PO No :PO4211511458-819

Name : Mr.KRISHNA AGARWAL Client Name : TATA 1MG KOLKATA

Age/Gender : 18/Male Registration Date : 23-Jul-23 10:52 AM
Patient ID : KOL250925 Collection Date : 23/Jul/2023 07:35AM
Barcode ID/Order ID : D4826710 / 7676681 Sample Receive Date : 23/Jul/2023 11:24AM
Referred By : Dr. Report Status : Final Report
Sample Type : Whole Blood-EDTA Report Date : 23/Jul/2023 01:42PM

HAEMATOLOGY
FEVER PACKAGE EXTENSIVE
Test Name Result Unit Bio. Ref. Interval Method

Malarial Antigen (Vivax & Falciparum) Detection

Plasmodium falciparum Antigen NEGATIVE Negative Immunocromatography
Plasmodium vivax Antigen NEGATIVE Negative Immunocromatography

Comment:

Four species of the Plasmodium parasites are responsible for human malaria infection - P.falciparum, P.vivax, P.ovale and
P.malariae. P.falciparum and P.vivax are the most prevalent . Falciparum infection is associated with Cerebral malaria and
drug resistance whereas vivax infection is associated with high rate of infectivity and relapse. Differentiation between
P.falciparum and P.vivax is of utmost importance for better patient management and speedy recovery.
This is only a screening test. The results must always be correlated with clinical history and relevant epidemiological and
therapeutic context.
A Positive result indicates malarial infection. False Positives may be seen due to cross reactivity and persistence
antigenemia.
False negatives may be seen in patient’s with very low parasitic index .

Page 1 of 10
PO No :PO4211511458-819

Name : Mr.KRISHNA AGARWAL Client Name : TATA 1MG KOLKATA

Age/Gender : 18/Male Registration Date : 23-Jul-23 10:52 AM
Patient ID : KOL250925 Collection Date : 23/Jul/2023 07:35AM
Barcode ID/Order ID : D4826704 / 7676681 Sample Receive Date : 23/Jul/2023 11:24AM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 23/Jul/2023 04:33PM

BIOCHEMISTRY
FEVER PACKAGE EXTENSIVE
Test Name Result Unit Bio. Ref. Interval Method

C-Reactive Protein (Quantitative) 17.00 mg/L 0-10 Turbidimetric

Comment:
•C-Reactive Protein [CRP] is an acute phase reactant ,hepatic secretion of which is stimulated in response to inflammatory
cytokines.
•CRP is a very sensitive but nonspecific marker of inflammation and infection.
•The CRP test is useful in patient with Inflammatory bowel disease, arthritis, Autoimmune diseases, Pelvic inflammatory disease
(PID), tissue injury or necrosis and infections.
•CRP levels can be elevated in the later stages of pregnancy as well as with use of birth control pills or hormone replacement
therapy i.e. estrogen. Higher levels of CRP have also been observed in the obese.
•As compared to ESR, CRP shows an earlier rise in inflammatory disorders which begins in 4-6 hrs, he intensity of the rise being
higher than ESR and the recovery being earlier than ESR. Unlike ESR, CRP levels are not influenced by hematologic conditions
like Anemia, Polycythemia.

Page 2 of 10
PO No :PO4211511458-819

Name : Mr.KRISHNA AGARWAL Client Name : TATA 1MG KOLKATA

Age/Gender : 18/Male Registration Date : 23-Jul-23 10:52 AM
Patient ID : KOL250925 Collection Date : 23/Jul/2023 07:35AM
Barcode ID/Order ID : D4826704 / 7676681 Sample Receive Date : 23/Jul/2023 11:24AM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 23/Jul/2023 04:33PM

BIOCHEMISTRY
Test Name Result Unit Bio. Ref. Interval Method

Urea 14.98 mg/dL 17.12-42.8 Calculated

Comment:

Elevated Blood Urea can occur with kidney disease, but it can also happen from high protein diet, increased protein
breakdown, certain medications, dehydration or burns, GI haemorrhage, cortisol and renal failure. Blood urea levels often
rise with aging as well.
Abnormally low levels of Blood Urea can be a sign of malnutrition, lack of protein in the diet, and liver disease.

Note:

Independently, blood urea may not reflect kidney function. For this reason, it is often interpreted in the context of other
measurements, such as creatinine, a breakdown product of the muscle, that is filtered by the kidneys.
In blood, Urea is usually reported as BUN and expressed in mg/dl. BUN mass units can be converted to urea mass units by
multiplying by 2.14.

Page 3 of 10
PO No :PO4211511458-819

Name : Mr.KRISHNA AGARWAL Client Name : TATA 1MG KOLKATA

Age/Gender : 18/Male Registration Date : 23-Jul-23 10:52 AM
Patient ID : KOL250925 Collection Date : 23/Jul/2023 07:35AM
Barcode ID/Order ID : D4826704 / 7676681 Sample Receive Date : 23/Jul/2023 11:24AM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 23/Jul/2023 04:33PM

BIOCHEMISTRY
Test Name Result Unit Bio. Ref. Interval Method

Liver Function Test

Bilirubin-Total 0.50 mg/dL 0.3 – 1.2 Vanadate oxidation
Bilirubin-Direct 0.20 mg/dL 0.11–0.42 Vanadate oxidation
Bilirubin-Indirect 0.30 mg/dL 0.2-0.8 Calculated
Protein, Total 6.50 g/dL 6.8–8.2 Biuret
Albumin 4.28 g/dL 3.2-4.8 BCG Dye Binding
Globulin 2.2 g/dl 1.8-3.6 Calculated
A/G Ratio 1.93 Ratio 0.8 - 2.1 Calculated
Aspartate Transaminase (SGOT) 24 U/L 14–35 Modified IFCC
Alanine Transaminase (SGPT) 17 U/L 8-22 Modified IFCC
SGOT/SGPT 1.41 Ratio <1 Calculated
Alkaline Phosphatase 69 U/L 46-116 IFCC Standardization
Gamma Glutamyltransferase (GGT) 16 U/L 10-33 Modified IFCC

Comment:
•LFTS are based upon measurements of substances released from damaged hepatic cells into the blood that gives idea of the
Existence, Extent and Type of Liver damage. - Acute Hepatocellular damage: ALT & AST levels are sensitive index of
hepatocellular damage - Obstruction to the biliary tract,Cholestasis and blockage of bile flow:1) Serum Total Bilirubin
concentration 2) Serum Alkaline Phosphatase (ALP) activity 3) Gamma Glutamyl Transpeptidase (GGTP) 4) 5`-Nucleotidase -
Chronic liver disease: Serum Albumin concentration
•Bilirubin results from the enzymatic breakdown of heme. Jaundice is a yellowish discoloration of the skin and mucous
membranes caused by hyperbilirubinemia.
•Pre-hepatic or hemolytic jaundice - Abnormal red cells, antibodies,drugs and toxins,Hemoglobinopathies, Gilbert’s syndrome,
Crigler-Najjar syndrome
•Hepatic or Hepatocellular jaundice-Viral hepatitis,toxic hepatitis, intrahepatic cholestasis
•Post-hepatic jaundice -Extrahepatic cholestasis, gallstones, tumors of the bile duct, carcinoma of pancreas
•In viral hepatitis and other forms of liver disease associated with acute hepatic necrosis, serum AST and ALT concentrations are
elevated even before the clinical signs and symptoms of disease appear.
•ALT is the more liver-specific enzyme and elevations of ALT activity persist longer than AST activity.
•Peak values of aminotransferase activity occur between the seventh and twelfth days. Activities then gradually decrease,
reaching normal activities by the third to fifth week. Peak activities bear no relationship to prognosis and may fall with worsening
of the patient's condition.
•Aminotransferase activities observed in cirrhosis vary with the status of the cirrhotic process and range from the upper
reference limit to four to five times higher, with an AST/ALT ratio greater than 1. The ratio's elevation can reflect the grade of
fibrosis in these patients. Slight or moderate elevations of both AST and ALT activities have been observed after administration
of various medications and chronic hepatic injury such as (1) hemochromatosis, (2) Wilson disease, (3) autoimmune hepatitis, (4)
primary biliary cirrhosis, (5) sclerosing cholangitis, and (6) a1-antitrypsin deficiency.
•AST activity also is increased in acute myocardial infarction, progressive muscular dystrophy and dermatomyositis, reaching
concentrations up to eight times the upper reference limit.Slight to moderate AST elevations are noted in hemolytic disease.
•GGT is a sensitive indicator of the presence of hepatobiliary disease, being elevated in most subjects with liver disease
regardless of cause. Increased concentrations of the enzyme are also found in serum of subjects receiving anticonvulsant drugs,

Page 4 of 10
PO No :PO4211511458-819

Name : Mr.KRISHNA AGARWAL Client Name : TATA 1MG KOLKATA

Age/Gender : 18/Male Registration Date : 23-Jul-23 10:52 AM
Patient ID : KOL250925 Collection Date : 23/Jul/2023 07:35AM
Barcode ID/Order ID : D4826704 / 7676681 Sample Receive Date : 23/Jul/2023 11:24AM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 23/Jul/2023 04:33PM

BIOCHEMISTRY
Test Name Result Unit Bio. Ref. Interval Method
such as phenytoin and phenobarbital.

Page 5 of 10
PO No :PO4211511458-819

Name : Mr.KRISHNA AGARWAL Client Name : TATA 1MG KOLKATA

Age/Gender : 18/Male Registration Date : 23-Jul-23 10:52 AM
Patient ID : KOL250925 Collection Date : 23/Jul/2023 07:35AM
Barcode ID/Order ID : D4826704 / 7676681 Sample Receive Date : 23/Jul/2023 11:24AM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 23/Jul/2023 02:45PM

SEROLOGY
FEVER PACKAGE EXTENSIVE
Test Name Result Unit Bio. Ref. Interval Method

Typhidot - IgM NEGATIVE Negative Immunocromatography

Typhidot - IgG NEGATIVE Negative Immunocromatography

Comment:
Typhoid fever is an infection caused by a bacterium, Salmonella Typhi. Timely diagnosis of typhoid fever at an early stage is
not only important for etiological diagnosis but also to identify and treat the potential carrier state in order to prevent acute
typhoid fever outbreaks. TYPHIDOT is an immunochromatographic assay designed for the qualitative detection and
differentiation of specific IgM and IgG antibodies against specific Salmonella Typhi antigen in human serum or plasma. This test is
an aid in the early diagnosis of typhoid infection.

Note:-

It is a rapid, qualitative, screening test for early detection of antibodies to Salmonella Typhi in human serum/plasma. All
positive results should be confirmed by supplement tests.
A negative result does not rule out recent infection, as positive result is influenced by the time elapsed after the onset of
fever and immuno- competence of the patient.

Page 6 of 10
 PO No :PO4211511458-819

Name : Mr.KRISHNA AGARWAL Client Name : Tata 1mg

Age/Gender : 18/Male Registration Date : 23-Jul-23 10:52 AM
Patient ID : KOL250925 Collection Date : 23/Jul/2023 07:35AM
Barcode ID/Order ID : D4826704 / 7676681 Sample Receive Date : 23/Jul/2023 11:24AM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 23/Jul/2023 02:45PM

SEROLOGY
FEVER PACKAGE EXTENSIVE

Widal Test (Slide Agglutination)

Test Name: Widal Test

Sample: Serum

Result:

S. OBSERVED
Antigen METHOD
No. TITRE
Slide
1 Salmonella Typhi ‘O’ <1:20
agglutination
Slide
2 Salmonella Typhi ‘H’ <1:20
agglutination
Salmonella Paratyphi Slide
3 <1:20
‘AH’ agglutination
Salmonella Paratyphi Slide
4 <1:20
‘BH’ agglutination

INTERPRETATION:

Titre are not suggestive of Enteric Fever due Salmonella Typhi and Salmonella paratyphi A and
B.

Note:

- Widal test is a serological test, used for invitro detection and quantitative estimation of specific
antibodies to Salmonella antigen (‘H’ and ‘O’) in the serum.

- A positive widal test confirms Enteric fever or typhoid fever caused by Gram negative bacteria,
Salmonella enterica (S.Typhi or S.paratyphi). However, the positive slide widal test sometimes give
a false positive result, which is again confirmed by Tube widal test.

- The widal test uses ‘O’ and ‘H’ antigens of S.Typhi and S. paratyphi A and S. paratyphi B

- Titers ≥ 1:80 of O antigen and ≥ 1:160 of H antigen of S. Typhi and Titers ≥ 1:160 of H antigen
for S. paratyphi A & B are significant.

Page 7 of 10
 PO No :PO4211511458-819

Name : Mr.KRISHNA AGARWAL Client Name : Tata 1mg

Age/Gender : 18/Male Registration Date : 23-Jul-23 10:52 AM
Patient ID : KOL250925 Collection Date : 23/Jul/2023 07:35AM
Barcode ID/Order ID : D4826704 / 7676681 Sample Receive Date : 23/Jul/2023 11:24AM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 23/Jul/2023 02:45PM

SEROLOGY
FEVER PACKAGE EXTENSIVE

- In the case of Low titres, it is suggested to perform repeat test after a week. A four fold rise in
titre with gap of 1 week confirms the Widal test.

Limitation:

1. False Positive: Anamnestic response is seen in person who had prior enteric infection or
immunisation with TAB vaccination. This response is seen during an unrelated fever like- Malaria,
M.tuberculosis, Dengue, Influenza, Brucellosis, Rheumatic fever etc. Where a transient rise in H
antibody titer is seen whereas in the patient with enteric fever, a sustained rise is seen.

2. In endemic areas, people may show moderately elevated levels of ‘O’ and ‘H’ agglutinins.

3. False negative: seen in early course of disease (1st week) and immunosuppression.

4. False negative results can be seen in patient where antibiotic treatment is started before the
sample is collected.

Comments:

Widal Test can detect antibodies against common somatic ‘O’ antigen and Flagellar ‘H’ antigen of
Salmonella Typhi and ‘H’ antigens of Salmonella paratyphi A and paratyphi B. It usually appears at
the end of the first week and show increase in titer after 1-2 weeks and then decline. If there is no
rise in titres on consequetive weeks, it could be due to Anamnestic reaction. So, it is recommended
to do Blood culture in first week of infection and Widal test at the end of first week and second
week.

Page 8 of 10
 PO No :PO4211511458-819

Name : Mr.KRISHNA AGARWAL Client Name : TATA 1MG KOLKATA

Age/Gender : 18/Male Registration Date : 23-Jul-23 10:52 AM
Patient ID : KOL250925 Collection Date : 23/Jul/2023 07:35AM
Barcode ID/Order ID : D4826704 / 7676681 Sample Receive Date : 23/Jul/2023 11:24AM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 23/Jul/2023 02:45PM

SEROLOGY
FEVER PACKAGE EXTENSIVE
Test Name Result Unit Bio. Ref. Interval Method

Chikungunya IgM
Chikungunya IgM NEGATIVE NEGATIVE Immunocromatography

Comment:

Chikungunya virus (CHIKV) is an insect-borne virus of the Alphavirus, that is transmitted to humans by Aedes mosquitoes. CHIKV
causes an illness similar to dengue fever but unlike dengue there is no hemorrhagic fever or shock syndrome. CHIKV manifests
with an acute febrile phase of the illness lasting only two to five days,followed by a prolonged arthralgic disease that affects the
joints of the extremities.

NOTE

1. This is only a screening test . All samples detected reactive must be confirmed by using confirmatory test.
2. False positive results can be obtained due to cross reaction with Epstein-BARR virus, Influenza A & B, Brucella and Dengue
virus.
3. False negative results are seen if IgM antibody is below the detectable limit.
4. A negative result does not preclude the possibility of exposure or infection with CHIKV

Page 9 of 10
PO No :PO4211511458-819

Name : Mr.KRISHNA AGARWAL Client Name : TATA 1MG KOLKATA

Age/Gender : 18/Male Registration Date : 23-Jul-23 10:52 AM
Patient ID : KOL250925 Collection Date : 23/Jul/2023 07:35AM
Barcode ID/Order ID : D4826706 / 7676681 Sample Receive Date : 23/Jul/2023 11:38AM
Referred By : Dr. Report Status : Final Report
Sample Type : Urine Report Date : 23/Jul/2023 04:19PM

CLINICAL PATHOLOGY
FEVER PACKAGE EXTENSIVE
Test Name Result Unit Bio. Ref. Interval Method
Urine Routine & Microscopy
Colour PALE YELLOW Pale Yellow Manual
Appearance CLEAR Clear Manual
Specific gravity 1.010 1.003 - 1.035 pKa change
pH 6.5 4.6-8.0 Double Indicator
Glucose NEGATIVE Negative GOD-POD
Protein NEGATIVE Negative Protein Error Principle
Ketones NEGATIVE Negative Nitroprusside
Blood NEGATIVE Negative Peroxidase
Bilirubin NEGATIVE Negative Diazonium
Urobilinogen NORMAL Normal Ehrlich
Leucocyte Esterase NEGATIVE Negative Pyrrole
Nitrite NEGATIVE Negative Sulbhanilamide Diazo
Pus cells 2-3 /hpf 0-5 Microscopy
Red Blood Cells NIL /hpf 0-2 Microscopy
Epithelial cells 1-2 /hpf Few Microscopy
Casts NIL Nil Microscopy
Crystals NIL Nil Microscopy
Yeast NIL Nil Microscopy
Bacteria NIL Nil Microscopy

Comment:
•Note: Pre-test condition to be observed while submitting the sample-first void, mid stream urine, collected in a clean, dry, sterile
container is recommended for routine urine analysis, avoid contamination with any discharge from vaginal, urethra, perineum,
Avoid prolonged transit time & undue exposure to sunlight.
•During interpretation, points to be considered are Negative nitrite test does not exclude the urinary tract infections. Trace
proteinuria can be seen with many physiological conditions like prolonged recumbency, exercise, high protein diet. False positive
reactions for bile pigments, proteins, glucose and nitrites can be caused by peroxidase like activity by disinfectants, therapeutic
dyes, ascorbic acid and certain drugs.• Urine microscopy is done in centrifuged urine specimens

*** End Of Report ***

Page 10 of 10
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Test results released pertain to the sample, as received. laboratory investigations are only a tool to facilitate in arriving at a diagnosis and should be
clinically correlated by the interpreting clinician. Result delays may happen because of unforeseen or uncontrollable circumstances. Test report may vary
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Disclaimer: Results re/ate only to the sample received. Test results marked "BOLD" indicate abnormal results i.e. higher or lower than normal. All lab test
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reports alone may not be conclusive of the disease/condition, hence clinical correlation is necessary. Reports should be vetted by o qualified doctor only.