‫ دﻛﺘﺮ ﻣﮭﺪي ﺣﻴﺪري‬:‫ﻧﺎم ﭘﺰﺷﮏ‬ ‫ﺧﺎﻧﻢ آزﻳﺘﺎ ﺻﻨﺎﻋﻲ ﻣﻘﺪم‬:‫ﻧﺎم و ﻧﺎم ﺧﺎﻧﻮادﮔﻲ‬

:‫ﺷﻤﺎره اﺷﺘﺮاک‬ ES7876 :‫ﺷﻤﺎره ﭘﺬﻳﺮش‬

1399/04/04 :‫ﺗﺎرﻳﺦ ﭘﺬﻳﺮش‬ 33 ‫ﺳﺎل‬ :‫ﺳﻦ و ﺟﻨﺲ‬
1/4 :‫ﺻﻔﺤﻪ‬ Full Report ( ‫) ت اﺟﺘﻤﺎﻋﻲ‬

Biochemistry - Serum Checked By: Dr.asiabanha

Test Result Reference Intervals(Sex & Age adjusted)

Fasting Blood Glucose ................ 91 mg/dL 74-106
Urea ......................................... 19 mg/dL 16.6-48.5
Creatinine ................................. 0.77 mg/dL 0.5-1.1
Uric Acid ................................... 4.7 mg/dL 2.4-5.7
Total Cholesterol ....................... 200 mg/dL Normal : <200
Medium risk:201-239
High risk : > 240
LDL-Cholestrol ........................... 100 mg/dL <100 Optimal;100-129 near Optimal;130-159 borderline High;160-189
High;>190 very High
HDL-Cholestrol (Direct) .............. 70 mg/dL <45 High risk
45-65 Borderline
>65 Low risk
Triglycerides .............................. 90 mg/dL < 150 Desirable
150-199 Borderline high
200-499 High
> 500 Very high
Atherogenic factor(LDL:HDL) ...... 1.4 0.5-3.0
Bilirubin (Total) ......................... 0.6 mg/dL <1.4
Bilirubin(Direct) ......................... 0.3 mg/dL <0.4
ALT(SGPT) ................................ 25 U/L <33
AST(SGOT) ............................... 27 U/L Up to 32
Alkaline Phosphatase ................. 93 U/L 35-105
Iron .......................................... 132 mg/dL 33-193

Hematology - ESR - Whole Blood Checked By: Dr. Majid Safa

Test Result Reference Intervals(Sex & Age adjusted)

ESR 1st hr ................................. 5 mm/hr 0-20

Hematology CBC WBCs - Whole Blood Checked By: Dr. Majid Safa

Test Result Reference Intervals(Sex & Age adjusted)

WBC ......................................... 6.6 10³/µL 4-10
Neutrophils # ............................ 2.8 10³/µL 1.5-8
Lymphocytes# .......................... 2.6 10³/µL 0.8-4.8
Monocyte # .............................. 0.4 10³/µL 0.2-1
Eosinophil# ............................... 0.8 10³/µL 0.01-0.8
Basophil# ................................. 0.0 10³/µL 0-0.2
Neutrophil ................................. 42.0 % 38-80
Lymphocyte .............................. 39.7 % 18-50
Monocyte .................................. 5.8 % 2-10
Eosinophil. ................................ 11.9* % 0-5
Basophil .................................... 0.6 % 0-2

*:Rechecked.

Controlled By: Dr.m.nahid

88782034 :‫ ﻓﮑﺲ‬88785003 ، 85586 :‫ ﺗﻠﻔﻦ‬1969764411 :‫ ﮐﺪ ﭘﺴﺘﻲ‬474 ‫ ﭘﻠﺎک‬،‫ ﺑﻠﻮار ﻣﻴﺮداﻣﺎد ﻏﺮﺑﻲ‬:‫ﺗﮭﺮان‬

 ‫ دﻛﺘﺮ ﻣﮭﺪي ﺣﻴﺪري‬:‫ﻧﺎم ﭘﺰﺷﮏ‬ ‫ﺧﺎﻧﻢ آزﻳﺘﺎ ﺻﻨﺎﻋﻲ ﻣﻘﺪم‬:‫ﻧﺎم و ﻧﺎم ﺧﺎﻧﻮادﮔﻲ‬
:‫ﺷﻤﺎره اﺷﺘﺮاک‬ ES7876 :‫ﺷﻤﺎره ﭘﺬﻳﺮش‬
1399/04/04 :‫ﺗﺎرﻳﺦ ﭘﺬﻳﺮش‬ 33 ‫ﺳﺎل‬ :‫ﺳﻦ و ﺟﻨﺲ‬
2/4 :‫ﺻﻔﺤﻪ‬ Full Report ( ‫) ت اﺟﺘﻤﺎﻋﻲ‬

Hematology CBC - RBCs - Whole Blood Checked By: Dr. Majid Safa

Test Result Reference Intervals(Sex & Age adjusted)

RBC .......................................... 5.0 Million/µL 3.8-5.4
Hb ............................................ 15.0 g/dL 11.9-15.9
Hct ........................................... 44.6 % 35-47
MCV ......................................... 89.2 fL 80-100
MCH ......................................... 30.0 pg 27-33
MCHC ....................................... 33.6 g/dL 32-36
RDW-CV ................................... 11.5 % 11.5-14.5

Hematology CBC - Platelets - Whole Blood Checked By: Dr. Majid Safa

Test Result Reference Intervals(Sex & Age adjusted)

Platelet ..................................... 278 10³/µL 140-450
PCT .......................................... 0.25 %
MPV .......................................... 9.0 fL 7.2-12
PDW ......................................... 9.7 % 9.0-20

Immunoassays -Infectious Disease - Serum Checked By: Dr.shekarabi

Test Result Method Reference Intervals(Sex & Age adjusted)

HBsAg ...................................... 0.62 Index CLIA Negative: < 1
Reactive: >= 1
HBsAb ...................................... 46.1 IU/L <9.0 Negative
9-11 Borderline
>=11 Positive
HBcAb (total) ............................ Negative Index CLIA Negative

Immunoassays -Auto Immune Disorders - Serum Checked By: Mjr Safa

Test Result Method Reference Intervals(Sex & Age adjusted)

ASCA (IgG) ............................... 45 U/mL Negative :<12
Equivocal :12-18
Positive :>18

Immunoassay-Miscellaneous - Serum Checked By: Mjr Safa

Test Result Method Reference Intervals(Sex & Age adjusted)

Ferritin ...................................... 75.9 ng/mL CLIA 4-104

Serological Reactions - Serum Checked By: Dr.shekarabi

Test Result Reference Intervals(Sex & Age adjusted)

C-Reactive Protein ..................... Not Detectable Titer < 1:20 Titer

Controlled By: Dr.m.nahid

88782034 :‫ ﻓﮑﺲ‬88785003 ، 85586 :‫ ﺗﻠﻔﻦ‬1969764411 :‫ ﮐﺪ ﭘﺴﺘﻲ‬474 ‫ ﭘﻠﺎک‬،‫ ﺑﻠﻮار ﻣﻴﺮداﻣﺎد ﻏﺮﺑﻲ‬:‫ﺗﮭﺮان‬

 ‫ دﻛﺘﺮ ﻣﮭﺪي ﺣﻴﺪري‬:‫ﻧﺎم ﭘﺰﺷﮏ‬ ‫ﺧﺎﻧﻢ آزﻳﺘﺎ ﺻﻨﺎﻋﻲ ﻣﻘﺪم‬:‫ﻧﺎم و ﻧﺎم ﺧﺎﻧﻮادﮔﻲ‬
:‫ﺷﻤﺎره اﺷﺘﺮاک‬ ES7876 :‫ﺷﻤﺎره ﭘﺬﻳﺮش‬
1399/04/04 :‫ﺗﺎرﻳﺦ ﭘﺬﻳﺮش‬ 33 ‫ﺳﺎل‬ :‫ﺳﻦ و ﺟﻨﺲ‬
3/4 :‫ﺻﻔﺤﻪ‬ Full Report ( ‫) ت اﺟﺘﻤﺎﻋﻲ‬

Fluids analysis - Midstream Urine Checked By: Dr.asiabanha

Macroscopic Refrence Intervals Microscopic Refrence Intervals

Color : Colorless Yellow W.B.C/hpf : 2-3 0-4/hPF
Appearance : Clear Clear R.B.C/hpf : 1-2 0-3/hPF
Reaction(PH) : 6 5-6 Ep. Cells/hpf : 2-3 Few/hPF
Ascorbic Acid : Negative Negative Bacteria/hpf : Negative Absent-Rare/hPF
Specific Gravity : 1.010 1.003-1.029 Cast/lpf : Negative 0-4/LPF hyaline
Protein : Negative Negative/Trace Crystal/lpf : Negative Absent
Glucose : Negative Negative Mucus/lpf : Negative Absent
Ketones : Negative Negative Other : Not seen
Blood : Negative Negative
Bilirubin : Negative Negative
Urobilinogen : Negative Negative
Nitrite : Negative Negative

PATIENT HISTORY - ALT(SGPT)

PATIENT HISTORY - AST(SGOT)

Controlled By: Dr.m.nahid

88782034 :‫ ﻓﮑﺲ‬88785003 ، 85586 :‫ ﺗﻠﻔﻦ‬1969764411 :‫ ﮐﺪ ﭘﺴﺘﻲ‬474 ‫ ﭘﻠﺎک‬،‫ ﺑﻠﻮار ﻣﻴﺮداﻣﺎد ﻏﺮﺑﻲ‬:‫ﺗﮭﺮان‬

 ‫ﻧﺎم ﭘﺰﺷﮏ‪ :‬دﻛﺘﺮ ﻣﮭﺪي ﺣﻴﺪري‬ ‫ﻧﺎم و ﻧﺎم ﺧﺎﻧﻮادﮔﻲ‪:‬ﺧﺎﻧﻢ آزﻳﺘﺎ ﺻﻨﺎﻋﻲ ﻣﻘﺪم‬
‫ﺷﻤﺎره اﺷﺘﺮاک‪:‬‬ ‫ﺷﻤﺎره ﭘﺬﻳﺮش‪ES7876 :‬‬
‫‪1399/04/04‬‬ ‫ﺗﺎرﻳﺦ ﭘﺬﻳﺮش‪:‬‬ ‫ﺳﺎل ‪33‬‬ ‫ﺳﻦ و ﺟﻨﺲ‪:‬‬
‫ﺻﻔﺤﻪ‪4/4 :‬‬ ‫‪Full Report‬‬ ‫) ت اﺟﺘﻤﺎﻋﻲ (‬

‫‪PATIENT HISTORY - Alkaline Phosphatase‬‬

‫‪Controlled By: Dr.m.nahid‬‬

‫ﺗﮭﺮان‪ :‬ﺑﻠﻮار ﻣﻴﺮداﻣﺎد ﻏﺮﺑﻲ‪ ،‬ﭘﻠﺎک ‪ 474‬ﮐﺪ ﭘﺴﺘﻲ‪ 1969764411 :‬ﺗﻠﻔﻦ‪ 88785003 ، 85586 :‬ﻓﮑﺲ‪88782034 :‬‬