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Header-1
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Mr Pn Bhtanagar
M 70
fa lse
Health Summary
LIPID PROFILE
DIABETES MONITORING
Test Name Result
KIDNEY PROFILE
ANEMIA STUDIES
MINERAL PROFILE
Sample Collected : Sep 08, 2024, 06:11 PM Report Date : Sep 08, 2024, 07:51 PM.
Test Description Value(s) Unit(s) Reference Range
RBC Parameters
Hemoglobin 15 g/dL 13.0 - 17.0
colorimetric
RBC Count 5 10^6/µl 4.5 - 5.5
Electrical impedance
PCV 44.8 % 40 - 50
Calculated
MCV 90.5 fl 83 - 101
Calculated
MCH 30.3 pg 27 - 32
Calculated
MCHC 33.5 g/dL 31.5 - 34.5
Calculated
RDW (CV) * 12.1 % 11.6 - 14.0
Calculated
RDW-SD * 40.9 fl 35.1 - 43.9
Calculated
WBC Parameters
TLC 4.6 10^3/µl 4 - 10
Electrical impedance and microscopy
Differential Leucocyte Count
Neutrophils 34.5 % 40-80
Lymphocytes 46.1 % 20-40
Monocytes 5.6 % 2-10
Eosinophils 11.3 % 1-6
Basophils 2.5 % <2
Absolute Leukocyte Counts
Calculated
Neutrophils. 1.59 10^3/µl 2-7
Lymphocytes. 2.12 10^3/µl 1-3
Monocytes. 0.26 10^3/µl 0.2 - 1.0
Eosinophils. 0.52 10^3/µl 0.02 - 0.5
Basophils. 0.12 10^3/µl 0.02 - 0.5
Platelet Parameters
Platelet Count 152 10^3/µl 150 - 410
Electrical impedance and microscopy
Mean Platelet Volume (MPV) * 10.9 fL 9.3 - 12.1
Calculated
PCT * 0.2 % 0.17 - 0.32
Calculated
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 1 of 13
Patient NAME : Mr Pn Bhtanagar
DOB/Age/Gender : 70 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9625659/RCL8938830 Barcode NO : HQ352319
Referred BY : Self Sample Type : Whole blood EDTA
Sample Collected : Sep 08, 2024, 06:11 PM Report Date : Sep 08, 2024, 07:51 PM.
Test Description Value(s) Unit(s) Reference Range
PDW * 16.5 fL 8.3 - 25.0
Calculated
P-LCR * 39.7 % 18 - 50
Calculated
P-LCC * 59 10^9/L 44 - 140
Calculated
Mentzer Index * 18.1 % > 13
Calculated
Interpretation:
CBC provides information about red cells, white cells and platelets. Results are useful in the diagnosis of anemia, infections, leukemias, clotting
disorders and many other medical conditions.
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 2 of 13
Patient NAME : Mr Pn Bhtanagar
DOB/Age/Gender : 70 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9625659/RCL8938830 Barcode NO : HQ352319
Referred BY : Self Sample Type : Whole blood EDTA
....
Sample Collected : Sep 08, 2024, 06:11 PM Report Date : Sep 08, 2024, 07:42 PM.
Test Description Value(s) Unit(s) Reference Range
Interpretation:
ESR is also known as Erythrocyte Sedimentation Rate. An ESR test is used to assess inflammation in the body. Many conditions can cause an
abnormal ESR, so an ESR test is typically used with other tests to diagnose and monitor different diseases. An elevated ESR may occur in
inflammatory conditions including infection, rheumatoid arthritis ,systemic vasculitis, anemia, multiple myeloma , etc. Low levels are typically
seen in congestive heart failure, polycythemia ,sickle cell anemia, hypo fibrinogenemia , etc.
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 3 of 13
Patient NAME : Mr Pn Bhtanagar
DOB/Age/Gender : 70 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9625659/RCL8938830 Barcode NO : ZE399701
Referred BY : Self Sample Type : FLUORIDE F
....
Sample Collected : Sep 08, 2024, 06:11 PM Report Date : Sep 08, 2024, 07:30 PM.
Test Description Value(s) Unit(s) Reference Range
Interpretation:
Status Fasting plasma glucose in mg/dL
Normal <100
Impaired fasting glucose 100 - 125
Diabetes =>126
Comment :
Blood glucose determinations in commonly used as an aid in the diagnosis and treatment of diabetes. Elevated glucose levels (hyperglycemia)
may also occur with pancreatic neoplasm, hyperthyroidism, and adrenal cortical hyper function as well as other disorders. Decreased glucose
levels (hypoglycemia) may result from excessive insulin therapy insulinoma, or various liver diseases.
Note
1.The diagnosis of Diabetes requires a fasting plasma glucose of > or = 126 mg/dL or a random / 2 hour plasma glucose value of > or = 200
mg/dL with symptoms of diabetes mellitus.
2.Very high glucose levels (>450 mg/dL in adults) may result in Diabetic Ketoacidosis.
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 4 of 13
Patient NAME : Mr Pn Bhtanagar
DOB/Age/Gender : 70 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9625659/RCL8938830 Barcode NO : ZE399702
Referred BY : Self Sample Type : Serum
....
Sample Collected : Sep 08, 2024, 06:11 PM Report Date : Sep 08, 2024, 07:30 PM.
Test Description Value(s) Unit(s) Reference Range
Interpretation:
The liver filters and processes blood as it circulates through the body. It metabolizes nutrients, detoxifies harmful substances, makes blood
clotting proteins, and performs many other vital functions. The cells in the liver contain proteins called enzymes that drive these chemical
reactions. When liver cells are damaged or destroyed, the enzymes in the cells leak out into the blood, where they can be measured by blood
tests Liver tests check the blood for two main liver enzymes. Aspartate aminotransferase (AST),SGOT: The AST enzyme is also found in
muscles and many other tissues besides the liver. Alanine aminotransferase (ALT), SGPT: ALT is almost exclusively found in the liver. If ALT
and AST are found together in elevated amounts in the blood, liver damage is most likely present. Alkaline Phosphatase and GGT: Another of
the liver's key functions is the production of bile, which helps digest fat. Bile flows through the liver in a system of small tubes (ducts), and is
eventually stored in the gallbladder, under the liver. When bile flow is slow or blocked, blood levels of certain liver enzymes rise: Alkaline
phosphatase Gamma-utamyl transpeptidase (GGT) Liver tests may check for any or all of these enzymes in the blood. Alkaline phosphatase is
by far the most commonly tested of the three. If alkaline phosphatase and GGT are elevated, a problem with bile flow is most likely present. Bile
flow problems can be due to a problem in the liver, the gallbladder, or the tubes connecting them. Proteins are important building blocks of all
cells and tissues. Proteins are necessary for your body's growth, development, and health. Blood contains two classes of protein, albumin and
globulin. Albumin proteins keep fluid from leaking out of blood vessels. Globulin proteins play an important role in your immune system. Low
total protein may
Indicate:
1.Bleeding
2.Liver disorder
3.Malnutrition
4.Agammaglobulinemia High Protein levels 'Hyperproteinemia: May be seen in dehydration due to inadequate water intake or to excessive
water loss (eg, severe vomiting, diarrhea, Addison's disease and diabetic acidosis) or as a result of increased production of proteins Low
albumin levels may be
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 5 of 13
Patient NAME : Mr Pn Bhtanagar
DOB/Age/Gender : 70 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9625659/RCL8938830 Barcode NO : ZE399702
Referred BY : Self Sample Type : Serum
Sample Collected : Sep 08, 2024, 06:11 PM Report Date : Sep 08, 2024, 07:30 PM.
Test Description Value(s) Unit(s) Reference Range
Caused by:
1.A poor diet (malnutrition).
2.Kidney disease.
3.Liver disease. High albumin levels may be caused by: Severe dehydration.
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 6 of 13
Patient NAME : Mr Pn Bhtanagar
DOB/Age/Gender : 70 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9625659/RCL8938830 Barcode NO : ZE399702
Referred BY : Self Sample Type : Serum
....
Sample Collected : Sep 08, 2024, 06:11 PM Report Date : Sep 08, 2024, 07:30 PM.
Test Description Value(s) Unit(s) Reference Range
Interpretation:
Kidney function tests is a collective term for a variety of individual tests and proceduresthat can be done toevaluate how well the kidneys are functioning. Many
conditions can affect the ability of the kidneys to carryout their vital functions. Somelead to a rapid (acute) decline in kidney functionothers lead to a gradual
(chronic) declineinfunction. Both result in a buildup of toxic waste subst done on urine samples, as well as on blood samples. A number of symptoms may indicate
a problem with your kidneys. These include : high blood pressure,blood in urine frequent urges to urinate,difficulty beginning urination,painful urination,swelling
in the hands and feet due to a buildup of fluids in the body. A single symptom may not mean something serious. However, when occurring simultaneously, these
symptoms suggest that your kidneys are not working properly. Kidney function tests can help determine the reason. Electrolytes are present in the human body
and the balancing act of the electrolytes in our bodies is essential for normal function of our cells and organs. There has to be a balance.Ionized calcium this test if
you have signs of kidney or parathyroid disease. The test may also be done to monitor progress and treatment of these diseases.
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 7 of 13
Patient NAME : Mr Pn Bhtanagar
DOB/Age/Gender : 70 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9625659/RCL8938830 Barcode NO : ZE399702
Referred BY : Self Sample Type : Serum
Sample Collected : Sep 08, 2024, 06:11 PM Report Date : Sep 08, 2024, 07:30 PM.
Test Description Value(s) Unit(s) Reference Range
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 8 of 13
Patient NAME : Mr Pn Bhtanagar
DOB/Age/Gender : 70 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9625659/RCL8938830 Barcode NO : ZE399702
Referred BY : Self Sample Type : Serum
....
Sample Collected : Sep 08, 2024, 06:11 PM Report Date : Sep 08, 2024, 07:30 PM.
Test Description Value(s) Unit(s) Reference Range
Lipid Profile
Interpretation:
Lipid level assessments must be made following 9 to 12 hours of fasting, otherwise assay results might lead to erroneous interpretation. NCEP recommends of 3
different samples to be drawn at intervals of 1 week for harmonizing biological variables that might be encountered in single assays.
National Lipid Association Recommendations Total Cholesterol Triglyceride LDL Cholesterol Non HDL Cholesterol
(NLA-2014) (mg/dL) (mg/dL) (mg/dL) (mg/dL)
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
HDL Cholesterol
Low High
<40 >=60
Risk Stratification for ASCVD (Atherosclerotic Cardiovascular Disease) by Lipid Association of India.
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 9 of 13
Patient NAME : Mr Pn Bhtanagar
DOB/Age/Gender : 70 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9625659/RCL8938830 Barcode NO : ZE399702
Referred BY : Self Sample Type : Serum
Sample Collected : Sep 08, 2024, 06:11 PM Report Date : Sep 08, 2024, 07:30 PM.
Test Description Value(s) Unit(s) Reference Range
1.Established ASCVD 2.Diabetes with 2 major risk factors of evidence of end organ
Very High Risk
damage 3. Familial Homozygous Hypercholesterolemia
1. Three major ASCVD risk factors 2. Diabetes with 1 major risk factor or no evidence
of end organ damage 3. CHD stage 3B or 4. 4 LDL >190 mg/dl 5. Extreme of a single
High Risk
risk factor 6. Coronary Artery Calcium - CAC > 300 AU 7. Lipoprotein a >/= 50 mg/dl
8. Non stenotic carotid plaque
Moderate Risk 2 major ASCVD risk factors
Low Risk 0-1 major ASCVD risk factors
Newer treatment goals and statin initiation thresholds based on the risk categories proposed by Lipid Association of India
in 2020.
References : Management of Dyslipidaemia for the Prevention of Stroke : Clinical practice Recommendations from the Lipid Association of
India. Current Vascular Pharmacology,2022,20,134-155.
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 10 of 13
Patient NAME : Mr Pn Bhtanagar
DOB/Age/Gender : 70 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9625659/RCL8938830 Barcode NO : ZE399702
Referred BY : Self Sample Type : Serum
....
Sample Collected : Sep 08, 2024, 06:11 PM Report Date : Sep 08, 2024, 07:30 PM.
Test Description Value(s) Unit(s) Reference Range
Interpretation:
Pregnancy Reference ranges TSH
1 st Trimester 0.1 - 2.5
2 ed Trimester 0.2 - 3.0
3 rd Trimester 0.3 - 3.0
Primary malfunction of the thyroid gland may result in excessive (hyper) or below normal (hypo) release of T3 or T4. In addition as TSH directly affects thyroid
function, malfunction of the pituitary or the hypo - thalamus influences the thyroid gland activity. Disease in any portion of the thyroid-pitutary-hypothala- mus
system may influence the levels of T3 and T4 in the blood. In primary hypothyroidism, TSH levels are significantly elevated, while in secondary and tertiary
hypothyroidism, TSH levels may be low. In addition, in the Euthyroid Sick Syndrome, multiple alterations in serum thyroid function test findings have been
recognized in patients with a wide variety of non-thyroidal illnesses (NTI) without evidence of preexisting thyroid or hypothalami c-pitutary diseases. Thyroid
Binding Globulin (TBG) concentrations remain relatively constant in healthy individuals. However, pregnancy, excess estrogen's, androgen's, antibiotic steroids
and glucocorticoids are known to alter TBG levels and may cause false thyroid values for Total T3 and T4 tests.
TSH T4 T3 Interpretation
High Normal Normal Mild (subclinical) hypothyroidism
Low or
High Low Hypothyroidism
Normal
Low Normal Normal Mild (subclinical) hyperthyroidism
High or High or
Low Hypothyroidism
normal normal
Low or Low or
Low Nonthyroidal illness; pituitary (secondary) hypothyroidism
normal normal
Thyroid hormone resistance syndrome (a mutation in the thyroid hormone receptor decreases
Normal High High thyroid hormone function)
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 11 of 13
Patient NAME : Mr Pn Bhtanagar
DOB/Age/Gender : 70 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9625659/RCL8938830 Barcode NO : YB131128
Referred BY : Self Sample Type : Spot Urine
....
Sample Collected : Sep 08, 2024, 06:11 PM Report Date : Sep 08, 2024, 07:42 PM.
Test Description Value(s) Unit(s) Reference Range
Physical Examination
Volume * 20 ml -
Colour * Pale yellow - Pale yellow
Transparency * Clear - Clear
Deposit * Absent - Absent
Chemical Examination
Reaction (pH) 6.5 - 4.5 - 8.0
Double Indicator
Specific Gravity 1.020 - 1.010 - 1.030
Ion Exchange
Urine Glucose (sugar) * Negative - Negative
Oxidase / Peroxidase
Urine Protein (Albumin) Negative - Negative
Acid / Base Colour Excahnge
Urine Ketones (Acetone) Negative - Negative
Legals Test
Blood Negative - Negative
Peroxidase Hemoglobin
Leucocyte esterase Negative - Negative
Enzymatic Reaction
Bilirubin Urine Negative - Negative
Coupling Reaction
Nitrite Negative - Negative
Griless Test
Urobilinogen Normal - Normal
Ehrlichs Test
Microscopic Examination
Pus Cells (WBCs) * 1-2 /hpf 0-5
Epithelial Cells * 1-2 /hpf 0-4
Red blood Cells * Absent /hpf Absent
Crystals * Absent - Absent
Cast * Absent - Absent
Yeast Cells * Absent - Absent
Amorphous deposits * Absent - Absent
Bacteria * Absent - Absent
Protozoa * Absent - Absent
Interpretation:
URINALYSIS- Routine urine analysis assists in screening and diagnosis of various metabolic, urological, kidney and liver disorders.
Protein: Elevated proteins can be an early sign of kidney disease. Urinary protein excretion can also be temporarily elevated by strenuous
exercise, orthostatic proteinuria, dehydration, urinary tract infections and acute illness with fever
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 12 of 13
Patient NAME : Mr Pn Bhtanagar
DOB/Age/Gender : 70 Y/Male Report STATUS : Final Report
Patient ID / UHID : 9625659/RCL8938830 Barcode NO : YB131128
Referred BY : Self Sample Type : Spot Urine
Sample Collected : Sep 08, 2024, 06:11 PM Report Date : Sep 08, 2024, 07:42 PM.
Test Description Value(s) Unit(s) Reference Range
Glucose: Uncontrolled diabetes mellitus can lead to presence of glucose in urine. Other causes include pregnancy, hormonal disturbances,
liver disease and certain medications.
Ketones: Uncontrolled diabetes mellitus can lead to presence of ketones in urine. Ketones can also be seen in starvation, frequent vomiting,
pregnancy and strenuous exercise.
Blood: Occult blood can occur in urine as intact erythrocytes or haemoglobin, which can occur in various urological, nephrological and bleeding
disorders.
Leukocytes: An increase in leukocytes is an indication of inflammation in urinary tract or kidneys. Most common cause is bacterial urinary tract
infection.
Nitrite: Many bacteria give positive results when their number is high. Nitrite concentration during infection increases with length of time the
urine specimen is retained in bladder prior to collection.
pH: The kidneys play an important role in maintaining acid base balance of the body. Conditions of the body producing acidosis/ alkalosis or
ingestion of certain type of food can affect the pH of urine.
Specific gravity: Specific gravity gives an indication of how concentrated the urine is. Increased specific gravity is seen in conditions like
dehydration, glycosuria and proteinuria while decreased specific gravity is seen in excessive fluid intake, renal failure and diabetes insipidus.
Bilirubin: In certain liver diseases such as biliary obstruction or hepatitis, bilirubin gets excreted in urine.
Urobilinogen: Positive results are seen in liver diseases like hepatitis and cirrhosis and in cases of haemolytic anaemia.
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 13 of 13
Name Patient ID Gender Age
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Mr Pn Bhtanagar 9625659 M 70
Health Advisory
Normal (N) Low (L) Borderline (BL) High (H)
Diabetes
This panel is used to check how much glucose/sugar there is in your blood. Too much blood glucose might
indicate diabetes.
The amount of glucose in your blood continuously changes - it sometimes goes up and sometimes comes down. But
that depends on a lot of things. For example, your food timings affect the amount of glucose. That is why fasting is
required for this test.
Symptoms :
Kidney Profile
This panel is used to check healthy functioning of your kidneys. Kidneys filter blood in your body to remove waste
products - these waste products are produced when breakdown of proteins (present in food, muscles and other
cells) occurs in the body to generate energy
Uric Acid is another waste product in your body. High levels of uric acid can lead to problems like gout (deposition of
uric acid crystals in great toe/toes specifically causing redness and joint pain)
Minerals
Minerals are those elements on the earth and in foods that our bodies need to develop and function normally. This
profile measures vital minerals in your body, including calcium, zinc, iodine, iron, and magnesium. These tests screen
for mineral deficiencies and toxicities, helping you maintain a healthy balance
Calcium is found in bones and teeth. It helps in nerve impulse transmission and muscle contraction.
Low levels of calcium for a long time can lead to problems in blood clotting. In menopausal women, low levels can
lead to osteoporosis.
Lipid Profile
A panel of tests that measures the amount of fat or lipid in your blood.
High cholesterol is bad for your heart, as too much of cholesterol combines with other substances to form plaque,
which causes obstruction in the arteries (vessels that carry oxygen-rich blood from heart to all the parts of your body).
Heart friendly cholesterol HDL reduces your chances of heart disease by removing harmful bad cholesterol.
HDL particles have antioxidant, anti-inflammatory, anti-thrombotic properties, which may contribute to
their ability to inhibit atherosclerosisNCBI-Books. HDL are called protective lipoproteins.
fa lse
LDL (Low-Density Lipoprotein) is "bad" cholesterol because it deposits fat around your blood vessels to cause heart
disease.