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 SUBHAM DIA GNOSTIG INSIDE SUBHI\M HOSPITAL CAMPUS
SUBHAM
NAYA BAZAR, BHADRAK - 756100

Name ofthe P $q ..rse.-.5J ..,,sex P

Ref. by Doctor ..Date. ....K.r.-B I
HAEMATOLOGY Blood Group..........
RBC Rh (D) Typing ...........
Haemoglobin ........................gm%(sahi's) VDRL /RPR Syphils
Total Count.. ..,.-,.,.,.-,.,., '.. '.,.,. ' '.,.,./cmm Toxoplasma Antibddy
ESR........... mm'1st hour (Westergren's) ASO Titre
Sickling Test RA FACTOR
wBc CRP
TotalCount.. Cmm HIV for AIDS (spot'1&2)
Differential count (DC) Australia Antigen Test (HBS Ag)
a/o
Neutrophi1s.................... HCV
Eosinophi|s................... % Microdot for T.B.
Basophils.............-...-...
Lymphocytes................ va BIOCHEMICAL TEST
Monocytes ..-................ %
SERUI\,1 GLUCOSE Test Vatue Normal Value
Permature cells ....-.....-. Fasting rng/dl 7A-11a mg%
PLATELET 2 hour (PP/PG) mg/dl 7 0-140 mg"/"
Bleeding Time............... Nlin ..Sec. g/d
n"r ld 70-140 ng%
Coagulation Time.......... Min ,,-,..,,,,.,Sec'
LIPI DPRqFILE.
Total platelate count.....
Serum Cholesterol mgo/o 130-250 mg%
CIot-Retraction Test......
''HDL Cholesterol mg% 30-95 mg%
PERIPHERIAL SMEAR
''LDL Cholesterol mg% Risk lndicator 150
PARASITES
Triglycerides mg% 40-144 $g%
Malaria
VLDL trgo/o <40
Parasite [.IP by ICT
SODIU M mga/o 35-155mm01/L
Microfilaria
P OTASS]U I'4 mg"k 3.5-5.5mmOL/L
TMMUNOLOGY ,i ,.
LIVE.R F.UNC.TION TEST,. ' .
MANTOUX TEST - 5TU/lOTU
Serum Billirubin (D) mg% 0.0 - 2mga/o
Reading Date...........
Serum Billirubin (T) mg% 0.2 1.2n9%
Reasu|t...........-......... m/m
Serum SGOT U/L 8-40 U/L
WIDAL TEST
144 1:80 1:1 132 Serum SGPT UiL 6-30 U/L
''Alkaline Phosphate"

+#!f-
]U/L 60-160 U/L
S, TYPHI 'O"
S, ryPHI "H'
Serum Ll rea mg% 20-40 mg%
S, PARATYPHI 'AH" Serum Createn ne mg% a .5-1 .4 mgo/o

S, PARATYPHI "BH" SERU]\,1 UR]C AC]D +' 5 ms%

N.B.i Nat valid for Medico legal Putpose. S/nature of tfie L P.T, O
 SUBHAM DIAGNOSTTG
INSIDE SUBHAM HOSPITAL CAMPUS
NAYA BAZAR, BHADRAK - 7561OO

STOOL URINE SEMEN

MACROSCOPTC PH SICAL Time of Collection -
Colour -
Quantity -
Consistency -
Reaction -
Colour - Pa ne \
Time of Exam. -

Appearance -
Blood - Colour -
Sp.Gravity -
Mucopus -
MicRoscoPtc CHEMICAL Quantity -
HELMINTHS [l
Reaction - ylLrqfl
^- f,-
Adult of - Protein {Albumin) - Viscosity -
Larva of - Phosphate - I
eaction
Ova of - Reducing Sugar -
PROTOZOA Ketone Bodies -
Cyst - MOTITLITY
Bile Salt -
Vegetaive form of - Bile Pigment - I.
Activity Motile
CELLS chyle - l
RBC . Suuggishly Motile
Occult Blood -
Pus Cells -
MlcRoscoPrc Dead
Mascrophages -
RBc ,^lu- /HPF
UNDIGESTED FOOD Total Spernnatozoa count
Pus Cells - -S ' y /HPF
Fatre globules -
Starch -
Epithelial - (t' ) /HPF
Million / per ml
Cast -
Vegitable Cells -
Crystal - J t^...---
MICROBES
Yeast - Bacteria -
Yeast -
MORPHOLOGY
Bacterial Flora -
OCCULT BLOOD TEST
REDUCING SUGAR HCG TEST
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