YGT22541

Visit ID : YGT22541 UHID/MR No : YGT.
0000022407
Patient Name : Mr. P SRINIVAS Client Code : 1240
Age/Gender : 39 Y 0 M 0 D /M Barcode No : 10604463
DOB : Registration : 01/Aug/2023 10:33AM
Ref Doctor : SELF Collected : 01/Aug/2023 10:34AM
Client Name : WARRIORS OF WELLNESS Received : 01/Aug/2023 10:45AM
Client Add : ANDHRA PRADESH Reported : 01/Aug/2023 11:19AM
Hospital Name :
DEPARTMENT OF HAEMATOLOGY
Test Name Result Unit Biological. Ref. Range Method
CBC(COMPLETE BLOOD COUNT)

Sample Type : WHOLE BLOOD EDTA
HAEMOGLOBIN (HB) 10.9 g/dl 13.0 - 17.0 Cyanide-free SLS
method
RBC COUNT(RED BLOOD CELL COUNT) 4.37 million/cmm 4.50 - 5.50 Impedance
PCV/HAEMATOCRIT 32.4 % 40.0 - 50.0 RBC pulse height
detection
MCV 74.2 fL 83 - 101 Automated/Calculated
MCH 24.9 pg 27 - 32 Automated/Calculated
MCHC 33.5 g/dl 31.5 - 34.5 Automated/Calculated
RDW - CV 15.8 % 11.0-16.0 Automated Calculated
RDW - SD 44.6 fl 35.0-56.0 Calculated
MPV 8.1 fL 6.5 - 10.0 Calculated
PDW 15.5 fL 8.30-25.00 Calculated
PCT 0.23 % 0.15-0.62 Calculated
TOTAL LEUCOCYTE COUNT 7,150 cells/ml 4000 - 11000 Flow Cytometry
DLC (by Flow cytometry/Microscopy)
NEUTROPHIL 60 % 40 - 80 Impedance
LYMPHOCYTE 30 % 20 - 40 Impedance
EOSINOPHIL 05 % 01 - 06 Impedance
MONOCYTE 05 % 02 - 10 Impedance
BASOPHIL 0 % 0-1 Impedance
PLATELET COUNT 2.88 Lakhs/cumm 1.50 - 4.10 Impedance
Verified By : Approved By :
Kollipara Venkateswara Rao
Page 1 of 13
Visit ID : YGT22541 UHID/MR No : YGT.0000022407
Client Add : ANDHRA PRADESH Reported : 01/Aug/2023 12:17PM
Hospital Name :
DEPARTMENT OF BIOCHEMISTRY
THYROID PROFILE (T3,T4,TSH)

Sample Type : SERUM
T3 0.92 ng/ml 0.60 - 1.78 CLIA
T4 11.12 ug/dl 4.82-15.65 CLIA
TSH 2.46 ulU/mL 0.30 - 5.60 CLIA
INTERPRETATION:
1. Serum T3, T4 and TSH are the measurements form three components of thyroid screening panel and are useful in diagnosing various
disorders of thyroid gland function.
2. Primary hyperthyroidism is accompanied by elevated serum T3 and T4 values along with depressed TSH levels.
3. Primary hypothyroidism is accompanied by depressed serum T3 and T4 values and elevated serum TSH levels.
4. Normal T4 levels accompanied by high T3 levels are seen in patients with T3 thyrotoxicosis. Slightly elevated T3 levels may be found in
pregnancy and in estrogen therapy while depressed levels may be encountered in severe illness, malnutrition, renal failure and during
therapy with drugs like propanolol and propylthiouracil.
5. Although elevated TSH levels are nearly always indicative of primary hypothyroidism, rarely they can result from TSH secreting pituitary
tumors (secondary hyperthyroidism).
6. Low levels of Thyroid hormones (T3, T4 & FT3, FT4) are seen in cases of primary, secondary and tertiary hypothyroidism and sometimes
in non-thyroidal illness also.
7. Increased levels are found in Grave’s disease, hyperthyroidism and thyroid hormone resistance.
8. TSH levels are raised in primary hypothyroidism and are low in hyperthyroidism and secondary hypothyroidism.
9. REFERENCE RANGE :
TSH in uIU/mL
PREGNANCY
1st Trimester 0.60 - 3.40
2nd Trimester 0.37 - 3.60
3rd Trimester 0.38 – 4.04
( References range recommended by the American Thyroid Association)
Comments:
1. During pregnancy, Free thyroid profile (FT3, FT4 & TSH) is recommended.
2. TSH levels are subject to circadian variation, reaches peak levels between 2-4 AM and at a minimum between 6-10 PM. The
variation of the day has influence on the measured serum TSH concentrations.
Page 2 of 13
Hospital Name :
LIVER FUNCTION TEST(LFT)

Sample Type : SERUM
TOTAL BILIRUBIN 0.44 mg/dl 0.3 - 1.2 JENDRASSIK &
GROFF
CONJUGATED BILIRUBIN 0.10 mg/dl 0 - 0.2 DPD
UNCONJUGATED BILIRUBIN 0.34 mg/dl Calculated
S.G.O.T 15 U/L < 50 KINETIC
WITHOUT P5P-
IFCC
S.G.P.T 18 U/L < 50 KINETIC
WITHOUT P5P-
IFCC
ALKALINE PHOSPHATASE 111 U/L 30 - 120 IFCC-AMP
BUFFER
TOTAL PROTEINS 7.4 gm/dl 6.0 - 8.0 Biuret
ALBUMIN 4.1 gm/dl 3.5 - 5.2 BCG
GLOBULIN 3.3 gm/dl Calculated
A/G RATIO 1.24 Calculated
Page 3 of 13
Hospital Name :
CALCIUM - TOTAL
Sample Type : SERUM
SERUM TOTAL CALCIUM 9.1 mg/dl 8.8 - 10.6 Arsenazo III
INTERPRETATION:
-Calcium level is increased in patients with hyperparathyroidism, Vitamin D intoxication, metastatic bone tumor, milk-alkali
syndrome, multiple myeloma, Paget’s disease.
-Calcium level is decreased in patients with hemodialysis, hypoparathyroidism (primary, secondary), vitamin D deficiency,
acute pancreatitis, diabetic Keto-acidosis, sepsis, acute myocardial infarction (AMI), malabsorption, osteomalacia, renal
failure, rickets.
Page 4 of 13
Hospital Name :
LIPID PROFILE
Sample Type : SERUM
TOTAL CHOLESTEROL 191 mg/dl Refere Table Below Cholesterol
oxidase/peroxidase
H D L CHOLESTEROL 38 mg/dl > 40 Enzymatic/
Immunoinhibiton
L D L CHOLESTEROL 112.2 mg/dl Refere Table Below Enzymatic Selective
Protein
TRIGLYCERIDES 204 mg/dl See Table GPO
VLDL 40.8 mg/dl 15 - 30 Calculated
T. CHOLESTEROL/ HDL RATIO 5.03 Refere Table Below Calculated
TRIGLYCEIDES/ HDL RATIO 5.37 Ratio < 2.0 Calculated
NON HDL CHOLESTEROL 153 mg/dl < 130 Calculated
Interpretation
NATIONAL LIPID ASSOCIATION TOTAL LDL NON HDL
TRIGLYCERIDE
RECOMMENDATIONS (NLA-2014) CHOLESTEROL CHOLESTEROL CHOLESTEROL
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
Note:
1.Measurements in the same patient can show physiological& analytical variations. Three serial samples 1 week apart are
recommended for Total Cholesterol, Triglycerides, HDL& LDL Cholesterol
2. NLA-2014 identifies Non HDL Cholesterol(an indicator of all atherogenic lipoproteins such as LDL , VLDL, IDL, Lpa, Chylomicron
remnants)along with LDL-cholesterol as co- primary target for cholesterol lowering therapy. Note that major risk factors can modify
treatment goals for LDL &Non HDL.
3.Apolipoprotein B is an optional, secondary lipid target for treatment once LDL & Non HDL goals have been achieved
4. Additional testing for Apolipoprotein B, hsCRP, Lp(a ) & LP-PLA2 should be considered among patients with moderate risk for ASCVD
for risk refinement
Page 5 of 13
Hospital Name :
RANDOM BLOOD GLUCOSE (RBS)
Sample Type : FLOURIDE PLASMA
RANDOM BLOOD GLUCOSE (RBS) 108 mg/dl 70-140 HEXOKINASE
INTERPRETATION:
Increased In
Diabetes Mellitus
Stress (e.g., emotion, burns, shock, anesthesia)
Acute pancreatitis
Chronic pancreatitis
Wernicke encephalopathy (vitamin B1 deficiency)
Effect of drugs (e.g. corticosteroids, estrogens, alcohol, phenytoin, thiazides)
Decreased In
Pancreatic disorders
Extrapancreatic tumors
Endocrine disorders
Malnutrition
Hypothalamic lesions
Alcoholism
Endocrine disorders
Page 6 of 13
Hospital Name :
25 HYDROXY VITAMIN D
Sample Type : SERUM
25 HYDROXY VITAMIN D 21.6 ng/ml 30 - 70 CLIA
INTERPRETATION:
LEVEL REFERENCE RANGE

Deficiency (serious deficient) < 10 ng/ml
Insufficiency (Deficient) 10-30 ng/ml
Sufficient (adequate) 30-70 ng/ml
Toxicity > 100 ng/ml
DECREASED LEVELS:
-Deficiency in children causes Rickets and in adults leads to Osteomalacia. It can also lead to Hypocalcemia and Tetany.
-Inadequate exposure to sunlight.
-Dietary deficiency.
-Vitamin D malabsorption.
-Severe Hepatocellular disease.
-Drugs like Anticonvulsants.
-Nephrotic syndrome.
INCREASED LEVELS:
-Vitamin D intoxication.
COMMENTS:
-Vitamin D (Cholecalciferol) promotes absorption of calcium and phosphorus and mineralization of bones and teeth. 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 Dihydronxy vitamin D (5-8 hrs).
-The assay measures D3 (Cholecaciferol) 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 ng/mL.
-It shows seasonal variation, with values being 40-50% lower in winter than in summer.
-Levels vary with age and are increased in pregnancy.
-This is the recommended test for evaluation of vitamin D intoxication.
Page 7 of 13
Hospital Name :
VITAMIN B12
Sample Type : SERUM
VITAMIN B12 119 pg/mL 120 - 914 pg/mL CLIA
COMMENTS:
Results may differ between laboratories due to variation in population and test method. Vitamin B12 is implicated in the formation of
myelin, and along with Folate is required for DNA synthesis. The most prominent source of B12 for humans is meat while untreated fresh
water can also be a source.
Megaloblastic anaemia has been found to be due to B12 deficiency, a major cause being Pernicious anemia due to poor B12 uptake
resulting in below normal serum levels. Other conditions related to low B12 levels include iron deficiency anemia, pregnancy, vegetarianism,
partial gastrectomy, ileal damage, oral contraceptives, parasitic infestations, pancreatic deficiency, treated epilepsy and advancing age. The
correlation of serum B12 levels and Megaloblastic anemia however is not always clear - some patients with high MCV may have normal B12
levels, while some individuals with B12 deficiency may not have megaloblastic anemia. Disorders renal failure, liver diseases and
myeloproliferative diseases may have elevated vitamin B12 levels.
LIMITATIONS:
For diagnostic purposes, the B12 results should be used in conjunction with other data; e.g.; symptoms results of other testing, clinical
impressions, etc.
If the B12 level is inconsistent with clinical evidence, additional testing is suggested to confirm the result.
Page 8 of 13
Hospital Name :
SERUM CREATININE
Sample Type : SERUM
SERUM CREATININE 0.98 mg/dl 0.67 - 1.17 KINETIC-JAFFE
Increased In:
Diet: ingestion of creatinine (roast meat), Muscle disease: gigantism, acromegaly,

Impaired kidney function.
Decreased In:
Pregnancy: Normal value is 0.4-0.6 mg/dL. A value >0.8 mg/dL is abnormal and should alert the clinician
to further diagnostic evaluation.
Creatinine secretion is inhibited by certain drugs (e.g., cimetidine, trimethoprim).
Page 9 of 13
Hospital Name :
SERUM UREA
Sample Type : SERUM
SERUM UREA 22 mg/dL 17 - 43 Urease GLDH
Determination of blood urea is the most widely used screening test for renal function. When used in conjunction with serum
creatinine determinations it can aid in the differential diagnosis of the three types of azotemia: prerenal, renal and postrenal.
Elevations in blood urea concentration are seen in inadequate renal perfusion, shock, diminished blood volume (prerenal
causes), chronic nephritis, nephrosclerosis, tubular necrosis, glomerular nephritis (renal causes) and urinary tract obstruction
(postrenal causes). Transient elevations may also be seen during periods of high protein intake. Unpredictable levels occur
with liver diseases.
Page 10 of 13
Hospital Name :
GGT (GAMMA GLUTAMYL TRANSPEPTIDASE)

Sample Type : SERUM
GGT 22 U/L 0 - 55.0 KINETIC-IFCC
INTERPRETATION:
GGT functions in the body as a transport molecule, helping to move other molecules around the body. It plays a significant role in helping
the liver metabolize drugs and other toxins. Increased GGT include overuse of alcohol, chronic viral hepatitis, lack of blood flow to the liver,
liver tumor, cirrhosis, or scarred liver, overuse of certain drugs or other toxins, heart failure, diabetes, pancreatitis, fatty liver disease.
Page 11 of 13
Hospital Name :
URIC ACID -SERUM

Sample Type : SERUM
SERUM URIC ACID 5.5 mg/dl 3.5 - 7.20 URICASE - PAP
Uric acid is the final product of purine metabolism in the human organism. Uric acid measurements are used in the diagnosis
and treatment of numerous renal and metabolic disorders, including renal failure, gout, leukemia, psoriasis, starvation or
other wasting conditions, and of patients receiving cytotoxic drugs.
Page 12 of 13
Hospital Name :
IRON / TIBC
Sample Type : SERUM
SERUM IRON LEVELS 27 ug/dl 70-180 Ferrozine
TOTAL IRON BINDING CAPACITY 420 ug/dl 250-450 Colorimetric
UIBC 393 ugm/dL 155 - 355 Nitroso- PSAP
TRANSFERRIN SATURATION INDEX 6.4 %
Comments
Iron is an essential trace mineral element which forms an important component of hemoglobin, metallocompounds and
Vitamin A. Deficiency of iron, leads to microcytic hypochromic anemia. The toxic effects of iron are deposition of iron in
various organs of the body and hemochromatosis.
Total Iron Binding capacity (TIBC) is a direct measure of the protein Transferrin which transports iron from the gut to
storage sites in the bone marrow. In iron deficiency anemia, serum iron is reduced and TIBC increases.
Transferrin Saturation occurs in Idiopathic hemochromatosis and Transfusional hemosiderosis where no unsaturated iron
binding capacity is available for iron mobilization. Similar condition is seen in congenital deficiency of Transferrin.
*** End Of Report ***
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Visit ID : YGT22541 UHID/MR No : YGT.

CBC(COMPLETE BLOOD COUNT)

THYROID PROFILE (T3,T4,TSH)

LIVER FUNCTION TEST(LFT)

LEVEL REFERENCE RANGE

Diet: ingestion of creatinine (roast meat), Muscle disease: gigantism, acromegaly,

GGT (GAMMA GLUTAMYL TRANSPEPTIDASE)

URIC ACID -SERUM

* End Of Report *

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