.

S53 - PSC-SHIVALIK
19/250,MALVIYA NAGAR SHIVALIK
GEETANJALI RD,NR,BEGAMPUR BUS
STOP-9811117246
DELHI, 011-40529750,9910846754

Name : DARSH JHA Collected : 28/4/2022 12:00:00PM

Received : 28/4/2022 12:06:30PM
Lab No. : 160257771 Age: 4 Years Gender: Male Reported : 28/4/2022 9:34:15PM
A/c Status : P Ref By : SELF Report Status : Final

Test Name Results Units Bio. Ref. Interval

CK; CREATINE KINASE, SERUM** >1300 U/L <171.00
(IFCC)

Comments
CPK is an enzyme found primarily in skeletal and cardiac muscle. It is elevated in diseases like Muscular
dystrophy,Myopathies,Polymyositis,Muscle traumaMyocardial infarction,Cardiac catheterization,Electrical
cardioversion, Hypothyroidism,Stroke and also following intramuscular injections.Drugs, infections and
diseases leading to injury or inflammation of muscles releases CPK into the circulation.Normal levels are
seen in Neurogenic muscle diseases like Multiple Sclerosis,Myasthenia gravis and Parkinsonism. Isoenzyme
studies are advised in patients with elevated levels.

FERRITIN, SERUM 14.70 ng/mL 7.00 - 140.00

(CLIA)

Note: Increase in serum ferritin due to inflammatory conditions (Acute phase response) can mask a
diagnostically low result

Comments
Serum ferritin appears to be in equilibrium with tissue ferritin and is a good indicator of storage iron in normal
subjects and in most disorders. In patients with some hepatocellular diseases, malignancies and
inflammatory diseases, serum ferritin is a disproportionately high estimate of storage iron because serum
ferritin is an acute phase reactant. In such disorders iron deficiency anemia may exist with a normal serum
ferritin concentration. In the presence of inflammation, persons with low serum ferritin are likely to respond to
iron therapy.

Increased Levels
· Iron overload - Hemochromatosis, Thalassemia & Sideroblastic anemia
· Malignant conditions - Acute myeloblastic & Lymphoblastic leukemia, Hodgkin’s disease & Breast
carcinoma
· Inflammatory diseases - Pulmonary infections, Osteomyelitis, Chronic UTI, Rheumatoid arthritis,
SLE, burns
· Acute & Chronic hepatocellular disease

Decreased Levels
Iron deficiency anemia

HOMOCYSTEINE, QUANTITATIVE, SERUM 9.20 umol/L 3.70 - 13.90

(CLIA)

Comments

PatientReportSCSuperPanel.SP_GENERAL_TEMPLATE01_SC (Version: 7)

*160257771*
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S53 - PSC-SHIVALIK
19/250,MALVIYA NAGAR SHIVALIK
GEETANJALI RD,NR,BEGAMPUR BUS
STOP-9811117246
DELHI, 011-40529750,9910846754

Name : DARSH JHA Collected : 28/4/2022 12:00:00PM

Received : 28/4/2022 12:06:30PM
Lab No. : 160257771 Age: 4 Years Gender: Male Reported : 28/4/2022 9:34:15PM
A/c Status : P Ref By : SELF Report Status : Final

Test Name Results Units Bio. Ref. Interval

Homocysteine is a sulphur containing amino acid. There is an association between elevated levels of
circulating homocysteine and various vascular and cardiovascular disorders. Clinically the measurement of
homocysteine is considered important to diagnose homocystinuria, to identify individuals with or at risk of
developing cobalamin or folate deficiency & to assess risk factor for Cardiovascular Disease (CVD) for which
the recommendations are:

· Specially useful in young CVD patients ( < 40 yrs)

· In known cases of CVD, high homocysteine levels should be used as a prognostic marker for CVD
events and mortality
· CVD patients with homocysteine levels > 15 umol/L belong to a high risk group
· Increased homocysteine levels with low vitamin concentrations should be handled as a potential
vitamin deficiency case.

THYROID PROFILE, FREE, SERUM

(Chemiluminescent Immunoassay)

T3, FREE; FT3* 3.97 pg/mL 3.30 - 4.80

T4, Free; FT4* 1.34 ng/dL 0.86 - 1.40

TSH, Ultrasensitive* 3.138 µIU/mL 0.700 - 6.400

Note
1. TSH levels are subject to circadian variation, reaching peak levels between 2 - 4.a.m. and at a
minimum between 6-10 pm. The variation is of the order of 50%. hence time of the day has influence
on the measured serum TSH concentrations.

2. TSH Values <0.03 µIU/mL need to be clinically correlated due to presence of a rare TSH variant in
some individuals
VITAMIN D, 25 - HYDROXY, SERUM* 26.86 nmol/L 75.00 - 250.00
(CLIA)

Interpretation
-------------------------------------------------------------
| LEVEL | REFERENCE RANGE | COMMENTS |
| | IN nmol/L | |
|---------------|-----------------|---------------------------|
| Deficient | < 50 | High risk for developing |
| | | bone disease |

PatientReportSCSuperPanel.SP_GENERAL_TEMPLATE01_SC (Version: 7)

*160257771*
Page 2 of 4
.

S53 - PSC-SHIVALIK
19/250,MALVIYA NAGAR SHIVALIK
GEETANJALI RD,NR,BEGAMPUR BUS
STOP-9811117246
DELHI, 011-40529750,9910846754

Name : DARSH JHA Collected : 28/4/2022 12:00:00PM

Received : 28/4/2022 12:06:30PM
Lab No. : 160257771 Age: 4 Years Gender: Male Reported : 28/4/2022 9:34:15PM
A/c Status : P Ref By : SELF Report Status : Final

Test Name Results Units Bio. Ref. Interval

|---------------|-----------------|---------------------------|
| Insufficient | 50-74 | Vitamin D concentration |
| | | which normalizes |
| | | Parathyroid hormone |
| | | concentration |
|---------------|-----------------|---------------------------|
| Sufficient | 75-250 | Optimal concentration |
| | | for maximal health benefit|
|---------------|-----------------|---------------------------|
| Potential | >250 | High risk for toxic |
| intoxication | | effects |
-------------------------------------------------------------

Note
· The assay measures both D2 (Ergocalciferol) and D3 (Cholecalciferol) metabolites of vitamin D.
· 25 (OH)D is influenced by sunlight, latitude, skin pigmentation, sunscreen use and hepatic function.
· Optimal calcium absorption requires vitamin D 25 (OH) levels exceeding 75 nmol/L.
· It shows seasonal variation, with values being 40-50% lower in winter than in summer.
· Levels vary with age and are increased in pregnancy.
· A new test Vitamin D, Ultrasensitive by LC-MS/MS is also available

Comments
Vitamin D promotes absorption of calcium and phosphorus and mineralization of bones and teeth. Deficiency
in children causes Rickets and in adults leads to Osteomalacia. It can also lead to Hypocalcemia and
Tetany. Vitamin D status is best determined by measurement of 25 hydroxy vitamin D, as it is the major
circulating form and has longer half life (2-3 weeks) than 1,25 Dihydroxy vitamin D (5-8 hrs).

Decreased Levels
· Inadequate exposure to sunlight
· Dietary deficiency
· Vitamin D malabsorption
· Severe Hepatocellular disease
· Drugs like Anticonvulsants
· Nephrotic syndrome

Increased levels
Vitamin D intoxication

PatientReportSCSuperPanel.SP_GENERAL_TEMPLATE01_SC (Version: 7)

*160257771*
Page 3 of 4
.

S53 - PSC-SHIVALIK
19/250,MALVIYA NAGAR SHIVALIK
GEETANJALI RD,NR,BEGAMPUR BUS
STOP-9811117246
DELHI, 011-40529750,9910846754

Name : DARSH JHA Collected : 28/4/2022 12:00:00PM

Received : 28/4/2022 12:06:30PM
Lab No. : 160257771 Age: 4 Years Gender: Male Reported : 28/4/2022 9:34:15PM
A/c Status : P Ref By : SELF Report Status : Final

Test Name Results Units Bio. Ref. Interval

Dr Himangshu Mazumdar Dr.Kamal Modi Dr Nimmi Kansal Dr Rachna Malik

MD, Biochemistry
Sr. Consultant Biochemist
NRL - Dr Lal PathLabs Ltd
-------------------------------End of report --------------------------------
MD, Biochemistry MD, Biochemistry MD, Pathology
Consultant Biochemist Technical Director - Clinical Chemistry Consultant Pathologist
NRL - Dr Lal PathLabs Ltd & Biochemical Genetics Dr Lal PathLabs Ltd
NRL - Dr Lal PathLabs Ltd
AHEEEHAPMKIABCIEGHGMKINKAKPEFLFCNKKOABLGBLCJOPAHEEEHA
BNFFFNBPAOFDMGEOADJDEDFHAHFHACEHMGIOMOJPMDAPNPBNFFFNB
GPFAACFPJNFNMACOFKDKIGJOGABFDCIOMFPCBNFBOKKKMLECFGHOL
CJFOPNFJIMOAMGCGEAKEDLPGMPHELFCIKMHOFNMFOMCHFKNADGFCG
MAONGJFHPCLLHABJHNKCACIMCGHDCJKAOKFIBLPILEDGHKFPGKPCH
ELNCDNFMEIEGIMBHDIECKKEGBGDCMECNOONFCKEJOKAAENFEBIPKO
EOMCAHFHAFIIDBPMNHPPCKLIAHFHAKBEMLNACKFFOAAJAHFHACPHK
FGKPDDFGABGGDAGDHAHAHJPCGFEFBLAJPCECBNFFOBDICHGFBHDDK
CFCADIFKGPKLKMLNAMKABPPDFEFFPDKDKLNKBMMBKNCIBACDIFHGC
MJFFGAFGOKKKNKPACALEMFLDIPLCFHKHPLNNBCGPJNDPKBOICEHCP
NIKBNJFCAAEGJJKGMLGDJEOKPLIFFNLHKFNDACGPPLDOLFGIKONNL
MNNFNNEHCEILJGIAEGBAOKIDAHFHAFKHNKFGHLNPONCIAHFHACPPL
APBBBPAPBALONHHCOKIJFLELBCHCBCAHKGMIBNNBOLCFHHHCFABAJ
HHHHHHHPHPHHHPHHPPHHPHHHHHPHPPHHPPPPHPPHPHHHPHPPHPHPP

* Test conducted under NABL scope MC-2011,LPL-VASANT KUNJ LAB at VASANT KUNJ
** Test conducted under NABL scope MC-2113,LPL-NATIONAL REFERENCE LAB at NEW DELHI

IMPORTANT INSTRUCTIONS

ŸTest results released pertain to the specimen submitted .ŸAll test results are dependent on the quality of the sample received by the Laboratory .
ŸLaboratory investigations are only a tool to facilitate in arriving at a diagnosis and should be clinically correlated by the Referring
Physician.ŸSample repeats are accepted on request of Referring Physician within 7 days post reporting.ŸReport delivery may be delayed due to
unforeseen circumstances. Inconvenience is regretted .ŸCertain tests may require further testing at additional cost for derivation of exact value .
Kindly submit request within 72 hours post reporting.ŸTest results may show interlaboratory variations .ŸThe Courts/Forum at Delhi shall have
exclusive jurisdiction in all disputes /claims concerning the test(s) & or results of test(s).ŸTest results are not valid for medico legal purposes .
ŸContact customer care Tel No. +91-11-39885050 for all queries related to test results.
(#) Sample drawn from outside source.

PatientReportSCSuperPanel.SP_GENERAL_TEMPLATE01_SC (Version: 7)

*160257771*
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