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Laboratory Investigation Report
Patient Name : Mr. Rajesh Sharma Centre : 1066 - Max Hospital Mohali
Age/Gender : 43 Y 2 M 13 D /M OP/IP No : OP/MHCS1135180
UHID/Mobile : MHLI.379710/9816228430 Collection Date/Time : 22/Jan/2020 11:27AM
Lab ID : 0795012016725 Receiving Date : 22/Jan/2020
Ref Doctor : Dr.Sumit Khetarpal Reporting Date : 22/Jan/2020
Clinical Biochemistry
Wellwise Total Profile
Blood Sugar Fasting,Fluoride Plasma

Date 22/Jan/2020 Unit Bio.Ref.Range
11:27AM
Glucose (Fasting) 103 mg/dL 74 - 99
Hexokinase
CRP (C-Reactive Protein), High Sensitive,Serum*, Serum

11:27AM
C-Reactive Protein, High 0.59 mg/L < 1.0
Sensitive
Immuno-Turbidimetric
Test(Latex)
Comment Reference Values in the table given below are recommended cardiovascular risk groups, in primary prevention settings by AHA/CDC and NACB
expert panel.
Risk Level CRP (mg/L) CRP (mg/dL)

Low < 1.0 < 0.10
Average 1.0 - 3.0 0.10 - 0.30
>0.30
High > 3.0
Increase in CRP levels is non – specific, and interpretation must be undertaken in comparison with previous Hs CRP values or other cardiac risk indicators
(Cholesterol, HDL etc.) Single measurement may lead to an erroneous assessment of early cardiac inflammation.
Lipid Profile,Serum
11:27AM
Cholesterol 176.6 mg/dL < 200
Page 1 of 14
SIN No:MH1120202
Cholesterol oxidase, esterase,

peroxidase
HDL Cholesterol 38.4 mg/dL > 40
Direct measure, immunoinhibition
LDL Cholesterol 115.3 mg/dL < 100
Direct measure
Triglyceride 96.9 mg/dL < 150
Enzymatic, end point
VLDL Cholesterol 19.4 mg/dl < 30
Calculated
Total Cholesterol/HDL 4.6 .. 0.0-4.9
Ratio
Calculated
Non-HDL Cholesterol 138.20 mg/dL < 130
Calculated
Comment
Optimal: < 100 mg/dL

Near Optimal/ Above Optimal: 100-
Desirable: < 200 mg/dL
129
Borderline High: 200-239
Total mg/dL
mg/dL LDL-C
Cholesterol Borderline High: 130-159 mg/dL
High ≥ 240 mg/dL
High: 160-189 mg/dL
Very High: ≥ 190 mg/dL
Normal: <150 mg/dL

Low HDL: < 40 mg/dL Borderline High: 150-199 mg/dL
HDL-C Triglyceride
High HDL: ≥ 60 mg/dL High: 200-499 mg/dL
Very High: ≥ 500 mg/dL
Page 2 of 14
SIN No:MH1120202
Rheumatoid Factor(Quantitative), Serum*

11:27AM
Rheumatoid Factor 8.6 IU/mL < 14.0
Immunoturbidimetric
Comment Rheumatoid factor is found in rheumatoid arthritis, Sjögren’s syndrome, Scleroderma, dermatomyositis, Waldenström’s disease, sarcoidosis and
SLE. 75% patients with rheumatoid arthritis have RF of IgM class. Highest titers of Rheumatoid arthritis are seen in severe, active, chronic disease with vasculitis
and subcutaneous nodules
Inorganic Phosphorus, Serum

11:27AM
Phosphorus(inorg) 3.20 mg/dL 2.5 - 4.5
Phosphomolybdate-UV
Comment
Increased in Osteolytic metastatic bone tumors, myelogenous leukemia, sarcoidosis, milk-alkali syndrome, vitamin D intoxcation, healing fractures, renal failure,
hyperparathyroidism, PTH resistance (Pseudohypoparathyroidism) and diabetes mellitus with ketosis.
Decreased in Osteomalacia, steatorrhea, renal tubular acidosis, growth hormone deficiency, acute alcoholism, gram-negative bacterial septicemia, hypokalemia,
familial hypophosphatemic rickets, Vitamin D deficiency, severe malnutrition, malabsorption, secondary diarrhea, vomiting, nasogastric suction, primary
hyperthyroidism and PTH producing tumors.
Page 3 of 14
SIN No:MH1120202
Glycosylated Haemoglobin (HbA1C),EDTA

HPLC

11:27AM
Glycosylated 5.4 % 4.27 - 6.07
Haemoglobin(Hb A1c)
Glycosylated 35.51 mmol/mol < 39.0
Haemoglobin(Hb A1c)
IFCC
Average Glucose Value 108.28 mg/dL
For the Last 3 Months
Average Glucose Value 6.00 mmol/L
For the Last 3 Months
IFCC
Comment The following HbA1c ranges recommended by the American Diabetes Assocation(ADA) may be used as an aid in the diagnosis of diabetes
mellitus.
HbA1C(NGSP %) HbA1C(IFCC mmol/mol) Suggested Diagnosis

> 6.5 > 48 Diabetic
5.7 - 6.4 39 - 47 Pre- Diabetic
< 5.7 < 39 Non - Diabetic
HbA1C provides a useful index of average glycaemia over the preceding 6-8 weeks.
It is suggested that HbA1c is measured every 6 months in stable patients, every 3 months in patients with unstable metabolic control and every month in
pregnancy.
Increased Glycated hemoglobin is a reflection of Hyperglycemia.
Page 4 of 14
SIN No:MH1120202
KFT Profile with Calcium,Uric Acid, Serum

11:27AM
Urea 18.8 mg/dL 17.0 - 43.0
Urease, UV
Creatinine 0.85 mg/dL 0.9 - 1.3
Alkaline picrate kinetic
eGFR 98.28 ml/min/1.73
MDRD m²
Uric Acid 5.9 mg/dL 3.5 - 7.2
Uricase, Colorimetric
Calcium (Total) 9.6 mg/dL 8.8 - 10.6
Arsenazo III
Sodium 143.2 mmol/L 136 - 146
ISE indirect
Potassium 4.13 mmol/L 3.5 - 5.1
ISE indirect
Chloride 106.4 mmol/L 101 - 109
ISE indirect
Bicarbonate 28.4 mmol/L 21 - 31
Enzymatic
Comment Ref. Range

eGFR - Estimated Glomerular Filteration Rate is calculated by MDRD equation which is most accurate for GFRs ≤ 60ml / min
/1.73 m².MDRD equation is used for adult population only.
<60ml / min / 1.73 m² - Chronic Kidney Disease
<15 ml / min /1.73 m² - Kidney failure
Page 5 of 14
SIN No:MH1120202
Liver Function Test Profile,Serum

11:27AM
Total Protein 6.72 g/dL 6.6 - 8.3
Biuret
Albumin 4.6 g/dL 3.5 - 5.2
Bromcresol Green (BCG)
Globulin 2.1 g/dl 2.3 - 3.5
Calculated
A.G. ratio 2.1 1.2 - 1.5
Calculated
Bilirubin (Total) 1.45 mg/dL 0.3 - 1.2
DPD
Bilirubin (Direct) 0.28 mg/dL 0.0 - 0.2
Diazotization
Bilirubin (Indirect) 1.17 mg/dL 0.1 - 1.0
Calculated
SGOT- Aspartate 24.9 U/L < 50
Transaminase (AST)
UV without P5P
SGPT- Alanine 20.8 U/L < 50
Transaminase (ALT)
UV without P5P
Alkaline Phosphatase 117.8 U/L 30 - 120
PNPP, AMP Buffer
GGTP (Gamma GT), 17.0 U/L 7 - 50
Serum
Enzymatic Rate
Kindly correlate with clinical findings
*** End Of Report ***
Page 6 of 14
SIN No:MH1120202
Page 7 of 14
SIN No:MH1120202
Clinical Pathology
Urine Routine And Microscopy

11:54AM
Macroscopy
Reflectance photometry
Colour Straw Pale Yellow

pH 8.0 .. 5-6
Specific Gravity 1.006 1.015 - 1.025
Protein Nil Nil
Glucose. Nil Nil
Ketones Nil Nil
Blood Nil Nil
Bilirubin Nil Nil
Urobilinogen Normal Normal
Nitrite Negative
Microscopy
Light Microscopy/Image capture microscopy
Red Blood Cells (RBC) Nil /HPF Nil

White Blood Cells 0-1 /HPF 0.0-5.0
Squamous Epithelial Cells 0-1 /HPF
Cast Nil /LPF Nil
Crystals Nil .. Nil
Bacteria Nil /HPF Nil
Page 8 of 14
SIN No:MH1120202
Clinical Pathology
Page 9 of 14
SIN No:MH1120202
Hematology
Complete Haemogram, Peripheral Smear and ESR,EDTA

11:27AM
Haemoglobin 14.9 g/dl 13.0 - 17.0
Non- Haemoglobincyanide
Packed Cell, Volume 44.0 % 40-50
Calculated
Total Leucocyte Count 5.6 10~9/L 4.0-10.0
(TLC)
Electrical Impedance
RBC Count 5.02 10~12/L 4.5-5.5
MCV 87.6 fL 83-101
MCH 29.6 pg 27-32
Calculated
MCHC 33.8 g/dl 31.5-34.5
Calculated
Platelet Count 179 10~9/L 150-410
MPV 10.3 fl 7.8-11.2
Calculated
RDW 12.9 % 11.5-14.5
Calculated
Differential Cell Count

VCS / Light Microscopy
Neutrophils 60.6 % 40-80

Lymphocytes 29.5 % 20-40
Monocytes 6.4 % 2-10
Eosinophils 3.2 % 1-6
Basophils 0.3 % 0-2
Absolute Leukocyte Count

Calculated from TLC & DLC
Page 10 of 14
SIN No:MH1120202
Hematology
Absolute Neutrophil Count 3.39 10~9/L 2.0-7.0

Absolute Lymphocyte 1.6 10~9/L 1.0-3.0
Count
Absolute Monocyte Count 0.36 10~9/L 0.2-1.0
Absolute Eosinophil Count 0.18 10~9/L 0.02-0.5
Absolute Basophil Count 0.02 10~9/L 0.02-0.1
ESR (Westergren) 05 mm/hr <=10
Peripheral Smear
Examination
RBC: - Normocytic Normochromic
WBC: - Counts within normal limits
Platelet: - Adequate
Page 11 of 14
SIN No:MH1120202
Immunoassay
Test Name Result Unit Bio.Ref.Range
Thyroid Profile*,Serum
Free Triiodothyronine (FT3) 4.99 pg/mL 2.6 - 4.2
CLIA
Free Thyroxine (FT4) 1.00 ng/dL 0.58 - 1.64
CLIA
Thyroid Stimulating Hormone 2.433 µIU/mL 0.34 - 5.6
CLIA
Comment
Premature Cord Blood
Upto 2 1st 2nd 3rd
Parameter Unit (28 - 36 (> 37 Adult
Month Trimester Trimester Trimester
weeks) weeks)
FT3 Pg/mL 0.15 - 3.91 2.4 - 5.6 2.6 - 4.2 2.11 - 3.83 1.96 - 3.38 1.96 - 3.38
FT4 ng/dl 0.89 - 1.53 0.58 - 1.64 0.58 - 1.64 0.7 - 2.0 0.5 - 1.6 0.5 - 1.6
TSH uIU/ml 0.7 - 27.0 2.3 - 13.2 0.5 - 10 0.38 - 5.33 0.1 - 2.5 0.2 - 3.0 0.3 - 3.0
Note : TSH levels are subject to circadian variation, reaching peak levels between 2 – 4 am
and at a minimum between 6 – 10 pm. The variation is of the order of 50% - 206 %, hence
time of the day has influence on the measured serum TSH concentrations.
Page 12 of 14
SIN No:MH1120202
Immunoassay
Vitamin B12, Serum*

11:27AM
Vitamin B12 224.8 pg/mL 120 - 914
CLIA
Comment
Note:- Vitamin B12 (Cobalamin)
Vitamin B12 is tested for patients with GIT disease, Neurological disease, psychiatric disturbances, malnutrition, alcohol abuse.
Increased in chronic renal failure, severe CHF.
Decreased in megaloblastic anemia.
Advise: CBC, peripheral smear, serum folate levels, intrinsic factor antibodies (IFA), bone marrow examination.
25 Hydroxy Vitamin D Level,Serum*

11:27AM
25 Hydroxy, Vitamin D 18.38 ng/mL 30-100
CLIA
Comment
25 (OH) Vitamin D Concentration Range
Vitamin D Status
(ng/ml)
Sufficiency 30-100
Insufficiency 20-29
Deficiency <20
Potential Toxicity
>100
Interpretation
Page 13 of 14
SIN No:MH1120202
Immunoassay
Vitamin D toxicity can be due to

1. Use of high doses of vitamin D for prophylaxis or treatment
2. Taking vitamin D supplements with existing health problems such as kidney disease, liver disease , tuberculosis and hyperparathyroidism
Vitamin D deficiency can be due to:
1. Inadequate exposure to sunlight,
2. Diet deficient in vitamin D
3. Malabsorption
Advice: Serum calcium, phosphorus and PTH
Page 14 of 14
SIN No:MH1120202

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Laboratory Investigation Report

Blood Sugar Fasting,Fluoride Plasma

CRP (C-Reactive Protein), High Sensitive,Serum*, Serum

Risk Level CRP (mg/L) CRP (mg/dL)

Cholesterol oxidase, esterase,

Optimal: < 100 mg/dL

Normal: <150 mg/dL

Rheumatoid Factor(Quantitative), Serum*

Inorganic Phosphorus, Serum

Glycosylated Haemoglobin (HbA1C),EDTA

Date 22/Jan/2020 Unit Bio.Ref.Range

HbA1C(NGSP %) HbA1C(IFCC mmol/mol) Suggested Diagnosis

KFT Profile with Calcium,Uric Acid, Serum

Comment Ref. Range

Liver Function Test Profile,Serum

Kindly correlate with clinical findings

*** End Of Report ***

Urine Routine And Microscopy

Colour Straw Pale Yellow

Red Blood Cells (RBC) Nil /HPF Nil

Kindly correlate with clinical findings

*** End Of Report ***

Complete Haemogram, Peripheral Smear and ESR,EDTA

Differential Cell Count

Neutrophils 60.6 % 40-80

Absolute Leukocyte Count

Absolute Neutrophil Count 3.39 10~9/L 2.0-7.0

Kindly correlate with clinical findings

*** End Of Report ***

Vitamin B12, Serum*

25 Hydroxy Vitamin D Level,Serum*

Vitamin D toxicity can be due to

Kindly correlate with clinical findings

*** End Of Report ***

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