CLIENT : DIAGNOSTIC PATHO LABORATORY

NAME : DEEPAK
REFERRED BY : DR RMO
ID : JPL-40570
COLLECTED ON : 25/04/2023 14:16
AGE : 40 years
REPORTED ON : 25/04/2023 19:17
GENDER : M
VID : OP2324-1918

Test Result Units Biological Reference Range

NIROGYA 1.3
HEMATOLOGY

COMPLETE BLOOD COUNT - CBC

HEMOGLOBIN (HB) 14.3 g/dL 13.5 - 18 g/dL
TOTAL WBC COUNT (TC) 5900 cells/cmm Child (0 Y - 2 Y ): 6200 - 17000
cells/cmm
Adult: 4000 - 10000 cells/cmm
DIFFERENTIAL COUNT - DC
Neutrophils 65 % 50 - 70 %
Lymphocyte 28 % 20 - 40 %
Monocytes 02 % 02 - 10 %
Eosinophils 05 % 1-6 %
Basophils 00 % < 2.0 %
PLATELETS COUNT 169000 cells/cmm 150000 - 400000 cells/cmm
RED BLOOD CELL COUNT (RBC) 4.78 10^12/L 4.0 - 5.50 10^12/L
PACKED CELL VOLUME (PCV) 45.1 % 36 - 48 %
MEAN CORPUSCULAR VOLUME (MCV) 94.35 f/L 80 - 99 f/L
MEAN CORPUSCULAR HAEMOGLOBIN (MCH) 29.9 pg 26 - 32 pg
MEAN CORP. HAEMOGLOBIN. CONC (MCHC) 31.71 g/dL 28 - 36 g/dL
Red Cell Distribution Width (RDW-SD) 37.2 fl 37 - 54 fl
Red Cell Distribution Width (RDW-CV) 12.3 % 11.5 - 14.5 %
Mean Platelet Count(MPV) 10.1 fL 9.0 - 13.0 fL
BIOCHEMISTRY

GLUCOSE - FASTING 81.2 mg/dl 70 - 110 mg/dl

(Method: GOD-Trinder)
INTERPRETATION
Factor such as Type - Quantity and Time Of Food intake, Physical Activity, And Drugs can Influence Blood Glucose Level.
COMPLETE LFT (LIVER FUNCTION TEST)
BILIRUBIN T D I
(Method: Diazo)

Total Bilirubin 0.86 mg/dl 0.1 - 1.2 mg/dl

Direct Bilirubin 0.32 ⇈ mg/dl < 0.3 mg/dl
Indirect Bilirubin 0.54 mg/dl 0.2 - 0.8 mg/dl
SGPT / ALT 18.66 U/L 00 - 45 U/L
(Method: IFCC)

SGOT / AST 25.16 U/L 00 - 45 U/L

(Method: IFCC)

ALKALINE PHOSPHATASE 85.52 U/l 53 - 128 U/l

(Method: AMP)
 CLIENT : DIAGNOSTIC PATHO LABORATORY
NAME : DEEPAK
REFERRED BY : DR RMO
ID : JPL-40570
COLLECTED ON : 25/04/2023 14:16
AGE : 40 years
REPORTED ON : 25/04/2023 19:17
GENDER : M
VID : OP2324-1918

Test Result Units Biological Reference Range

ALBUMIN 4.52 g/dl 3.2 - 5.0 g/dl

(Method: Bromocresol Green)

PROTEIN TOTAL 7.57 g/dl 6.0 - 8.30 g/dl

(Method: Biuret)

GLOBULIN 3.05 gm/dl 2.5 - 3.4 gm/dl

(Method: Derived)

A/G RATIO 1.48 Adult: 0.9 - 2.0

(Method: Calculation) Female: 0.9 - 2.0

GAMMA GLUTAMYL TRANSFERASE - GGT 36.21 U/L 11 - 73 U/L

(Method: Glupa-C)

FULL RFT (RENAL FUNCTION TEST)

UREA 26.17 mg/dl 13 - 45 mg/dl
(Method: Urease/GLDH)

URIC ACID 5.80 mg/dl 3.5 - 7.2 mg/dl

(Method: URICASE - POD)

CREATININE 1.04 mg/dl 0.6 - 1.4 mg/dl

(Method: jaffs (initial Rate))

BUN (Blood Urea Nitrogen) 12.21 mg/dl 7.9 - 20 mg/dl

(Method: Urease UV / derived)

SODIUM 142.3 mmol/L 136 - 145 mmol/L

(Method: Ion selective electrode (ISE))

POTASSIUM 3.96 mmol/L 3.5 - 5.2 mmol/L

(Method: Ion selective electrode (ISE))

CHLORIDE 101.2 mmol/L 96 - 108 mmol/L

(Method: Ion selective electrode (ISE))

CALCIUM 9.13 mg/dl 8.4 - 10.4 mg/dl

(Method: ARSENAZO III)

BUN/Creatinine Ratio 11.74 Ratio

(Method: Calculated)

UREA/Creatinine Ratio 25.16 Ratio

(Method: Calculated)

LIPID PROFILE
CHOLESTEROL TOTAL 188.12 mg/dl Desirable: < 200 mg/dl
(Method: CHOD-Trinder) Borderline: 200 - 239 mg/dl
High: > 240 mg/dl
TRIGLYCERIDES 144.53 mg/dl Normal: < 161 mg/dl
(Method: GPO - TRINDER) High: 161 - 199 mg/dl
Hypertriglyceridemic: 200 - 499
mg/dl
Extremely High: > 500 mg/dl
HDL CHOLESTEROL 25.89 ⇊ mg/dl 35.3 - 79.5 mg/dl
(Method: Selective Detergent)

VLDL CHOLESTEROL 28.91 mg/dl 05 - 40 mg/dl

 CLIENT : DIAGNOSTIC PATHO LABORATORY
NAME : DEEPAK
REFERRED BY : DR RMO
ID : JPL-40570
COLLECTED ON : 25/04/2023 14:16
AGE : 40 years
REPORTED ON : 25/04/2023 19:17
GENDER : M
VID : OP2324-1918

Test Result Units Biological Reference Range

LDL CHOLESTEROL 133.32 mg/dl 85 - 130 mg/dl

(Method: Enzymatic Clearance method) Border Line: 130 - 159 mg/dl
High: 160 - 189 mg/dl
Very High: > 190 mg/dl
CHOLESTEROL / HDL RATIO 7.27 ⇈ 0.3 - 5.0
(Method: Calculation)

LDL CHOLESTEROL / HDL RATIO 5.15

(Method: Calculation)

HBA1C (Glycosylated Hemoglobin)

(Method: Immunoturbidimetric)

HbA1C 5.3 % Poor Control: > 8.0 %

Fair Control: 7.1 - 8.0 %
Good Control: 5.6 - 7.0 %
Normal: < 5.6 %
Estimated Average Glucose Value (eAG) 105.41 mg/dl
INTERPRETATION
HbA1c is the direct combination of glucose and adult hemoglobin(HbA).The amount of adult hemoglobin that becomes glycated to form HbA1c
is directly related to the average concentration of glucose in the blood.฀In the normal person,about 3-6% of HbA is Glycated; in the diabetic,the
percentage of HbA1c may double or even triple depending upon the degree of hyperglycemia.With normalization of blood sugar in the
diabetic,HbA1c values will gradually approach normal levels.฀A single HbA1c value taken every 2 to 3 months serves as an integrated index of
blood glucose control over those months and thus provides an objective view of the patients glycemic control between checkups.Initially,HbA1c
levels are assessed on a monthly basis.When appropriate glycemic control is achieved,hemoglobin A1c levels are then measured at 6 to 8
weeks intervals untill conception.
eGFR
(Method: Modification of Diet in Renal Disease equation (MDRD))

Serum Creatinine 1.04 mg/dl 0.6 - 1.4 mg/dl

e-GFR 89.39 mL/min/1.73 Normal in eGFR : 90 - 120
m2 Mild decrease in eGFR : 60 - 89
Moderate decrease in eGFR : 30 -
59
Severe decrease in eGFR : 15 - 29
Kidney failure : < 15.0
INTERPRETATION
Glomerular filtration rate (GFR) is the best overall index of kidney function. Normal GFR varies according to age, sex, and body size, and
declines with age. The National Kidney Foundation recommends using the CKD-EPI Creatinine Equation / Modification of Diet in Renal
Disease equation (MDRD) to estimate GFR.

CLINICAL PATHOLOGY

URINE ROUTINE
Quantity 40 ml
Colour STRAW YELLOW
Appearance CLEAR
Deposit ABSENT
pH ACIDIC 5.0 - 8.0
6.0
Specific Gravity 1.010 1.005 - 1.030
Proteins NIL
Sugar NIL
Pus Cells 01-02 /hpf 01 - 02 /hpf
 CLIENT : DIAGNOSTIC PATHO LABORATORY
NAME : DEEPAK
REFERRED BY : DR RMO
ID : JPL-40570
COLLECTED ON : 25/04/2023 14:16
AGE : 40 years
REPORTED ON : 25/04/2023 19:17
GENDER : M
VID : OP2324-1918

Test Result Units Biological Reference Range

Epithelial Cells A FEW /hpf 01 - 02 /hpf

Red Blood Cells 00 /hpf 00 /hpf
Casts ABSENT
Crystals ABSENT
IMMUNOLOGY

Vitamin B 12 (Cyanocobalamin) 685 pg/mL Infant: 160 - 1300 pg/mL

(Method: ELISA) Adult: 200 - 835 pg/mL
Adult ( > 60 Y ): 110 - 800 pg/mL
INTERPRETATION
Interpretation(s)
Uses of Vitamin B12 assay :
• Investigation of macrocytic anaemia
• Work up of deficiencies seen in Megaloblastic Anemia
• Assistance in Diagnosis of CNS Disorders
• Evaluation of Alcoholism
• Evaluation of Malabsorption syndrome
Limitation:
• The evaluation of Macrocytic Anemia requires simultaneous measurement of both Vitamin B12 and folate levels.
• Patients taking B12 supplementation may have misleading results
VITAMIN-D ( 25-OH) 15.85 ng/mL Toxicity: > 100 ng/mL
(Method: ELISA ( Quantitative )) Sufficiency: 30 - 100 ng/mL
Insufficiency: 10 - 30 ng/mL
Deficiency: < 10.0 ng/mL
INTERPRETATION
Interpretation(s)
Uses for Vitamin D assay:
• Diagnosis of Vitamin D deficiency
• Differential Diagnosis of causes of Rickets and Osteomalacia
• Monitoring Vitamin D replacement therapy
• Diagnosis of Hypervitaminosis D
LIMITATION: Various methods are available for measuring circulating concentrations of 25-OH vitamin D. The studies report reasonable
correlation between methods, but with significant differences, the reasons for which are not well understood. Vitamin D values must be
interpreted within the clinical context of each patient.
THYROID FUNCTION TEST-TFT
(Method: CLIA (CHEMILUMINESCENCE IMMUNOASSAY))

TRI IODOTHYRONINE TOTAL(T3) 1.21 ng/mL 0.6 - 2.0 ng/mL

THYROXIN TOTAL(T4) 9.64 µg/dL 5.0 - 13.0 µg/dL
THYROID STIMULATING HORMONES-(TSH) 0.45 µIU/ml 0.4 - 6.0 µIU/ml
INTERPRETATION

SERUM T3 , T4 AND TSH MESURMENTS FROM THE THREE COMPONENT OF THYROID SCREENING PANEL, USEFUL IN
DIAGNOSING VARIOUS DISORDERS OF THYROID GLAND FUNCTION .
ElEVATED SERUM T3 &T4 VALUES ALONG WITH DEPRESSED TSH LEVELS ACCOMPANY.
1.PRIMARY HYPERTHYROIDISM.
2.PRIMARY HYPOTHYROIDISM IS ACCOMPANIED BY DEPRESSED SERUM T3 & T4 VALUES AND ELEVATED SERUM TSH LEVELS.
3.NORMAL T4 LEVELS ACCOMPANIED BY HIGH T3 LEVELS ARE SEEN
TSH may be normal in central hypothyroidism ,recent rapid correction of hyperthyroidism or hypothyroidism, pregnency, phenytoin therapy.
Autoimmune disorders may produce spurious results.TSH has a diurnal rhythem so values may very if sample collection is done at different
times of the day.

BIOCHEMISTRY

IRON (Fe) 99.8 µg/dL 65 - 175 µg/dL

(Method: Ferrozine without deproteinization)
INTERPRETATION
Low serum iron value are seen in chronic blood loss. insufficient or absorption of iron and increased demand on the body stores. Elevated
serum iron value are seen in haemolytic anaemia, increased intake.
 CLIENT : DIAGNOSTIC PATHO LABORATORY
NAME : DEEPAK
REFERRED BY : DR RMO
ID : JPL-40570
COLLECTED ON : 25/04/2023 14:16
AGE : 40 years
REPORTED ON : 25/04/2023 19:17
GENDER : M
VID : OP2324-1918

Test Result Units Biological Reference Range

UIBC 188.4 ug/dL 120 - 470 ug/dL

(Method: FERENE)

TIBC ( IRON BINDING CAPACITY TOTAL) 288.2 µg/dl 225 - 535 µg/dl
(Method: spectrophotometric assay)

TRANSFERRIN SATURATION 34.63 % 13 - 45 %

(Method: derived from IRON and TIBC)

Remarks:
PLEASE CORRELATE WITH CLINICAL CONDITION.
--- End of the Report ---

Dr. SUMANGALA BISWAS M.B.B.S , MD