |
| | | for maximal health benefit|
|---------------|-----------------|---------------------------|
| Potential | >250 | High risk for toxic |
| intoxication | | effects |
PatientReportSCSuperPanel.SP_GENERAL_TEMPLATE01_SC (Version: 7)

*160434010*
Page 1 of 3
.

L83 - WALK IN LPL DWARKA-2


Plot No. 60, Sector 12B Dwarka New
Delhi-110075
DELHI

Name : Mr. BRAJ KISHORE SRIVASTWA Collected : 15/11/2021 12:32:00PM


Received : 15/11/2021 12:34:41PM
Lab No. : 160434010 Age: 60 Years Gender: Male Reported : 15/11/2021 4:22:15PM
A/c Status : P Ref By : ECHS Report Status : Final

Test Name Results Units Bio. Ref. Interval


-------------------------------------------------------------

Note
· The assay measures both D2 (Ergocalciferol) and D3 (Cholecalciferol) metabolites of vitamin D.
· 25 (OH)D is influenced by sunlight, latitude, skin pigmentation, sunscreen use and hepatic function.
· Optimal calcium absorption requires vitamin D 25 (OH) levels exceeding 75 nmol/L.
· It shows seasonal variation, with values being 40-50% lower in winter than in summer.
· Levels vary with age and are increased in pregnancy.
· A new test Vitamin D, Ultrasensitive by LC-MS/MS is also available

Comments
Vitamin D promotes absorption of calcium and phosphorus and mineralization of bones and teeth. Deficiency
in children causes Rickets and in adults leads to Osteomalacia. It can also lead to Hypocalcemia and
Tetany. Vitamin D status is best determined by measurement of 25 hydroxy vitamin D, as it is the major
circulating form and has longer half life (2-3 weeks) than 1,25 Dihydroxy vitamin D (5-8 hrs).

Decreased Levels
· Inadequate exposure to sunlight
· Dietary deficiency
· Vitamin D malabsorption
· Severe Hepatocellular disease
· Drugs like Anticonvulsants
· Nephrotic syndrome

Increased levels
Vitamin D intoxication

Dr Himangshu Mazumdar Dr.Kamal Modi Dr Nimmi Kansal


MD, Biochemistry MD, Biochemistry MD, Biochemistry
Sr. Consultant Biochemist Consultant Biochemist Technical Director - Clinical Chemistry
NRL - Dr Lal PathLabs Ltd NRL - Dr Lal PathLabs Ltd & Biochemical Genetics
NRL - Dr Lal PathLabs Ltd
-------------------------------End of report --------------------------------
PatientReportSCSuperPanel.SP_GENERAL_TEMPLATE01_SC (Version: 7)

*160434010*
Page 2 of 3
.

L83 - WALK IN LPL DWARKA-2


Plot No. 60, Sector 12B Dwarka New
Delhi-110075
DELHI

Name : Mr. BRAJ KISHORE SRIVASTWA Collected : 15/11/2021 12:32:00PM


Received : 15/11/2021 12:34:41PM
Lab No. : 160434010 Age: 60 Years Gender: Male Reported : 15/11/2021 4:22:15PM
A/c Status : P Ref By : ECHS Report Status : Final

Test Name Results Units Bio. Ref. Interval


AHEEEHAPMKHIAOBNLCAMJNNCBILLJCECCJLCIKPJPKEDFBFAPPAHEEEHA
BNFFFNBPAPBLADMGFGELIOIPAOAHFHALAOJOBCJKBLEKMKJGMPBNFFFNB
CIEGDDFPLPNLNFFOPFIAAJHFJFHEHEDDPKPHENFLMLKIOEFLBLHDEHANP
DJOCCEFNBJAIEDICOIMELFMFAFHLAKBFJIFFOAPAKCLJPDNLIBNBKEMEK
IBDNLHFJOBBFDIALDFOCKPJLIENDMLIHKKMBACEIPLKGKPNGKFFFOPIJD
BACBBEFMNICGDIFKILIEDIPBADHFOFAINCFCBKDKALIKONNALNEIOGMCD
LDIMIJFFILOOCAJIEKMKCHFHIHAFJBAKPBEPBLMMOJCHKJFHIJNJIDILD
NJJJAMFMBINFIIDJGANHDKGILLBMFMBHKFCCAMNNIIKNOPNOBNFNBHILL
NKNBIMFAJBDGFAAAFPPIHAEKHENFEKFBJFFKBLOFOOBIOCNKDJPHNEKLJ
PMDHBIFCEDFJJDCMDLEFGPNBBDFKPNJHKEPDAJPLNKCKIGEOCNHKHIAML
ADIKOLFLGKCBMMAMPJFLGJEEINMGNAABJNFEBFOFPNDMKPFKEPCIGKIMO
MOICGJFCPLDPKGGMHHGKFOAEIEOPPFOFAKNPBLNOOLJBIKNJPKONHDICL
MNNNNNEPCFAOMCCJOCFLHNDHJBAHFHAHLKPFCMNLMKJCLFNIAHFHAHIKL
APBBBPAPBGFAEJBEFPAKCBOFAEHCHHCAONFFOKPGOLMHNLNFEDFEDBKHH
HHHHHHHPHHHPHPPPHPPPPPHHPPPPPPPPPPPHHHHPPHHHPHPHHHHHHHPHP

** Test conducted under NABL scope MC-2113,LPL-NATIONAL REFERENCE LAB at NEW DELHI

IMPORTANT INSTRUCTIONS

ŸTest results released pertain to the specimen submitted .ŸAll test results are dependent on the quality of the sample received by the Laboratory .
ŸLaboratory investigations are only a tool to facilitate in arriving at a diagnosis and should be clinically correlated by the Referring
Physician.ŸSample repeats are accepted on request of Referring Physician within 7 days post reporting.ŸReport delivery may be delayed due to
unforeseen circumstances. Inconvenience is regretted .ŸCertain tests may require further testing at additional cost for derivation of exact value .
Kindly submit request within 72 hours post reporting.ŸTest results may show interlaboratory variations .ŸThe Courts/Forum at Delhi shall have
exclusive jurisdiction in all disputes /claims concerning the test(s) & or results of test(s).ŸTest results are not valid for medico legal purposes .
ŸContact customer care Tel No. +91-11-39885050 for all queries related to test results.
(#) Sample drawn from outside source.

PatientReportSCSuperPanel.SP_GENERAL_TEMPLATE01_SC (Version: 7)

*160434010*
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