GST NO.

- 09DPMPK1399G1ZD

Name : Mrs. Amarjeet Kaur Registered On : 03/May/2023 12:00:00AM

12:25PM
Age / Sex : 65 Yrs. / FEMALE Reported On : 05/May/2023 12:25PM
Lab Ref No. : 9 Total Amount : 4000
Record No. : HHC/*01 Received Rs. :
Sample : Blood&Urine Less Rs. :
Referred By : Dr.Manoj Kabra MD Bal Rs. : 4000
TEST/METHOD RESULTS UNITS BIOLOGICAL REF RANGE

HAEMATOLOGY
Complete Blood Count [Prokon PE 6800]
Haemoglobin(Hb%)* 13.3 g/dl 12.0-16.0
RBC Count 4.75 Millions/Cu 4.00-5.20
Packed Cell Volume/Haematocrit Value 39.9 %. 36.0-46.0
MCV 99.6 fL 80.0-100.0
MCH 38.1 pg 26.0-34.0
MCHC 36.8 g/dl 31.0-37.0
RDW-CV 11.5 % 11.5-14.5
RDW-SD 40.6 fl 37.0-54.0
TLC (Total Leucocyte count)* 5800 /Cumm 4000-11000
DLC (Differential Leucocyte)*
Neutrophils 63.6 %. 40-70
Lymphocytes 30.8 %. 20-40
Eosinophils 5.60 %. 01-06
Basophils 00 %. 00-02
Monocytes 00 % 02-08
IG%* 00 %. 00-01
Absolute Neutrophil count 3.69 2.0-7.0*10^3/ul
Absolute Lymphocyte count 1.79 1.0-3.0*10^3/ul
Absolute Eosinophils count 0.32 0.02-0.50*10^3/ul
Platelet Count (Prokon PE 6800) 1.44 Lac/cumm 1.50-4.50
Mean Platelet Volume(MPV) 11.9 7.40-10.4
Plateletcrit(PCT) 0.17 0.10-0.28
PDW[Platelet distribution Width] 19.0 10.0-17.0
P-LCR [Platelet To Large Cell Ratio]* 32.8 % 13.0-42.4

Causes of low hb include:-

IronDeficency anemia,Vitamin deficiency Anemia.(B12/FolicAcid),Anemia of inflammations,Anemia associated with bone marrow
disease,Hemolytic anemia etc.
Causes of High hb include:-
Smoking,COPD(Chronic obstructive pulmoary disease) Exacerbation,Dehydration,Emphysema,Heart failure,Polycythemia vera
Causes of low WBC include:-
Cancer(Caused by chemotherapy treatment),Bone marrow dicorders or damage,Autommune disorder(Problems with the immune
system in which the body attacks it self),such as lupus,infections(including tuberculosis and hiv),Immune system conditions,crohn,s
Diasese malnutrition,Radiation treatment for cancer,Rheumatiod arthritis vitamin deficiencies,liver damage and or/enlarged spleen.
Causes of High WBC include:-

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 GST NO. - 09DPMPK1399G1ZD

Name : Mrs. Amarjeet Kaur Registered On : 03/May/2023 12:00:00AM

12:25PM
Age / Sex : 65 Yrs. / FEMALE Reported On : 05/May/2023 12:25PM
Lab Ref No. : 9 Total Amount : 4000
Record No. : HHC/*01 Received Rs. :
Sample : Blood&Urine Less Rs. :
Referred By : Dr.Manoj Kabra MD Bal Rs. : 4000
TEST/METHOD RESULTS UNITS BIOLOGICAL REF RANGE

hence as per recommendation of the International Council for Standardization in hematology the differential leucocyte counts are
reported as absolute number of each cell type per unit volume of blood.
Instrument:- fully automated bidirectional hematology analyser (3 Part PROKON PE 6800)
Method:- Hematology analysers according to the hydrodynamic focussing (DC Method) Flow cytometry method [Usinga semiconductor
laser],and SLS-Heamoglobin Method
Sample :- EDTA Whole blood in cool condition.
Please Correlate with clinical conditions.

BLOOD GROUP
Blood Group "B"
Rh POSITIVE

BIOCHEMISTRY
LIVER PROFILE
SERUM BILIRUBIN
*TOTAL 0.64 mg/dL 0.10 - 1.20
*DIRECT 0.35 mg/dL 0.20 - 0.60
*INDIRECT 0.29 mg/dL
SERUM PROTEINS
*Total Proteins 6.85 g/dL 6.40 - 7.80
*Albumin 4.28 g/dL 3.50 - 5.20
*Globulin 2.57 g/dL 2.30 - 3.50
*A : G Ratio 1.67 0.0 - 2.0
SGOT 19.4 IU/L 0.00 - 31.0
SGPT 25.9 IU/L 0.00 - 34.0
SERUM ALK.PHOSPHATASE 85.1 IU/L 42.0 - 98.0

COMMENTS--
Total and direct bilirubin determination in serum is used for the diagnosis,differentiation and follow -up of jaundice.Elevation of SGPT is found in liver and kidney diseases
such as infectious or toxic hepatitis,IM and cirrhosis.Organs rich in SGOT are heart ,liver and skeletal muscles. When any of these organs are damaged,the serum SGOT

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 GST NO. - 09DPMPK1399G1ZD

Name : Mrs. Amarjeet Kaur Registered On : 03/May/2023 12:00:00AM

12:25PM
Age / Sex : 65 Yrs. / FEMALE Reported On : 05/May/2023 12:25PM
Lab Ref No. : 9 Total Amount : 4000
Record No. : HHC/*01 Received Rs. :
Sample : Blood&Urine Less Rs. :
Referred By : Dr.Manoj Kabra MD Bal Rs. : 4000
TEST/METHOD RESULTS UNITS BIOLOGICAL REF RANGE

level rises in proportion to the severity of damage.Elevation of Alkaline Phosphatase in serum or plasma is found in hepatitis ,biliary
obstructions,hyperparathyroidism,steatorrhea and bone diseases. Hypoalbuminemia is found in any liver impairement ,nephrosis,certain chronic diseases (Rheumatoid

arthritis),malnutrition,severe hemorrhage and pregnancy.

RENAL PROFILE
BLOOD UREA 42.8 mg/dL. 12.80 - 42.80
SERUM CREATININE 0.72 mg/dL. 0.60 - 1.20
BLOOD UREA NITROGEN 19.9 mg/dL. 6.00 - 20.0
SERUM URIC ACID 6.41 mg/dL. 2.60 - 6.00
SERUM CALCIUM 8.89 mg/dl 8.5 - 10.5
SERUM PROTEINS
TOTAL PROTEINS 6.85 Gm/dL. 6.40 - 7.80
ALBUMIN 4.28 Gm/dL. 3.50 - 5.20
GLOBULIN 2.57 Gm/dL. 2.30 - 3.50
*A : G RATIO 1.67 0.0 - 2.0
SERUM SODIUM (Na) 140 m Eq/litre. 135 - 155
SERUM POTASSIUM (K) 3.7 m Eq/litre. 3.5 - 5.5

INTERPRETATION----
Urea is the end product of protein metabolism.It reflects on funcioning of the kidney in the body. Creatinine is the end product of creatine metabolism.It is a measure of
renal function and eleveted levels are observed in patients typically with 50% or greater impairment of renal function.Sodium is critical in maintaining water & osmotic
equilibrium in extracellular fluids.Disturbances in acid base and water balance are typically reflected in the sodium concentrations .Potassium is an essential element
involved in critical cell functions. Potassium levels are influenced by electrolyte intake ,excretion and other means of elemination ,exercise ,hydration and medications.
Calcium imbalance my cause a spectrum of disease . High concentrations are seen in Hyperparathyroidism,Malignancy & Sarcoidosis. Low levels may be due to protein
deficiency,renal insufficiency and Hypoparathyroidism.Repeat measurement is recommended if the values are outside the reference range.

LIPID PROFILE
SERUM CHOLESTEROL 212.4 mg/dL. 80 - 200
SERUM TRIGLYCERIDE 131.5 mg/dl. 50 - 150
HDL CHOLESTEROL 42.4 mg/dL. 35 - 60
VLDL CHOLESTEROL 26.3 mg/dL. 2 - 40
LDL CHOLESTEROL 143.7 mg/dL. < 100
CHOL/HDL CHOLESTEROL RATIO 5.00 mg/dl up to 5.0
LDL/HDL CHOLESTEROL RATIO 3.39 mg/dl

INTERPRETATION:-

CHOLESTEROL:-CHOLESTEROL, its fractions and triglycerides are the important plasma lipids indefining cardiovascular risk factors and in the managment of cardiovascular disease.Highest
acceptable and optimum values of cholesterol values of cholesterol vary with age. Values above 220 mgm/dl are associated with increased risk of CHD regardless of HDL & LDL values.

TRIGLYCERIDE:-TRIGLYCERIDE level > 250mg/dL is associated with an approximately 2-fold greater risk of coronary vascular disease. Elevation of triglycerides can be seen with obesity,
medication, fast less than 12 hrs., alcohol intake, diabetes melitus,and pancreatitis.

HDL-CHOLESTEROL:-HDL-CHOLESTEROL level <35 mg/dL is associated with an increased risk of coronary vascular disease even in the face of desirable levels of cholesterol and LDL -
cholesterol.

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 GST NO. - 09DPMPK1399G1ZD

Name : Mrs. Amarjeet Kaur Registered On : 03/May/2023 12:00:00AM

12:25PM
Age / Sex : 65 Yrs. / FEMALE Reported On : 05/May/2023 12:25PM
Lab Ref No. : 9 Total Amount : 4000
Record No. : HHC/*01 Received Rs. :
Sample : Blood&Urine Less Rs. :
Referred By : Dr.Manoj Kabra MD Bal Rs. : 4000
TEST/METHOD RESULTS UNITS BIOLOGICAL REF RANGE

4. Maintain your blood pressure and keep your blood sugar under control.
5. stop smoking.
_____________________________________________________________

GET YOUR BP,CHOLESTEROL and BLOOD SUGAR CHECKED REGULARLY.

(Speak to your physician for more information on HEART ATTACK)

BLOOD SUGAR F. 94.1 mg/dl 60 - 110

Blood Glucose
1.Increased levels are associated with diabetes mellitus,hyperactivity of thyroid pituitary or adrenal glands,Pancreatic
cancer swelling and inflammation of the pancreas (pancreatitis,Stress due to trauma, stroke, heart attack, or surgery,Rare
tumors, including pheochromocytoma, acromegaly, Cushing syndrome , or glucagonoma.
2.Decreased levels are observed in case of insulin overdosage,insulin secreting tumer ,Myxoedema , Hyperadrenalism and
conditions interfering with glucose absorption. Hypopituitarism(a pituitary gland disorder),Underactive thyroid gland or
adrenal gland,Tumor in the pancreas (insulinoma- very rare),Too little food,other diabetes medicines,Liver or kidney
disease,Weight loss after weight loss surgery,Vigorous exercise.
Diabetes can never be ruled out by a normal fasting sugar.

CRP (QUANTITATIVE) 4.80 mg/l 0.0-6.00

Interpretation:
C- reactive protein (CRP) is a protein,which is synthesized in the liver.Its rate of synthesis and secretion increases withinhrs of an acute injury or the onset of inflammation and may reach as high
as 20 times the normal levels.Elevated serumconerntration of CRP is an unequivocal evidence of an active tissue damage process and CRP measurement thusprovides a simple screening test of
organic disorders.A part from indicating inflammatory disorders,CRP measurement helps in diffrential diagnosis,in the management of neonatal septicemia and meningitis where standard
microbiological investigations are difficult.Its use in post operative surveillance is of great importance.CRP levels invariably rise after major surgery but fall to normal within 7-10 days.Absence of
this fall is indicative of possible septic or onflammatory post operative complications.Serum CRP andmeasurement also provides useful information in patients with myocardial infraction.There being
an excellent correlation between pack level of CRP and creatine phosphokinase(CPK).
Remarks:
1. Markedly lipemic,haemolysed and contaminated serum sample could produce non specific results.
2. Use of plasma rather then serum an lead to false positive result.
3. CRP is found to be present after the first trimester of pregnancy and persists until delivery.
4. CRP level increase in women who are on oral contraceptives.
5. CRP response is not affectedby the commonly used anti-inflammatory or immunosuppressive drugs,including steroids,
unless the diseases activity is affected and it covers an exceptionally broad incremental range upto 3000 times.
6. Since CRP production is non specific response to tissue injury, it is recommended that result of the test should be
co-related with clinical finding to arrive at the final diagnosis.

(NOTE-INFORMATION GIVEN ABOVE IS ABOUT THE COMMON CONDITIONS IN RELATION TO THE TEST)

SEROLOGY
H.C.V TRI - DOT NON-REACTIVE

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 GST NO. - 09DPMPK1399G1ZD

Name : Mrs. Amarjeet Kaur Registered On : 03/May/2023 12:00:00AM

12:25PM
Age / Sex : 65 Yrs. / FEMALE Reported On : 05/May/2023 12:25PM
Lab Ref No. : 9 Total Amount : 4000
Record No. : HHC/*01 Received Rs. :
Sample : Blood&Urine Less Rs. :
Referred By : Dr.Manoj Kabra MD Bal Rs. : 4000
TEST/METHOD RESULTS UNITS BIOLOGICAL REF RANGE

Introduction
Hepatitis C virus ( HCV ) is recognized as a major agent of chronic hepatitis , transfusion acquired non - A , non - B hepatitis and liver disease throughout the world . HCV is an enveloped positive -
sense , single - stranded RNA virus . Testing for HCV infection begins serology testing with either a rapid or a laboratory - conducted assay for HCV antibody in blood . A reactive result indicates
presumptive HCV infection . When to confirm the current HCV infection it is recommended nucleic acid testing ( NAT ) for the detection of HCV RNA be performed following HCV antibody reactive
test result . Abbott Diagnostics Korea has constructed HCV genes for the expression of recombinant antigens in bacteriu systems such as E. coli focused on structural and non - structural
immunogenic regions of the HCV - encoded polyprotein . The major immunoreactive antigens of these proteins have been reported as core , NS3 , NS4 and NS5 regions of HCV genome , which are
known to be highly immunodominant . For detection of HCV infection , these recombinant proteins were used as capture materials in this immunochromatographic test . Improving on the first
generation HCV serologic antibody test using a single recombinant antigen , recombinant proteins with multiple antigens have been used to minimize non - specific cross - reactivity and to increase
the sensitivity in this assay .

AUSTRALIA ANTIGEN (HBsAG) NEGATIVE

Interpretation :
:This assay detects the first serological marker of Hepatitis B as early as 4-16 weeks after exposure. It persists during acute illness and disappears 12-20 week after onset of symptoms.The titres
during the period of viral replication and is frequently associated with infectivity.Persistence of HBsAg for more than 6months indicates development of carrier state or chronic liver disease.
Uses
* Routine screening of blood and blood products to prevent prevent transmission of Hepatitis B virus (HBS)
to recipients
* To diagnose suspected HBV infection and monitor the status of infected infected individuals
* To evaluate the efficacy of antiviral drugs
* For prenatal Screening of pregnant women
False Reactivity may be observed under the following circumstances:
* Non repeatable reactives: These are due to particulate matter particularly fibrin,clots and cellular material
in patient
* Non specific reactives: All highly sensitive immunoaassay systems have a potential for nonspecific
reactions.
This can be eliminated by confirming the result by the Neutralization test

R.A. FACTOR
(Qualittative Method) NEGATIVE

NOTE:-
Gives useful objective evidence of RA, but a negative test does not rule out RA.
Negative in a third of patients with definite RA.
Positive result in < 50% during first 6 months of disease.
Sensitivity : 50 -75% Specificity :75 - 90%.

VDRL (Card Method) NON-REACTIVE

INTERPRETATION(s) :-
RPR detects antibodies found in early Syphilis, but can be non- reactive in later stages. Biologic false positives are common in a variety of other infections, Rheumatic diseases and Auto- Immune
disorders. Treponema Pallidum Hemagglutination assay (TPHA) test is recommended for confirmation. False negative reactions can occur in stages of the disease where there is minimal tissue
damage, especially in early infection and in latent stages.

URINE EXAMINATION

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 GST NO. - 09DPMPK1399G1ZD

Name : Mrs. Amarjeet Kaur Registered On : 03/May/2023 12:00:00AM

12:25PM
Age / Sex : 65 Yrs. / FEMALE Reported On : 05/May/2023 12:25PM
Lab Ref No. : 9 Total Amount : 4000
Record No. : HHC/*01 Received Rs. :
Sample : Blood&Urine Less Rs. :
Referred By : Dr.Manoj Kabra MD Bal Rs. : 4000
TEST/METHOD RESULTS UNITS BIOLOGICAL REF RANGE

URINE EXAMINATION REPORT

PHYSICAL EXAMINATION
Volume 50 ml
Colour Light Yellow
Appearence Clear Nil
Odour Aromatic
Sediments Nil
Specific Gravity 1.026 1.015-1.025
Ph Acidic(5.90) 4.70 - 7.50
BIOCHEMICAL EXAMINATION
Blood Absent Absent
Leucocytes Absent Absent
Nitrite Absent Ansent
Urobilinogen Absent Absent
Bilirubin Negative Negative
Urine Ketone Negative Negative
Glucose Absent Absent
Proteine (Albumin) Present Traces Absent
Phosphates Absent Absent
MICROSCOPIC EXAMINATION
Red Blood Cells Nil /H.P.F. Nil
Pus Cells 1-3 /H.P.F. Nil
Epithelial Cells 2-4 /H.P.F. Nil
Crystals Nil /H.P.F. Nil
Casts Nil /H.P.F. Nil
Bacteria Nil /H.P.F. Nil
Other Nil /H.P.F. Nil

REMARKS MICROSCOPIC EXAMINATION OF URINE IS PERFORMED ONCENTRIFUGED URINARY SEDIMENT.

KINDLY CORRELATE CLINICALLY.
Interpretation(s)
METHOD:- DIPSTIX STRIP METHOD / MICROSCOPY

HORMONE
Triiodothyronine (T3) Awaited ng/ml 60-181
Thyroxine (T4) Awaited ug/dl 4.50-10.9

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 GST NO. - 09DPMPK1399G1ZD

Name : Mrs. Amarjeet Kaur Registered On : 03/May/2023 12:00:00AM

12:25PM
Age / Sex : 65 Yrs. / FEMALE Reported On : 05/May/2023 12:25PM
Lab Ref No. : 9 Total Amount : 4000
Record No. : HHC/*01 Received Rs. :
Sample : Blood&Urine Less Rs. :
Referred By : Dr.Manoj Kabra MD Bal Rs. : 4000
TEST/METHOD RESULTS UNITS BIOLOGICAL REF RANGE

THYROID STIMULATING HORMONE [TSH.] Awaited uIU/mL. 0.35-5.50

TSH(Thyroid stimulating hormone:Thyrotropin) is a hormone secreted by the anterior pituitary.It is a

recommended initial test for the screening and diagnosis of hyperthyroidism and hypothyroidism.It is
especially useful in early or subclinical hypothyroidism before the patient develops clinical findings
,goiter,or abnormalities of other thyroid tests.
Thyroxine,(Total T4 Assay)
Is a hormone secreted by the thyroid gland which is predominantly bound to carrier proteins,(99%).it is
used in the diagnosis of hyperthyroidism when it is increased. It is found decreased in hypothyroidism
and hypoproteinemia.Its values are not affected by nonthyoidal iodine.
Triiodothyronine(Total T3 Assay)
Is a hormone produced by the thyroid gland (20%) and also from the peripheral deiodination
mechanism which converts T4 to T3.As T3 is physiologically more active it it plays an important part
in maintaing euthyroidism.It is used in T3 thyrotoxicosis ,monitoring the course of hyperthyroidism.
Method : Chemiluminescence Immuno Assays.

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