Lab Serial No. : 0352212000721 SIN No.

, Date : 35021556 31-Dec-22 12:03 PM

Patient Name : Mrs. AKILA YASMIN Sample collection date : 31-Dec-2022 12:04PM
Referred by : Dr. SELF Report Date : 31-Dec-2022 04:32PM
Age/Gender : 70 Y 5 M 30 D / F Report printed on : 31-Dec-2022 05:20PM
Source BY : Document No. : -

CLINICAL-BIOCHEMISTRY
Test Name Observation Unit Biological Ref. interval

LFT-LIVER FUNCTION TEST

S.G.O.T. / AST, Serum by NADH (Without-P-5-P) 35.45 U/L 10-40
S.G.P.T. / ALT, Serum by NADH (Without-P-5-P) 28.24 U/L 10-40
Alkaline Phosphatase, Serum by p-NPP 143.08 IU/L 30-115
Billirubin Total, Serum by Diazonium Salt 0.52 mg/dL 0.3-1.2
Billirubin Direct, Serum by Diazo Reaction 0.21 mg/dl 0.0-0.4
Indirect Bilirubin, Serum by calculated 0.31 mg/dl
Total Protein, Serum by Biuret Method 7.42 g/dL 6.0-8.0
Albumin, Serum by Bromocresol Green Assay 4.2 g/dL 3.5-4.8
Globulin, Serum 3.22
A/G Ratio, Serum by Calculated 1.3
Gamma Glutamyl Tranferase, Serum by L-gamma 291.74 U/L 9.0-36.0
glutamyl-3-carboxy-4-nitroanilide substrate
ITDOSE INFOSYSTEMS PVT. LTD.

Page 1 of 14
The test has been processed at - Dr.B.Lal Clinical Laboratory- Jaipur
 Lab Serial No. : 0352212000721 SIN No., Date : 35021556 31-Dec-22 12:03 PM
Patient Name : Mrs. AKILA YASMIN Sample collection date : 31-Dec-2022 12:04PM
Referred by : Dr. SELF Report Date : 31-Dec-2022 05:02PM
Age/Gender : 70 Y 5 M 30 D / F Report printed on : 31-Dec-2022 05:20PM
Source BY : Document No. : -

CLINICAL-BIOCHEMISTRY
Test Name Observation Unit Biological Ref. interval

KFT-KIDNEY FUNCTION TEST

Creatinine, Serum by Alkaline Picrate 0.60 mg/dl 0.5-1.2
Creatinine eGFR 93
Urea by Urease 26.45 mg/dL 20.97-43.01
Uric Acid, Serum by Uricase 5.51 mg/dl 2.6-6.0
ELECTROLYTES
Sodium, Serum by ISE 140.75 mmol/L 135-145
Potassium, Serum by ISE 4.72 mmol/L 3.5-5.3
Chloride, Serum by ISE 104.90 mmol/L 97-110

Remarks:-

eGFR unit : ml/min./1.73m²

eGFR < 60 for ≥ 3 months : Indicative of renal impairment.
eGFR is inaccurate for Hemodynamically unstable patients.
For Individuals of 19 years or more this calculator is used.
eGFR for less than 19 years of age is not applicable.
ITDOSE INFOSYSTEMS PVT. LTD.

Page 2 of 14
The test has been processed at - Dr.B.Lal Clinical Laboratory- Jaipur
 Lab Serial No. : 0352212000721 SIN No., Date : 35021556 31-Dec-22 12:03 PM
Patient Name : Mrs. AKILA YASMIN Sample collection date : 31-Dec-2022 12:04PM
Referred by : Dr. SELF Report Date : 31-Dec-2022 04:54PM
Age/Gender : 70 Y 5 M 30 D / F Report printed on : 31-Dec-2022 05:20PM
Source BY : Document No. : -

CLINICAL-BIOCHEMISTRY
Test Name Observation Unit Biological Ref. interval

FREE THYROID PROFILE (FT3, FT4, TSH)

Free T3, Serum by CMIA 2.96 pg/ml 1.58-3.91
Free T4, Serum by CMIA 0.80 ng/dl 0.70-1.48
TSH, Serum by CMIA 1.45 µIU/ml 0.35-4.94

Remarks :

Free T3 & Free T4:

FT3 & FT4 level correlate with T3 & T4 secretion & metabolism. In hypothyroidism & hyperthyroidism
FT3 & FT4 levels parallel the change in T3 & T4 level. However measuring FT3 & FT4 is useful when
altered levels of T3 & T4 occur due to changes in T3 & T4 binding proteins,especially TBG. TBG levels
remain relatively constant in healthy individuals but certain conditions such as normal pregnancy
& steroid therapy can alter these levels. In these conditions FT3 & FT4 levels are unchanged,while
T3 & T4 levels parallel the changes in TBG.

TSH:

The ability to quantitate circulating levels of TSH is important in evaluating thyroid function. It is especially
useful in the differential diagnosis of primary (thyroid) from secondary (pituitary) & tertiary (hypothalamus)
hypothyroidism. In primary hypothyroidism TSH levels are significantly elevated while in secondary & tertiary
hypothyroidism TSH levels are low.
Clinical diagnosis should not be made on the findings of this profile but should integrate both clinical
and laboratory data.
ITDOSE INFOSYSTEMS PVT. LTD.

Page 3 of 14
The test has been processed at - Dr.B.Lal Clinical Laboratory- Jaipur
 Lab Serial No. : 0352212000721 SIN No., Date : 35021556 31-Dec-22 12:03 PM
Patient Name : Mrs. AKILA YASMIN Sample collection date : 31-Dec-2022 12:04PM
Referred by : Dr. SELF Report Date : 31-Dec-2022 04:32PM
Age/Gender : 70 Y 5 M 30 D / F Report printed on : 31-Dec-2022 05:20PM
Source BY : Document No. : -

CLINICAL-BIOCHEMISTRY
Test Name Observation Unit Biological Ref. interval

PHOSPHORUS
Phosphorus, Serum by Phosphomolybdate UV 3.52 mg/dl 2.5-4.5
ITDOSE INFOSYSTEMS PVT. LTD.

Page 4 of 14
The test has been processed at - Dr.B.Lal Clinical Laboratory- Jaipur
 Lab Serial No. : 0352212000721 SIN No., Date : 35021556 31-Dec-22 12:03 PM
Patient Name : Mrs. AKILA YASMIN Sample collection date : 31-Dec-2022 12:04PM
Referred by : Dr. SELF Report Date : 31-Dec-2022 05:02PM
Age/Gender : 70 Y 5 M 30 D / F Report printed on : 31-Dec-2022 05:20PM
Source BY : Document No. : -

CLINICAL-BIOCHEMISTRY
Test Name Observation Unit Biological Ref. interval

VITAMIN B12 (CYANOCOBALAMIN)

Vitamin B-12, Serum by CMIA 525 pg/ml 187-883

Remarks:-
Clinical and laboratory findings for Vitamin B12 deficiency include neurological abnormalities,
macrocytic anemias, low Vitamin B12 intake, gastrectomy, diseases of the small intestine,
malabsorption, and trans-cobalamin deficiency.
Disorders associated with elevated serum vitamin B12 levels include renal failure, liver disease and
myeloproliferative diseases.
ITDOSE INFOSYSTEMS PVT. LTD.

Page 5 of 14
The test has been processed at - Dr.B.Lal Clinical Laboratory- Jaipur
 Lab Serial No. : 0352212000721 SIN No., Date : 35021556 31-Dec-22 12:03 PM
Patient Name : Mrs. AKILA YASMIN Sample collection date : 31-Dec-2022 12:04PM
Referred by : Dr. SELF Report Date : 31-Dec-2022 04:32PM
Age/Gender : 70 Y 5 M 30 D / F Report printed on : 31-Dec-2022 05:20PM
Source BY : Document No. : -

CLINICAL-BIOCHEMISTRY
Test Name Observation Unit Biological Ref. interval

CALCIUM
Calcium, Serum by Arsenazo III 9.05 mg/dl 8.4-10.2
ITDOSE INFOSYSTEMS PVT. LTD.

Page 6 of 14
The test has been processed at - Dr.B.Lal Clinical Laboratory- Jaipur
 Lab Serial No. : 0352212000721 SIN No., Date : 35021556 31-Dec-22 12:03 PM
Patient Name : Mrs. AKILA YASMIN Sample collection date : 31-Dec-2022 12:04PM
Referred by : Dr. SELF Report Date : 31-Dec-2022 05:02PM
Age/Gender : 70 Y 5 M 30 D / F Report printed on : 31-Dec-2022 05:20PM
Source BY : Document No. : -

CLINICAL-BIOCHEMISTRY
Test Name Observation Unit Biological Ref. interval

LIPID PROFILE
Total Cholesterol, Serum by Enzymatic 187.73 mg/dl
HDL Cholesterol, Serum by Acc.Sel.Det. 56.04 mg/dl
LDL Cholesterol, Serum by L.S.D. 93.36 mg/dl
Triglyceride, Serum by Gly.Phos.Oxi. 191.65 mg/dl
Non HDL Cholesterol by Calculation 131.69 mg/dl
Cholesterol : HDL Ratio by Calculation 3.35
Biological Reference Interval:
National Lipid Total Cholesterol in Triglyceride in mg/dl LDL Cholesterol in NON HDL Cholesterol
Association mg/dl mg/dl in mg/dl
Recommendations
(NLA-2014)
Optimal <200 <150 <100 <130
Above Optimal -- -- 100-129 130-159
Borderline High 200-239 150-199 130-159 160-189
High >=240 200-499 160-189 190-219
Very High -- >=500 >=190 >=220
Remarks Cholesterol : HDL RATIO
Low Risk 3.3-4.4
Average Risk 4.5-7.1
Moderate Risk 7.2-11.0
High Risk >11.0
HDL Cholesterol (mg/dl) Gender
>50 Females
>40 Males
ITDOSE INFOSYSTEMS PVT. LTD.

Page 7 of 14
The test has been processed at - Dr.B.Lal Clinical Laboratory- Jaipur
 Lab Serial No. : 0352212000721 SIN No., Date : 35021556 31-Dec-22 12:03 PM
Patient Name : Mrs. AKILA YASMIN Sample collection date : 31-Dec-2022 12:04PM
Referred by : Dr. SELF Report Date : 31-Dec-2022 04:32PM
Age/Gender : 70 Y 5 M 30 D / F Report printed on : 31-Dec-2022 05:20PM
Source BY : Document No. : -

CLINICAL-BIOCHEMISTRY
Test Name Observation Unit Biological Ref. interval

GLYCATED HAEMOGLOBIN (HbA1c)

Hemoglobin A1c (%), EDTA Blood by HPLC 6.3 %
Remarks :-
Glucose combines with Hb continuously and nearly irreversibly during the lifespan of RBC i.e.120days. Therefore, glycosylated Hb
(GHb) will be proportional to mean plasma glucose level during previous 6-12 weeks. Factors such as duration of diabetes, adherence
to therapy and the age of patient should also be considered in assessing the degree of blood glucose control. These values are for
non-pregnant individuals.

Criteria for Diagnosis of Diabetes Mellitus

(2016 American Diabetes Association (ADA) Diabetes Guidelines)

HbA1c (%)
DEGREE OF GLUCOSE CONTROL
Non-Diabetic ≤ 5.6
Pre-Diabetic 5.7 – 6.4
Diabetic ≥ 6.5

ADA criteria for correlation between HbA1c & Mean plasma glucose levels

HbA1c (%) Mean Plasma Glucose (mg/dL)

6 126
7 154
8 183
9 212
10 240
11 269
12 298
ITDOSE INFOSYSTEMS PVT. LTD.

Page 8 of 14
The test has been processed at - Dr.B.Lal Clinical Laboratory- Jaipur
 Lab Serial No. : 0352212000721 SIN No., Date : 35021556 31-Dec-22 12:03 PM
Patient Name : Mrs. AKILA YASMIN Sample collection date : 31-Dec-2022 12:04PM
Referred by : Dr. SELF Report Date : 31-Dec-2022 04:54PM
Age/Gender : 70 Y 5 M 30 D / F Report printed on : 31-Dec-2022 05:20PM
Source BY : Document No. : -

CLINICAL-BIOCHEMISTRY
Test Name Observation Unit Biological Ref. interval

VITAMIN D (25 Hydroxy Vit D)

25- Hydroxy Vitamin D3, Serum by CMIA 34.5 ng/mL

Biological Reference Interval

Deficiency Below 10.0 ng/mL

Insufficiency 10 - 30.0 ng/mL
Sufficiency 30 - 100.0 ng/mL
Toxicity Above 100.0 ng/mL

Remarks :-
Vitamin D deficiency is a cause of secondary hyperparathyroidism and diseases resulting in impaired
bone metabolism (Like rickets, osteoporosis and osteomalacia).
Reduced 25-OH vitamin D concentration in blood has been associated with an increasing risk of many
chronic diseases including common cancer, autoimmune or infectious diseases or cardiovascular problems.
Measurement of Vitamin D status provides oppurtunities for preventive and therapeutic interventions.
ITDOSE INFOSYSTEMS PVT. LTD.

Page 9 of 14
The test has been processed at - Dr.B.Lal Clinical Laboratory- Jaipur
 Lab Serial No. : 0352212000721 SIN No., Date : 35021556 31-Dec-22 12:03 PM
Patient Name : Mrs. AKILA YASMIN Sample collection date : 31-Dec-2022 12:04PM
Referred by : Dr. SELF Report Date : 31-Dec-2022 04:45PM
Age/Gender : 70 Y 5 M 30 D / F Report printed on : 31-Dec-2022 05:20PM
Source BY : Document No. : -

HAEMATOLOGY
Test Name Observation Unit Biological Ref. interval

COMPLETE BLOOD COUNT(CBC/HAEMOGRAM) (EDTA Blood)

Haemoglobin by SLS method 12.3 g/dL 12.0-15.0
Haematocrit (HCT) by RBC Pulse High detection method 40.7 % 37-46
Red Blood Cell Count (RBC) by DC detection method 4.73 million/mm3 3.8-4.8
Mean Corposcular Volume (MCV) by Calculated 86.0 fL 83-101
method
Mean Corposcular Haemoglobin (MCH) by 26.0 pg 27-32
Calculated method
Mean Corposcular Haemoglobin Conc.(MCHC) 30.2 g/dL 31.5-34.5
by Calculated method
Red Cell Distribution Width (RDWcv) by Calculated 14.9 % 12.2-16.1
method
Total Leucocyte Count (TLC) by Flow Cytometry 8.20 1000/mm3 4.0-10.0
method
Differential Leucocyte Count
Segmented Neutrophils by Flow Cytometry method 41.0 % 42-72
Lymphocytes by Flow Cytometry method 51.6 % 25-45
Eosinophils by Flow Cytometry method 2.3 % 1-6
Monocytes by Flow Cytometry method 3.9 % 2-10
Basophils by Flow Cytometry method 1.2 % 0-2
Absolute Leucocyte Count
Neutrophils by Flow Cytometry method 3.36 1000/mm3 2.0-7.0
Lymphocytes. by Flow Cytometry method 4.23 1000/mm3 1.0-3.0
Eosinophils. by Flow Cytometry method 0.19 1000/mm3 0.05-0.50
Monocytes. by Flow Cytometry method 0.32 1000/mm3 0.2-1.0
Basophils. by Flow Cytometry method 0.10 1000/mm3 0.02-0.2
ITDOSE INFOSYSTEMS PVT. LTD.

Platelet count by DC detection method 2.55 Lakhs/cumm 1.5-4.0

Mean Platelet Volume (MPV) by Calculated method 12.6 fL 7.8-11.0
Remark:As per the recommendation of International Council for Standardization in Hematology,the differential leucocyte counts are additionally
being reported as absolute numbers of each cell in per unit volume of blood.

Page 10 of 14
The test has been processed at - Dr.B.Lal Clinical Laboratory- Jaipur
 Lab Serial No. : 0352212000721 SIN No., Date : 35021556 31-Dec-22 12:03 PM
Patient Name : Mrs. AKILA YASMIN Sample collection date : 31-Dec-2022 12:04PM
Referred by : Dr. SELF Report Date : 31-Dec-2022 04:43PM
Age/Gender : 70 Y 5 M 30 D / F Report printed on : 31-Dec-2022 05:20PM
Source BY : Document No. : -

HAEMATOLOGY
Test Name Observation Unit Biological Ref. interval

ERYTHROCYTES SEDIMENTATION RATE(ESR)

Erythrocytes Sedimentation Rate, EDTA Blood 24 mm/ hr. 0-20

Remarks :-

Measurment of ESR by red cells agreegation.

Independent from Hematocrit value by Automated Analyzer (Roller-20).
ITDOSE INFOSYSTEMS PVT. LTD.

Page 11 of 14
The test has been processed at - Dr.B.Lal Clinical Laboratory- Jaipur
 Lab Serial No. : 0352212000721 SIN No., Date : 35021556 31-Dec-22 12:03 PM
Patient Name : Mrs. AKILA YASMIN Sample collection date : 31-Dec-2022 12:04PM
Referred by : Dr. SELF Report Date : 31-Dec-2022 04:34PM
Age/Gender : 70 Y 5 M 30 D / F Report printed on : 31-Dec-2022 05:20PM
Source BY : Document No. : -

BIO-CHEMISTRY-I
Test Name Observation Unit Biological Ref. interval

GLUCOSE (F)
Glucose (F), Plasma by Hexokinase 94.21 mg/dl
Criteria for Diagnosis of Diabetes Mellitus
(2016 American Diabetes Association (ADA) Diabetes Guidelines)

Glucose Fasting (mg/dL) Post Glucose (PG) 2Hours HbA1c (%)

(mg/dL)
Non-Diabetic 70-99 Up to 139 < 5.7
Pre-Diabetic 100-125 140-199 5.7-6.4
Diabetic 126 or >126 200 or > 200 6.5 or > 6.5

Plasma Glucose (Random) > 200 mg/dl Diabetes Mellitus

Note:

The common causes of decreased postprandial glucose level is intake of antidiabetic medication and strenuous activity before sampling.
Reactive hypoglycemia due to high insulin sensitivity, exaggerated response of glucagon-like peptide-1,defects in counter regulatory
hormones like glucagon and massive weight reduction.
Other causes of lower Glucose PP includes gastroparesis seen in diabetic patient which can alter the rate and amount of food passing into
small intestine causing erratic changes in blood sugar level.
Some people deliberately eat less or eat non-carbohydrate meal before testing for Glucose PP level.

Remarks:-
Fasting is defined as no caloric intake (No food or liquid except water) for atleast 8hrs.
Post Glucose(PG) means the test should be performed using Glucose load as per the requirement.
ITDOSE INFOSYSTEMS PVT. LTD.

Post Prandial(PP) means 2hours after intake of a meal counting from the first bite of food.
Random is defined as any time of the day irrespective of the time of the meal.
HbA1c and Microalbuminuria are important tests for diagnosis and follow-up of Diabetes Mellitus.

Page 12 of 14
The test has been processed at - Dr.B.Lal Clinical Laboratory- Jaipur
 Lab Serial No. : 0352212000721 SIN No., Date : 35021556 31-Dec-22 12:03 PM
Patient Name : Mrs. AKILA YASMIN Sample collection date : 31-Dec-2022 12:04PM
Referred by : Dr. SELF Report Date : 31-Dec-2022 04:16PM
Age/Gender : 70 Y 5 M 30 D / F Report printed on : 31-Dec-2022 05:20PM
Source BY : Document No. : -

CLINICAL-PATHOLOGY
Test Name Observation Unit Biological Ref. interval

URINE COMPLETE EXAMINATION AUTOMATION

Physical Examination
Appearance Clear Clear
Color Pale Yellow Pale Yellow /Yellow
Specific Gravity 1.020 1.003-1.035
pH 7 4.6-8.0
Chemical Examination
Glucose Negative mg/dL Negative
Ketone Negative mg/dL Negative
Protein Negative mg/dL Negative
Bilirubin Negative mg/dL Negative
Urobilinogen Normal mg/dL Normal
Occult Blood Negative Ery/µL Negative
Nitrite Negative mg/dL Negative
Ascorbic Acid Negative mg/dL Negative
Microscopic Examination
Red Blood Cells 1.80 /HPF 0.0-2.0
White Blood Cells (Pus Cells) 0.80 /HPF 0.0-5.0
Epithelial Cells 3.70 /HPF 0.0-5.0
Calcium Oxlate Monohydrate Crystals 0.00 /HPF 0.0-0.45
Calcium Oxalate Dihydrate Crystals 0.00 /HPF 0.0-0.45
Triple Phosphate Crystals 0.00 /HPF 0.0-0.45
Uric Acid Crystals 0.00 /HPF 0.0-0.45
Cystine Crystals 0.00 /HPF 0.0-0.45
ITDOSE INFOSYSTEMS PVT. LTD.

Leucine Crystals 0.00 /HPF 0.0-0.45

Tyrosine Crystals 0.00 /HPF 0.0-0.45
Amorphous Crystals - Urate 0.00 /HPF 0.0-0.45
Amorphous Crystals - Phosphate 0.00 /HPF 0.0-0.45
Hyalin Casts 0.10 /HPF 0.0-0.45
Pathological Casts 0.10 /HPF 0.0-0.45

Page 13 of 14
The test has been processed at - Dr.B.Lal Clinical Laboratory- Jaipur
 Lab Serial No. : 0352212000721 SIN No., Date : 35021556 31-Dec-22 12:03 PM
Patient Name : Mrs. AKILA YASMIN Sample collection date : 31-Dec-2022 12:04PM
Referred by : Dr. SELF Report Date : 31-Dec-2022 04:16PM
Age/Gender : 70 Y 5 M 30 D / F Report printed on : 31-Dec-2022 05:20PM
Source BY : Document No. : -

CLINICAL-PATHOLOGY
Test Name Observation Unit Biological Ref. interval

Hyalin-Granular Casts 0.00 /HPF 0.0-0.45

Granular Casts 0.00 /HPF 0.0-0.45
RBC Casts 0.00 /HPF 0.0-0.45
WBC Casts 0.00 /HPF 0.0-0.45
Fatty Casts 0.00 /HPF 0.0-0.45
Waxy Casts 0.00 /HPF 0.0-0.45
Yeast Cell 0.00 /HPF 0.0-1.0
Spermatozoa 0.00 /HPF 0.0-2.0
Other Absent /HPF Absent

Methodology:
Urine Chemistry - Automated Dipstick Method
Urine Sediment - Automatic Identification of urine particles by the Auto Image Evaluation Module (AIEM) by Automated
Urine Sediment Analyzer.

*** End of report ***

Page 14 of 14
The test has been processed at - Dr.B.Lal Clinical Laboratory- Jaipur