Dr.

Chhabra's Pathology Centre

e-Report 35/1, Subhash Road, Dehradun - 248001
Ph.: 2656804, 2654134, 6458445
TeleFax: 2654134
web:www.chhabraPATH.com | email: director@chhabrapath.com

Date : Sep 18, 2023 Sample Coll. : 10:53 Sep 18, 2023
Ref. No. : 2309-18068 Report Time : 12:09 Sep 18, 2023
Patient : Mr. Vishal Pandey 26 Y / M
Ref. Doctor : SELF Delivery : Counter
*18068*
HEMATOLOGY†
Investigation Result Units Bio. Reference Interval

Haemoglobin, W. Blood : 17.2 g/dL 13.0 - 17.0

Method- SLS-Hemoglobin Method

* Age Related Reference Ranges for Haemoglobin (Indian Population)
Adult Male 13.0 - 17.0 | Adult Female 11.5 - 15.0
Children |
- Days 1 - 13 18.5 `b1 5.0 | - Days 14 - 60 13.0 `b1 3.3
- 3 mths - 10 yrs 11.2 `b1 2.3 | - 11 - 15 yrs 12.0 `b1 1.0

T.L.C., W. Blood : 4800 /cu.mm 4,000 - 11,000

Method- Flow Cytometry

D L C, W. Blood

Polymorphs : 74 % 45 - 74

Lymphocytes : 23 % 16 - 45

Eosinophils : 2 % 0-5

Monocytes : 1 % 0-5

Platelet Count, W. Blood : 86 x 10³/mm³ 100 - 400

Method- Flow cytometry; verified by microscopy

Hematocrit (Hct/PCV), W. Blood : 50.4 % 37.0 - 51.0

R B C Count, W. Blood : 5.57 10^12/L 4.20 - 6.30

Method- DC Detection

MCV : 90.5 fL 76.0 - 96.0

MCH : 30.9 pg 26.0 - 32.0

MCHC : 34.1 g/dL 31.0 - 36.0

RDW : 14.0 % 0.0 - 15.0

This is a computer generated document. No signature required.

Dr. Divye Chhabra Dr. Yogita Kumar Dr.Natasha Makkar
MD(Path), MAMC MD(Path) , LHMC MD(Path)
Page 1 of 2 Gold Medalist Consultant Pathologist Consultant Pathologist
All results reach your reports through a sophisticated, bi-directionally interfaced, computerised Laboratory Information
System (LIS). Samples are barcoded on receipt & processed from primary tubes. No manual data entry used.
 Dr.Chhabra's Pathology Centre
e-Report 35/1, Subhash Road, Dehradun - 248001
Ph.: 2656804, 2654134, 6458445
TeleFax: 2654134
web:www.chhabraPATH.com | email: director@chhabrapath.com

Date : Sep 18, 2023 Sample Coll. : 10:53 Sep 18, 2023
Ref. No. : 2309-18068 Report Time : 12:09 Sep 18, 2023
Patient : Mr. Vishal Pandey 26 Y / M
Ref. Doctor : SELF Delivery : Counter
*18068*
SEROLOGY & IMMUNOLOGY
Investigation Result Units Bio. Reference Interval

Dengue Serology (IgG,IgM & NS1

Ag), Serum

Dengue Virus Antibody IgG : Non-Reactive

Dengue Virus Antibody IgM : Non-Reactive

Dengue NS1 Antigen P/CO : 65.70 Ratio 0.00 - 1.00

Dengue NS1 ELISA Interpretation : POSITIVE

Method: ELISA/ ELFA Enzyme Linked Fluorescent Assay

Interpretation:
Index of Patient/ Cut-off >=1.0 - NS1 Detected
Index of Patient/ Cut-off < 1.0 - Not Detected

Dengue virus (DENV) belongs to the Flaviviridae family and is transmitted to humans by Aedes mosquitoes. DENV are divided into four
serotypes: DEN-1, DEN-2, DEN-3 and DEN-4. Clinical diagnosis of DENV infection mainly relies on nonspecific symptoms (headache,
arthralgia, myalgia, nausea, vomiting, and thrombocytopenia). Laboratory diagnosis relying on direct and/or indirect methods is used to
confirm dengue diagnosis.

During the early phase (less than 5-7 days after onset), direct diagnostic techniques, such as the identification of viral nucleic acid or NS1
antigen, are preferred. Combining NS1 detection with IgM serological assay in routine diagnosis of DENV infection can help to improve
accuracy of dengue diagnosis.4-7 After 5-7 days, serological tests, based on host immune response to virus infection (IgM and/or IgG), are
commonly used. The timing of the appearance and duration of these biomarkers depend on whether the patient is experiencing a primary or
secondary DENV infection. During primary infection, the antibody response to DENV infection with IgM is usually detectable early after the
onset of the symptoms and persists for 2-3 months; dengue IgG appear few days after IgM and persist for years. During secondary
infection, dengue IgG appear earlier and IgM have kinetics close to primary infection but at a lower level.

- The above test is a sensitive Rapid ELISA antibody detection test from PANBIO ELISA, Australia (Reagent kit endorsed in Indian Journal of
Pathology[1]). The kit is sensitive and specific to both IgG and IgM antibodies directed against Dengue arbovirus.
A reactive result for IgM antibodies indicates presence of circulationg anti-Dengue antibodies of IgM class (acute/primary infection by one of
the serotypes of dengue arbovirus). Similarly a reactive result for IgG antibodies indicates presence of circulationg anti-Dengue antibodies
of IgG class.

- Panbio dengue early rapid is a dengue NS1 antigen immunochromatographic assay.

It is the qualitative detection of NS1 antigen in serum and should be used in conjunction with other dengue serological tests. This assay
allows detection of infection prior to seroconversion. The limitation of the test is serological crossreactivity across the flavivirus group.

Clinical correlation and correlation with other laboratiry data is imperitive.

1- Baruah J, Shiv Ananda, Arun Kumar G . Incidence of dengue in a tertiary care centre- Kasturba Hospital,Manipal. Indian J Pathol
Microbiol; 49(3):462-463 Quote-` The study found Fever, headache and myalgia in nearly all IgM postive cases while rash and petechiae in
7% and 9% cases respectiely.`

--End of Report--
CBC only*,DengGM_NS1*

This is a computer generated document. No signature required.

Dr. Divye Chhabra Dr. Yogita Kumar Dr.Natasha Makkar
MD(Path), MAMC MD(Path) , LHMC MD(Path)
Page 2 of 2 Gold Medalist Consultant Pathologist Consultant Pathologist
All results reach your reports through a sophisticated, bi-directionally interfaced, computerised Laboratory Information
System (LIS). Samples are barcoded on receipt & processed from primary tubes. No manual data entry used.