Karjanaha ,Siraha Nepal

Heamatology
Clinical Laboratory Service
Lab. No. :45085 Date: 2079/01/25
Name: Age/Sex: 55 yr/ Fe Bill No. :- 858596
Ref. By:- Self OPD/IPD No. :-
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Heamatology Test
ANALYSIS RESULT REF. RANGE
HAEMOGLOBIN (HB) 11.7 gm% 11.0-15.0gm%
TOTAL WBC COUNT 7120 /Cumm 4000-11000/cumm
DIFFERENTIAL COUNT
Neutrophil 46% 40-75%
Lymphocytes 40% 20-45%
Eosinophil 07% 1-6%
Monocytes 07% 2-10%
Basophil 00% 0-1%
RBC COUNT 3.50-5.50/MM3
4.02/mm3
PLT COUNT: 108000/Cumm 150,000-450,000/Cu
mm
PCV : 34.4 % 36.0-48.0%
MCV: 93.5FL 80.0-99.0FL
MCH: 31.2Pg 26.0-32.0pg
MCHC: 33.4 g/dl 32.0-36.0g/dl
AEC(Absoluteeosinophil count ) 325 /mm3 40-440/mm3

Approved By:
Performed By:
……………………………….. ………………..
Mr. Manoj Kumar Chaudhary Mr. Amit Kumar Mishra
Lab Technician Medical Technologist
NHPC No. B1588MLT NHPC No. A-218MLT
Note: SOP Maintenance is our Quality Assurance is our Reliable Result is our
duty ! Motto!! achievement!!!
Assay results should be interpreted only in the context of other laboratory findings and the total
clinical status of the patient

1
 Karjanaha ,Siraha Nepal
BIO-CHEMISTRY
Clinical Laboratory Service
Lab. No. : 45085 Date: 2079/08/ 19
Name: Dhanmaya Tamang Age/Sex: 22yr/Fe Bill No. :-858596
Ref. By:- Self OPD/IPD No. :-

Sodium 138.3 mmol/l 135-148 mmol/l

Potassium 4.17 mmol/l 3.5-5.5 mmol/l
Ionized Calcium 1.27 mmol/l 1.13-1.31mmol/l
PT 16 sec 10-15sec
INR 1.3 0.5-1.2

Performed By: Approved By:

……………………………….. ………………. ……………………..

Mr. Shailendra Kumar Sah Mr. Amit Kumar Mishra
Lab Technician Medical Technologist
NHPC No. B6085 MLT NHPC No. A-218MLT
Note: SOP Maintenance is our Quality Assurance is our Reliable Result is our
duty ! Motto!! achievement!!!
Assay results should be interpreted only in the context of other laboratory findings and the total
clinical status of the patient
 Karjanaha ,Siraha Nepal
SEROLOGY
Clinical Laboratory Service
Lab. No. : Date: 207 / /
Name: Age/Sex: Bill No. :-
Ref. By:-Dr. OPD/IPD No. :-

Serology Test
ANALYSIS RESULT
H.I.V. Spot
H.C.V.Spot
HBSAG
VDRL
R. A. Factor
CRP Greater than 0.6mg/dl
ASO <200IU/ml Normal
RF (Rheumatoid Factor) 8 IU/ML Non Reactive,
Up to 8 IU/Ml Reactive
WIDAL TEST
S.Typhi 'o'
S.Typhi 'H'
S.Para Typhi 'AH'
S.Para Typhi 'BH'

Agglutination titers of 1:80 or more is considered significant

Malaria Serology Test

MP Serology PF
MP Serology PV
Kala-azar(K 39)test

HIV [Spot]
HBSAG
VDRL
HCV[Spot]
TPHA

……………………………….. ………………. ……………………..

Lab assistant Signature of
Medical Technologist
pathologist
Note: SOP Maintenance is our Quality Assurance is our Reliable Result is our
duty ! Motto!! achievement!!!
Assay results should be interpreted only in the context of other laboratory findings and the total
clinical status of the patient
 Karjanaha ,Siraha Nepal
Clinical Laboratory Service
Lab. No. : Date: 207 / /
Name: Age/Sex: Bill No. :-
Ref. By:-Dr. OPD/IPD No. :-

SEMEN ANALYSIS
Absentees Day :- Collection Time :-
Volume :- Examination Time :-
Colour :- Appearance :-
Viscosity ;- Reaction :-
Motility :- Total Count :- Million/mm3
R.B.C. :- Leucocytes :-
Morphology :- Non- Motile :- %
Liquefaction Time :- Others :-

URINE R/E
Physical Exam Microscopic Exam
Pus cell :- /hpf
Color yellow Epithelial cell:- /hpf
PH 6.5 RBC :- /hpf
SP.gr: 1.015 Cast&Crystal :-
Alb Nil Others :-
Sugar Nil
Urine for HCG Test :-
Ketone(KET) :-

Stool R/E
Physical Exam MICROSCOPIC EXAMINTION
Color
Consistency Pus cell /hpf
Blood Epithelial cell /hpf
Mucus RBC: /hpf
PH Ova&Cyst of:
Others :-

……………………………….. ………………. ……………………..

Lab assistant Signature of
Medical Technologist
pathologist
Note: SOP Maintenance is our Quality Assurance is our Reliable Result is our
duty ! Motto!! achievement!!!
Assay results should be interpreted only in the context of other laboratory findings and the total
clinical status of the patient

Thyroid Profile
T3 0.4-5.0 mU/
T4 (Total Thyroxin) 3.5-6.5 pmol/L
TSH (Thyroid Stimulating 135-145 mmol/L
Hormone)

Thyroid Function test

ANALYSI RESULT REF. RANGE
Free Triiodothyronine (FT3) 4.306 pg/ml 2.77-5.27 pg/ml
Free Thyroxine (FT4) 13.37 Pmol/L 10.58-22.7 Pmol/L

Thyroid-Stimulating Hormone (TSH) 6.720 µiu/ml 0.46-04.68 µiu/ml