ALLS409

Patient NAME : Mrs.LALITA SHARMA Sample Collection Time : 21/Oct/2023 12:21PM

Age/Gender : 54 Y 0 M 0 D /F Sample Received in Lab Time : 21/Oct/2023 04:12PM
UAID/Oth.Lab Ref. : ALLS.0000000391/ Reported Time : 21/Oct/2023 05:38PM
SIN No. : ADP62781 Ref. Doctor : Dr.SELF

DEPARTMENT OF BIOCHEMISTRY
FULL BODY HEALTH CHECKUP EXTENDED
Test Name Result Unit Bio. Ref. Range Method

*Calcium Serum , SERUM

CALCIUM 9.4 mg/dl 8.8 - 10.6 Modified Arsenazo III
Comment:
Common causes of decreased value of calcium (hypocalcemia) are chronic renal failure, hypomagnesmia and hypoalbuminemia. Hypercalcemia (increased value of
calcium) can be caused by increased intestinal absorbtion (vitamin d intoxication ), increased skeletal reasorption (immobilization),or a combination of mechanisms
(primary hyperparathyroidism). Primary hyperparathyroidism and malignancy accounts for 90-95 % of all cases of hypercalcemia. Values of total calcium is affected by
serum proteins, particularly albumin thus, latter's value should be taken into account when interpreting serum calcium levels important source of preanalytical error in
the measurement of calcium is prolonged torniquet application during sampling. Thus, this along with fist clenching should be avoided before phlebotomy.
Critical value of Calcium established as per laboratory policy:
​Adult : < 6.0 or > 13.0
Such critical value if obtained needs urgent medical attention.

Page 1 of 8

LIFE CARE LAB,SUNNI ATULAYA HEALTHCARE, CENTRAL PARKING, SHIMLA

Near Civil Hospital, Sunni 1st Floor, Central Parking-cumCommercial Complex
Suni Shimla
 ALLS409

Patient NAME : Mrs.LALITA SHARMA Sample Collection Time : 21/Oct/2023 12:21PM

Age/Gender : 54 Y 0 M 0 D /F Sample Received in Lab Time : 21/Oct/2023 04:12PM
UAID/Oth.Lab Ref. : ALLS.0000000391/ Reported Time : 21/Oct/2023 04:55PM
SIN No. : ADP62782 Ref. Doctor : Dr.SELF

DEPARTMENT OF BIOCHEMISTRY
FULL BODY HEALTH CHECKUP EXTENDED
Test Name Result Unit Bio. Ref. Range Method

*HBA1C Glycosylated Hemoglobin Glyco Hemoglobin , WHOLE BLOOD EDTA

HBA1C, GLYCATED HEMOGLOBIN 6.4 % HPLC
Estimated Mean Plasma Glucose 137.0 mg/dL 65 - 136 Calculated
Comment:
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 >=6.5z
Good Control : <7.0
Therapeutic goals for glycemic control Fair Control : 7.0 - 8.0
Poor Control : >8.0
ADA criteria for correlation between HbA1c & Mean plasma glucose levels
HbA1c (%) Mean Plasma Glucose (mg/dL)
6 126
7 154
8 183
9 212
10 240
11 269
12 298

Page 2 of 8

LIFE CARE LAB,SUNNI ATULAYA HEALTHCARE, CENTRAL PARKING, SHIMLA

Near Civil Hospital, Sunni 1st Floor, Central Parking-cumCommercial Complex
Suni Shimla
 ALLS409

Patient NAME : Mrs.LALITA SHARMA Sample Collection Time : 21/Oct/2023 12:21PM

Age/Gender : 54 Y 0 M 0 D /F Sample Received in Lab Time : 21/Oct/2023 04:12PM
UAID/Oth.Lab Ref. : ALLS.0000000391/ Reported Time : 21/Oct/2023 05:38PM
SIN No. : ADP62781 Ref. Doctor : Dr.SELF

DEPARTMENT OF BIOCHEMISTRY
FULL BODY HEALTH CHECKUP EXTENDED
Test Name Result Unit Bio. Ref. Range Method

*Lipid Profile Screening , SERUM

TOTAL CHOLESTEROL 198.9 mg/dl 0 - 200 CHOD-POD
TRIGLYCERIDES 150.1 mg/dl 40 - 140 GPO-POD
HDL CHOLESTEROL 44.9 mg/dl 42 - 88 Direct Method
LDL CHOLESTEROL 123.9 mg/dl 0 - 100 Calculated
VLDL CHOLESTEROL 30.0 mg/dl 06 - 30 Calculated
CHOL / HDL RATIO 4.43 4-6 Calculated
LDL / HDL RATIO 2.76 0.5 - 3.0 Calculated
TRIGLYCERIDES/HDL RATIO 3.34 < 3.12 Calculated
NON-HDL CHOLESTEROL 154.0 mg/dl <130 Calculated
TOTAL LIPIDS 547.84 mg/dL 350 - 700 Calculated
Comment:
Triglycerides can show marked variation depending on previous day diet intake.
12 hrs fasting is mandatory before testing for lipid profile specially for triglyceride values.
In case, lipid profile is done in non-fasting state, then any abnormal value can come especially for triglycerides, LDL, VLDL
As per National Cholesterol Education Programme (NCEP) & guidelines
Total Cholestrol in mg/dl

<200 Desirable

200 - 239 Borderline

> or =240 High

LDL Cholestrol
< 100 Optimal
100 - 129 Near optimal
130 - 159 Borderline high
160 - 189 High
> or = 190 Very high
Triglycerides
< 150 Normal
150 to 199 Borderline high
200 to 499 High
> or = 500 Very high

Page 3 of 8

LIFE CARE LAB,SUNNI ATULAYA HEALTHCARE, CENTRAL PARKING, SHIMLA

Near Civil Hospital, Sunni 1st Floor, Central Parking-cumCommercial Complex
Suni Shimla
 ALLS409

Patient NAME : Mrs.LALITA SHARMA Sample Collection Time : 21/Oct/2023 12:21PM

Age/Gender : 54 Y 0 M 0 D /F Sample Received in Lab Time : 21/Oct/2023 04:12PM
UAID/Oth.Lab Ref. : ALLS.0000000391/ Reported Time : 21/Oct/2023 05:38PM
SIN No. : ADP62781 Ref. Doctor : Dr.SELF

DEPARTMENT OF BIOCHEMISTRY
FULL BODY HEALTH CHECKUP EXTENDED
Test Name Result Unit Bio. Ref. Range Method

*Liver Function Screening , Serum

BILIRUBIN, TOTAL 0.46 mg/dL 0.0 - 1.20 DSA Method
BILIRUBIN CONJUGATED (DIRECT) 0.13 mg/dl < 0.3 DSA
BILIRUBIN (INDIRECT) 0.33 mg/dl 0.0 - 0.8 Calculated
ASPARTATE AMINOTRANSFERASE (AST/SGOT) 47.7 U/L < 40 IFCC
ALANINE AMINOTRANSFERASE (ALT/SGPT) 36.3 U/L 0 - 49 IFCC
ALKALINE PHOSPHATASE (ALP) 142.6 IU/L 110 - 310 DGKC
PROTEIN, TOTAL 7.75 g/dL 6.6 - 8.3 Biuret
ALBUMIN 4.89 g/dL 3.5 - 5.3 BCG Dye Binding
GLOBULIN 2.86 gm/dl 3.0 - 4.2 Calculated
A/G RATIO 1.71 1.2 - 2.0 Calculated
Comment:
Bilirubin is a yellowish pigment found in bile and is a breakdown product of normal heme catabolism. Elevated levels results from increased bilirubin production (eg hemolysis and ineffective erythropoiesis); decreased bilirubin excretion
(eg; obstruction and hepatitis); and abnormal bilirubin metabolism (eg; hereditary and neonatal jaundice). Conjugated (direct) bilirubin is elevated more than unconjugated (indirect) bilirubin in viral hepatitis; drug reactions, alcoholic
liver disease conjugated (direct) bilirubin is also elevated more than unconjugated (indirect)bilirubin when there is some kind of blockage of the bile ducts like in Gallstones getting into the bile ducts tumors &Scarring of the bile ducts.
Increased unconjugated (indirect) bilirubin may be a result of hemolytic or pernicious anemia, transfusion reaction & a common metabolic condition termed Gilbert syndrome.
AST levels increase in viral hepatitis, blockage of the bile duct ,cirrhosis of the liver, liver cancer, kidney failure, hemolytic anemia, pancreatitis, hemochromatosis. Ast levels may also increase after a heart attck or strenuous activity.
ALT is commonly measured as a part of a diagnostic evaluation of hepatocellular injury, to determine liver health. Elevated ALP levels are seen in Biliary Obstruction, Osteoblastic Bone Tumors, Osteomalacia, Hepatitis,
Hyperparathyriodism, Leukemia, Lymphoma, paget`s disease, Rickets, Sarcoidosis etc.
Serum total protein, also known as total protein, is a biochemical test for measuring the total amount of protein in serum..Protein in the plasma is made up of albumin and globulin. Higher-than-normal levels may be due to: Chronic
inflammation or infection, including HIV and hepatitis B or C, Multiple myeloma,Waldenstrom's disease. Lower-than-normal levels may be due to: Agammaglobulinemia, Bleeding (hemorrhage), Burns, Glomerulonephritis, Liver
disease, Malabsorption, Malnutrition, Nephrotic - Human serum albumin is the most abundant protein in human blood plasma. It is produced in the liver.Albumin constitutes about half of the blood serum protein. Low blood albumin levels
(hypoalbuminemia) can be caused by: Liver disease like cirrhosis of the liver, nephrotic syndrome, protein-losing enteropathy, Burns, hemodilution, increased vascular permeability or decreased lymphatic clearance, malnutrition and
wasting etc.
Critical value of serum albumin established as per laboratory policy:
: < 1.5
Critical value of serum Bilirubin established as per laboratory policy:
0 - 3 months : >15
4 - 6 months: >20
Adult : > 15
Critical value of SGOT established as per laboratory policy:
: > 1000
Critical value of SGPT established as per laboratory policy:
: > 1000
Such critical value if obtained needs urgent medical attention.

Page 4 of 8

LIFE CARE LAB,SUNNI ATULAYA HEALTHCARE, CENTRAL PARKING, SHIMLA

Near Civil Hospital, Sunni 1st Floor, Central Parking-cumCommercial Complex
Suni Shimla
 ALLS409

Patient NAME : Mrs.LALITA SHARMA Sample Collection Time : 21/Oct/2023 12:21PM

Age/Gender : 54 Y 0 M 0 D /F Sample Received in Lab Time : 21/Oct/2023 04:12PM
UAID/Oth.Lab Ref. : ALLS.0000000391/ Reported Time : 21/Oct/2023 05:38PM
SIN No. : ADP62781 Ref. Doctor : Dr.SELF

DEPARTMENT OF BIOCHEMISTRY
FULL BODY HEALTH CHECKUP EXTENDED
Test Name Result Unit Bio. Ref. Range Method

*Renal Function Screening , SERUM

UREA 34.88 mg/dL 15 - 45 GLDH
BLOOD UREA NITROGEN 16.3 mg/dl 7 - 21 Urease-GLDH
CREATININE 1.21 mg/dL 0.4 - 1.5 JAFFE`s
GFR, ESTIMATED 53.00 ml/min/1.73m2 Calculated
URIC ACID 7.00 mg/dl 2.3 - 6.1 Uricase - Peroxidase
BUN/CREATININE RATIO 13.47 10 - 25 Calculated
UREA/CREATININE RATIO 28.83 20 - 50 Calculated
Comment:
AGE IN YEARS GFR IN mL/min/1.73m2
20 - 29 116
30 - 39 107
40 - 49 99
50 - 59 93
60 - 69 85
>=70 75

Normal GFR >=90

Mild decrease in GFR 60 - 89
Moderate decrease in GFR 30 - 59
Sever decrease in GFR 15 - 29
Kidney Failure <15
Note
1. National Kidney Disease Education program recommends the use of MDRD equation to estimate or predict GFR in adults (>=20 years) with Chronic Kidney Disease
(CKD)
2. MDRD equation is most accurate for GFR <=60 mL/min/1.73m2
Critical value of BUN established as per laboratory policy:
Adult: > 60
Critical value of Creatinine established as per laboratory policy:
​Adult : > 5.0
Such critical value if obtained needs urgent medical attention.

Page 5 of 8

LIFE CARE LAB,SUNNI ATULAYA HEALTHCARE, CENTRAL PARKING, SHIMLA

Near Civil Hospital, Sunni 1st Floor, Central Parking-cumCommercial Complex
Suni Shimla
 ALLS409

Patient NAME : Mrs.LALITA SHARMA Sample Collection Time : 21/Oct/2023 12:21PM

Age/Gender : 54 Y 0 M 0 D /F Sample Received in Lab Time : 21/Oct/2023 04:12PM
UAID/Oth.Lab Ref. : ALLS.0000000391/ Reported Time : 21/Oct/2023 04:55PM
SIN No. : ADP62782 Ref. Doctor : Dr.SELF

DEPARTMENT OF HAEMATOLOGY
FULL BODY HEALTH CHECKUP EXTENDED
Test Name Result Unit Bio. Ref. Range Method

*Complete Blood Count (CBC) , WHOLE BLOOD EDTA

HAEMOGLOBIN 13.9 g/dl 12.0 - 15.0 Cyan-methemoglobin
RBC COUNT 4.74 million/µl 4.5 - 5.5 Optical(2-Dimensional technology)
PCV 43.2 % 36 - 46 Mathematical Calculation
MCV 91 fL 83 - 101 Measured, RBC Histogram
MCH 29.3 pg 27 - 32 Mathematical Calculation
MCHC 32.2 g/dl 31.0 - 34.5 Mathematical Calculation
R.D.W 11.7 % 11.5 - 14.5 Measured, RBC Histogram
TOTAL LEUCOCYTE COUNT 9290 cells/µL 4000 -10000 Peroxidase/Basophil/Lobularity
DIFFERENTIAL LEUCOCYTE COUNT (DLC)
NEUTROPHILS 56.9 % 40 -80 Peroxidase (Flowcytometry)
ABSOLUTE NEUTROPHIL COUNT 5,286 /µl 2000 - 7000 Peroxidase (Flowcytometry)
LYMPHOCYTES 35.4 % 20 - 45 Peroxidase (Flowcytometry)
ABSOLUTE LYMPHOCYTE COUNT 3,289 /cu mm 1300 -3500 Light scatter/Peroxidase
MONOCYTES 5.6 % 02 -10 Peroxidase (Flowcytometry)
ABSOLUTE MONOCYTE COUNT 520.2 /cu mm 200 - 800 Light scatter/Peroxidase
EOSINOPHILS 1.9 % 1-6 Peroxidase (Flowcytometry)
ABSOLUTE EOSINOPHIL COUNT 176.5 /cu mm 40 - 440 Light scatter/Peroxidase
BASOPHILS 0.2 % 00 - 02 Basophil/Lobularity(Flowcytometry)
ABSOLUTE BASOPHIL COUNT 18.6 /µl 20 - 100 Basophil/Lobularity(Flowcytometry)
PLATELET COUNT 97000 cells/µl 150000 - 410000 Optical(2-Dimensional technology)
PCT 1.43 % 0.19 - 0.39 Mathematical calculation
MPV 16.3 fL 6.8 - 10.9 Measured Platelet Histogram
Comment:

A complete blood count is a blood panel that gives information about the cells in a patient's blood, such as the cell count for each cell type. It is done on automated cell counter. The sample collected in EDTA is well preserved for 1 day.
After 24 – 48 hrs, RBC morphology show increased in MCV & HCT. All abnormal haemograms are reviewed and confirmed microscopically.
Critical value of Hemoglobin established as per laboratory policy: ​Adult : < 7.0 or > 20, NewBorn : < 10 or > 22, Critical value of TLC established as per laboratory policy: ​Adult : < 2000 or > 30000 NewBorn : < 2000 or > 43000,
Critical value of PCV established as per laboratory policy: ​Adult : < 20 or > 60 NewBorn : < 33 or > 71, Critical value of Platelets established as per laboratory policy: ​Adult : <40000 or > 1000000. Such critical value if obtained needs
urgent medical attention.

Page 6 of 8

LIFE CARE LAB,SUNNI ATULAYA HEALTHCARE, CENTRAL PARKING, SHIMLA

Near Civil Hospital, Sunni 1st Floor, Central Parking-cumCommercial Complex
Suni Shimla
 ALLS409

Patient NAME : Mrs.LALITA SHARMA Sample Collection Time : 21/Oct/2023 12:21PM

Age/Gender : 54 Y 0 M 0 D /F Sample Received in Lab Time : 21/Oct/2023 04:12PM
UAID/Oth.Lab Ref. : ALLS.0000000391/ Reported Time : 21/Oct/2023 05:28PM
SIN No. : ADP62781 Ref. Doctor : Dr.SELF

DEPARTMENT OF IMMUNOLOGY
FULL BODY HEALTH CHECKUP EXTENDED
Test Name Result Unit Bio. Ref. Range Method

*Vitamin B12 , Serum

VITAMIN B12 533.0 pg/mL 211 - 911 C.L.I.A
Comment:
Vitamin B12 deficiency frequently causes macrocytic anemia, glossitis, peripheral neuropathy, weakness, hyperreflexia, ataxia, loss of proprioception, poor coordination,
and affective behavioral changes. A significant increase in RBC MCV may be an important indicator of vitamin B12 deficiency.
Patients taking vitamin B12 supplementation may have misleading results. A normal serum concentration of B12 does not rule out tissue deficiency of vitamin B12 .
The most sensitive test for B12 deficiency at the cellular level is the assay for MMA. If clinical symptoms suggest deficiency, measurement of MMA and homocysteine
should be considered, even if serum B12 concentrations are normal.
Critical value of VIT B12 established as per laboratory policy:
​Adult : > 2000
Such critical value if obtained needs urgent medical attention.

*Vitamin D 25 Hydroxy (D3) , Serum

VITAMIN D (25 - OH VITAMIN D) 14.26 ng/mL CLIA
Comment:
BIOLOGICAL REFERENCE RANGES
VITAMIN D STATUS VITAMIN D 25 HYDROXY (ng/mL)
DEFICIENCY <20
INSUFFICIENCY 20 – <30
SUFFICIENCY 30 – 100
TOXICITY >100

The assay measures both D2 (Ergocalciferol) and D3 (Cholecalciferol) metabolites of vitamin D.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)
The reference ranges discussed in the preceding are related to total 25-OHD; as long as the combined total is 30 ng/mL or more, the patient has sufficient vitamin D.
Levels needed to prevent rickets and osteomalacia (15 ng/mL) are lower than those that dramatically suppress parathyroid hormone levels (20–30 ng/mL). In turn, those
levels are lower than levels needed to optimize intestinal calcium absorption (34 ng/mL). Neuromuscular peak performance is associated with levels approximately 38
ng/mL.
Critical value of VIT D established as per laboratory policy:
: > 100
Such critical value if obtained needs urgent medical attention.

Page 7 of 8

LIFE CARE LAB,SUNNI ATULAYA HEALTHCARE, CENTRAL PARKING, SHIMLA

Near Civil Hospital, Sunni 1st Floor, Central Parking-cumCommercial Complex
Suni Shimla
 ALLS409

Patient NAME : Mrs.LALITA SHARMA Sample Collection Time : 21/Oct/2023 12:21PM

Age/Gender : 54 Y 0 M 0 D /F Sample Received in Lab Time : 21/Oct/2023 04:12PM
UAID/Oth.Lab Ref. : ALLS.0000000391/ Reported Time : 21/Oct/2023 05:28PM
SIN No. : ADP62781 Ref. Doctor : Dr.SELF

DEPARTMENT OF IMMUNOLOGY
FULL BODY HEALTH CHECKUP EXTENDED
Test Name Result Unit Bio. Ref. Range Method

*Thyroid Profile (Total T3, Total T4, Ultrasensitive TSH) , Serum

TRI-IODOTHYRONINE (T3, TOTAL) 1.16 ng/mL 0.60 - 1.81 C.L.I.A
THYROXINE (T4, TOTAL) 10.05 ug/dl 3.2 - 12.6 C.L.I.A
ULTRASENSITIVE TSH 1.849 µIU/ml 0.55 - 4.78 C.L.I.A
Comment:
Interpretations(s):
TSH stimulates the production and secretion of the metabolically active thyroid hormones, thyroxine (T4) and triiodothyronine (T3), by interacting with a specific receptor on the thyroid cell surface. The synthesis and secretion of TSH
is stimulated by Thyrotropin releasing hormone (TRH), in response to low levels of circulating thyroid d hormones. Elevated levels of T3 and T4 suppress the production of TSH via a classic negative feedback mechanism. Failure at
any level of regulation of the hypothalamic-pituitary-thyroid axis will result in either underproduction (hypothyroidism) or overproduction (hyperthyroidism) of T4 and/or T3.
Limitations:
T3 and T4 circulates in reversibly bound form with Thyroid binding globulins (TBG), and to a lesser extent albumin and Thyroid binding Pre-Albumin, so conditions in which TBG and protein levels alter such as pregnancy, excess
estrogens, androgens, steroids may falsely affect the T3 and T4 levels. Normal levels of T4 can also be seen in Hyperthyroid patients with: T3 Thyrotoxicosis, hypoproteinaemia or Ingestion of certain drugs. Serum T4 levels in neonates
and infants are higher than values in the normal adult, due to the increased concentration of TBG in neonate serum, TSH may be normal in central hypothyroidism, recent rapid correction of hyperthyroidism or hypothyroidism,
pregnancy, phenytoin therapy. Autoimmune disorders may produce spurious result. Various drugs can interfere with the test result. TSH has a diurnal rhythm so values may vary if sample collection is done at different times of the day.
Recommended test for T3 and T4 is unbound fraction or free levels as it is metabolically active.
Time of sampling or food intake alter TSH levels. Recommended sample for thyroid tests is morning fasting sample (Shriram Mahadevn et al)
Each individual circadian rhythm is different, so for serial readings, one should always give the sample at the exact same time of the day every time.
Reference Intervals:
Age T3 (ng/ml) T4 (µg/dL) TSH (µIU/mL)
Adults 0.60 – 1.81 3.20 – 12.6 0.55 – 4.78
For Pregnant females (As per American Thyroid Association)
First Trimester 0.10 – 2.50
Second Trimester 0.20 – 3.00
Third Trimester 0.30 – 3.00

*** End Of Report ***

Page 8 of 8

LIFE CARE LAB,SUNNI ATULAYA HEALTHCARE, CENTRAL PARKING, SHIMLA

Near Civil Hospital, Sunni 1st Floor, Central Parking-cumCommercial Complex
Suni Shimla