Cardinal Gracias Memorial Hospital Trust (CHARITABLE) SEA Bangll, Sandor, P. O. Vasal, Dist. Palghar, 401201. Tel.: 7350682424 / 7350762424 / 7350772424 E-mail ID : egmhospital@yahoo.com www.cardinalgraciashospital com + Regd. No. E-242 Paighar recent : | Mr, Peter B Deunha ‘Age 62 Years Gender =| Male Patient Type |: | OPD Patient No. | : | COMH23016020 Ward : Bed Service Dato | : | 26.07.2023 1948.22 Report No. _| : | COMRIZ30007%44 Referred By | : | Dr. Joel Tuscano = MRI PERINEUM WITH CONTRAST Clinical profile - discomfort while passing stools. ‘A small enhancing intersphincteric fistula is seen with internal opening at approximately 12 o'clock position at a distance of 1 cm from the anal verge. There is inflammation within the sphincter muscles at the site of internal opening of the tract. No other fistulous tract is seen on this study. There is no perianal abscess No supralevator or translevator disease is seen. The visualised prostate appears unremarkable. No other obvious abnormality is seen. Impressi + Findings suggest a small intersphincteric fistula with internal opening at 12 o'clock position at a distance of approximately 1 cm from the anal verge. + No perianal abscess seen. %.Cardinal Gracias f Memorial Hospital Trust (6 AIA Danan S Ber er, nO an, OE, Ta, ae TREND TREE Fationt TJ, Peter 8 Deunha | Age = [aveas Gonder [= [Wate Patient Type | : | OPD Patient No. + | CGMH23018920 Ward: Bed : Service Date | | 26072023 184822 Repor No. | | COMRIREOOOTTaa ReferedBy [=| Joel Tuscaro Se Se int op = @& yw> ye Dr Ritu K Kashikar DNB, DMRD RadiologyMAIN LAB : Gokul Siddhi Building, Gokul Towns! Behind Glory Building, C.S. Road, Virar (W), 401303. Mo. : 8550999822, 8530146160 Virar (West) : Kamanwala Nagar, Behind Science Garden, C.S. Road. Mo. : 7767894555 Virar East): 105, 106, 107, Pushp Plaza, Above Snehanjali Stores. Mo. : 9545845333, Patient Name : MR. PETER DCUNHA, Referral : Dr M. S. Ayyar- MS;FACRSI Sample Date : 30/07/2023, 11:28 AM ‘Age : 62 years (Male) Reg. ID :185433 Report Date : 30/07/2023, 02:09 PM Sample Received : 30/07/2023, 11:29 AM Sample ID Hg Source : GOKUL T. " Investigations Observed value Unit Biological reference interval csc Haemoglobin 4 gm/dt 13.0- 17.0 RBC. Count 3.60 milli /cumm 45-55 seed Cell Volume (HCT) 29.1 % 40-50 ‘san Cell Volume(MCV) 80.8 a 83.0 - 101.0 Mean Cell Haemoglobin( MCH) 26.1 Ps 27.0 -32.0 Mean Cell Hb Cone{MCHC) 32.3 g/dl. 31.5 -34.5 RDW (CV) 19.3 % 116-140 WBC (Total count) 7630 Jeumm, 4000 - 10000 DIFFERENTIAL COUNT Neutrophilis 39.0 % 40-80 Lymphocytes 45.7 % 20-40 Eosinophils 68 % 1-6 Monocytes 84 % 2-10 Basophils 0.1 % 1-2 Absolute Neutrophil Count 2970 Jeumra, 2000 -7500 Absolute Lymphocyte Count 3490 Joxmm 1800 - 4000 Absolute Monocyte Count 640 Jeumm 200 - 800 Absolute Eosinophil Count 520 Jeamm 40 - 400 Absolute Basophils Count 10 Jeumm 10 - 100 Platelet count ‘83000 Jeumm 180000 - 450000 how 105 a 09-17 MPV 88 a 6.78 - 13.46 WBC Morphology ‘Mild Eosinophilia. RBC Morphology Hypo (++), Micro (+) , Aniso (+) Platelet morphology Inadequate Haemogram is done by fully Automated Haematology Analyser 6 Part Cell Counter Sysmex XN-SSO. Reterence Practical Haematslogy- Dace and Leni ‘END OF REPORT ad Dr. Sunny K. Dey Dr. Revati V Desai ‘MO (Path) 'MBBS,0PS (Path)MAIN LAB : Gokul Siddhi Building, Gokul Township, Behind Glory Building, C.S. Road, Virar (W), 401303. Mo. : 8550999822, 8530146160 —.s Virar (West) : Kamanwala Nagar, Behind Science Garden, C.S. Road. Mo, : 7767894555 Lew, SUNLAB DIAGNOSTICS PVT LTD. Virar (East) : 105, 106, 107, Pushp Plaza, Above Snehanjali Stores. Mo. : 9545845333, Patient Name : MR. PETER DCUNHA Referral: Dr M.S. Ayyar - MS:FACRSI ‘Sample Date : 30/07/2025, 11:28 AM Report ID : 723436 Sample Received : 30/07/2023, 11:29 AM Report Date : 30/07/2023, 01:39 PM Sour: GOKU T. Seve) HUI ANAT ‘Age : 62 years (Male) Reg. ID 18543 Investigations Observed value Unit Biological reference interval Urine Routine URINE, Random PHYSICAL EXAMINATION puantity 30m Colour Pale Yellow Pale Yellow Appearance Clear Clear Specific Gravity 1.010 1.005 - 1.080 (CHEMICAL EXAMINATION (DIPSTICK METHOD} Proteins Present (Trace) Absent Glucose Abeent Aboent Urine Ketones Absent Absent Reaction (pH) Acidic 5-8 Occult Blood Present (Trace) Absent Bile Salts Absent Aboent Bile Pigments Absent Absent Urobilinogen Normal 90 mi/min/1.73 gm ~ Normal 1) 60 to 89 mil/min/1.73 sqm Mild decrease. common in 30% healthy adult ©} 80 to 59 ml/min/ 1.78 aqm - Moderate chronic kidney disease f consemed over mths, 4) 15-29 mi/min/1.73 sqm - Consistent with severe kidney disease. Consider Nephrology opinion, fo) < 1S ml /min/1.73.ogm ~ Consistent with kidney failure Note:- tinine & GFR varies with muscle mass. eGFR is less precise in its estimation when more than 60 ml/min/1.73 sqm. (Cobas 4000 Analyser & MDRD Formulae) “END OF REPORT JF Dr. Sunny K. Dey Dr. Revati V Desai MD (Path) 'M88S,08 (Path)Patient Name: MR. PETER DCUNHA Referral : Dr M. S. Ayyar - MS;FACRSI Sample Date : 30/07/2023, 11:28 AM ‘Sample Received : 30/07/2023, 11:29 AM Source : GOKUL T. MAIN LAB : Gokul Siddhi Building, Gokul Townshi Behind Glory Building, C.S. Road, Virar (W), 401303. Mo. : 8550993822, 8530146160 Virar (West) : Kamanwala Nagar, Behind Science Garden, C.S. Road. Mo. : 7767894555 Virar (East): 105, 106, 107, Pushp Plaza, Above Snehanjali Stores. Mo. : 9545845333, ‘Age : 62 years (Male) Reg. ID 185433 Report Date : 30/07/2023, 01:14 PM. soe TNE Investigations Observed value Unit Biological reference interval sorr S.G.P.T (ALT) 18.5 ue Upto 41 f Bilirubin (T & D) Serum Bilirubin (Total) oa7 mg/dl UPTO 1.2 (Method - Diazo) Child 2 1 mnth upto 1.0 Serum Bilirubin Direct 0.105 mg/dl 0.0 - 0.20 Method - Diazo Serum Bilirubin Indirect 0.17 mg/dl upto 0.8 Method - Diazo ‘END OF REPORT JC Dr. Sunny K. Dey Mo (Path) Dr. Revati V Desai 'MB8S,08 (Path)MAIN LAB : Gokul Sidahi Building, Gokul Township, Behind Glory Building, C.S. Road, Virar (W), 401303. Mo. : 8550993822, 8530146160 Virar (West) : Kamanwala Nagar, Behind Science Garden, C.S. Road. Mo. : 7767894555 Virar (East) : 105, 106, 107, Pushp Plaza, Above Snehanjali Stores. Mo. : 9545845333 Patient Name : MR. PETER DCUNHA. Referral : Dr M. S. Ayyar - MS;FACRSI Sample Date : 30/07/2023, 11:28 AM Sample Received : 30/07/2023, 11:29 AM Source : GOKUL T. ‘Age : 62 years (Male) Reg. ID :185433 Report Date : 30/07/2023, 03:10 PM see NON Investigations Observed value Unit Biological reference interval HIV Antibody (ECLIA method) HIV-1p24 antigen and Antibodies to Non Reactive (0.28) Non Reactive : Below 0.9 COl HIV-1 and HIV- , serum by ECLIA = Borderline : >0.9 to < 1.0 COI Reactive : > 1.0 COL Positive test should be confirmed by western blot method, Note: Immunochemistry Tests done by Cobas 6000 analyzer. HBsAg, (Serum by ECLIA) HBsAg (ECLIA method) Non Reactive (0.54) Non Reactive : Below 0.9 COI Borderline : 20.9 to < 1.0 COL Reactive : > 1.0 COL Reactive results should be confirmed by HBV DNA detection assay. Note: Immunochemistry Tests done by Cobas 6000 analyzer. PR br. Sunny K. Dey MO (Path) “END OF REPORT Dr. Revati V Desai 'Mgas,0P8 (Path)> el Lim) ® | SUNLAB DIAGNOSTICS PVT LTD. Fay Compterees Patient Name : MR. PETER DCUNHA Referral : Dr M. S. Ayyar - MS;FACRSI Sample Date : 30/07/2023, 11:28 AM Sample Received : 30/07/2023, 11:29 AM Source : GOKUL T. MAIN LAB : Gokul Siddhi Building, Gokul Township, Behind Glory Building, C.S. Road, Virar (W), 401303. Mo. : 8550999822, 8530146160 Virar (West) : Kamanwala Nagar, Behind Science Garden, C.S. Road. Mo. : 7767894555 Virar (East): 105, 106, 107, Pushp Plaza, Above Snehanjali Stores. Mo. : 9545845333, ‘Age : 62 years (Male) Reg. ID :185433 Report Date : 30/07/2023, 03:59 PM seo NON Investigations Observed value Unit Biological reference interval fe ‘ABO Group RH (D) Positive “hlethod : Slide & Tube Agelutination Test. lal Dr. Sunny K. Dey Mo (Path) "END OF REPORT Dr. Revati V Desai, |M88s,0P8 (Path)Behind Glory Bul MAIN LAB : Gokul Siddhi Building, Gokul Township, jing, C.S. Road, Vi F (W), 401303. Mo, : 8550993822, 8530146160 Virar (West) : Kamanwala Nagar, Behind Science Garden, C.S. Road. Mo. : 7767894555 Virar (East) : 105, 106, 107, Pushp Plaza, Above Snehanjali Stores. Mo. : 9545845333, Patient Name: MR. PETER DCUNHA Referral : Dr M.S. Ayyar - MS;FACRSI ‘Sample Date : 30/07/2023, 11:28 AM ‘Sample Received : 90/07/2023, 11:29 AM Source : GOKUL 7. ‘Age : 62 years (Male) Rog. ID :185433 Report Date : 30/07/2023, 04:13 PM Semorenm TAMAQUA Interpretation and Remarles Non Diabetic = 4.8-5.7 Prediabete State» 5.7 - 6.6 Diabetic Control (Goal) = 64 - 7.0 Good Control: 7.0- 8.0 Uncatistactory ontrol= 8.0 10.0 ‘Bad Control Above 10 1. HoALe ts ued for monitoring diabetic conto. rfc the etinaed average phot eA) 23. Trends in MAIC area beter ndentor of diabetic contol han ly ts 5. To estinate the eA fom the HBALC rae, he flowing equation ie wand ehGimg/l) = 287°A1e46.7 “Note: HBAIC test done by HPLC method (TOSOH) Investigations Observed value Unit Biological reference interval HbAIC HBAIC 66 % {EDTA Whole Blood, HPLC Method) cq:Jitimated Average Glucose (eAG) 142.72 mg/dl - 2. MbAic hasbeen endorse by lina groupe & ADA (American Diabetes Asotin guidelines 2017, fr diagnose of diabetes sing a cut-off pin of 5.5% 4: Low gycatedhaemopobinfelow 4) in a non-diabetic inidl are fen associated wth stem indammatoydseses, chronic anaemlalespeily eves on efcency & hacmolyti) chronic renal failure and ner daca, Cina corelation sugested ad Dr. Sunny K. Dey MO (Path) “END OF REPORT* Dr. Revati V Desai 1MBaS,008 (Path)