‫ دﻛﺘﺮ ﭘﻴﻤﺎن ﻋﺸﻘﻲ‬:‫ﻧﺎم ﭘﺰﺷﮏ‬ ‫ ﺧﺎﻧﻢ ﻧﺴﺮﻳﻦ دھﻘﺎن ﻧﻴﺮي‬:‫ﻧﺎم و ﻧﺎم ﺧﺎﻧﻮادﮔﻲ‬

:‫ﺷﻤﺎره اﺷﺘﺮاک‬ GX8291 :‫ﺷﻤﺎره ﭘﺬﻳﺮش‬

1402/04/01 :‫ﺗﺎرﻳﺦ ﭘﺬﻳﺮش‬ 39 ‫ﺳﺎل‬ :‫ﺳﻦ و ﺟﻨﺲ‬
1/2 :‫ﺻﻔﺤﻪ‬ Copy ( ‫) ت اﺟﺘﻤﺎﻋﻲ‬ 0939037440 :‫ﮐﺪ ﻣﻠﻲ‬

Biochemistry - Serum Checked By: Dr.olfati

Test Result Method Reference Intervals(Sex & Age adjusted)

ALT(SGPT) ................................ 14 U/L <33
AST(SGOT) ............................... 17 U/L Up to 32
Gamma G.T .............................. 15 U/L Up to 32
Alkaline Phosphatase ................. 48 U/L 35-105
Lactate dehydrogenase .............. 174 U/L <250
Creatine Phosphokinase ............. 71 U/L <170
Total Protein ............................. 7.2 g/dL 6.6- 8.7
Albumin(Serum) ........................ 4.8 g/dL 3.5-5.2

Immunoassays -Auto Immune Disorders - Serum Checked By: Dr.shekarabi

Test Result Method Reference Intervals(Sex & Age adjusted)

ANA .......................................... Titer:>=1/160 IFA Negative: Titer <1/40
Pattern:Speckled Titer
Anti-DNA ................................... 25.7 Index ELISA Negative: <39.0
Equivocal: 39.0-46.0
Positive: >46.0
Anti Cardiolipin IgG .................... 5.0 IU/mL ELISA Negative: <15.0
Equivocal: 15-25
Positive: >25.0
Anti Smooth Muscle Ab .............. <1/20 Titer IFA Negative: Titer <1/20
Anti CCP ................................... 1.2 U/mL Negative: <12.0
Equivocal: 12-18
Positive: >18.0

Immunoassays -Immunity Marker - Serum Checked By: Dr.olfati

Test Result Method Reference Intervals(Sex & Age adjusted)

IgG ........................................... 1093 mg/dL 700-1600
C3 ............................................ 120 mg/dL Turbidimetric 90-180
C4 ............................................ 41 mg/dL 10-40
CH50 ........................................ 86.3 Index ELISA Absence or Low: 0-50
Normal:51-150
High:>150

PATIENT HISTORY - ALT(SGPT)

Dr.olfati

88782034 :‫ ﻓﮑﺲ‬88785003 ، 85586 :‫ ﺗﻠﻔﻦ‬1969764411 :‫ ﮐﺪ ﭘﺴﺘﻲ‬474 ‫ ﭘﻠﺎک‬،‫ ﺑﻠﻮار ﻣﻴﺮداﻣﺎد ﻏﺮﺑﻲ‬:‫ﺗﮭﺮان‬

 ‫ﻧﺎم ﭘﺰﺷﮏ‪ :‬دﻛﺘﺮ ﭘﻴﻤﺎن ﻋﺸﻘﻲ‬ ‫ﻧﺎم و ﻧﺎم ﺧﺎﻧﻮادﮔﻲ‪ :‬ﺧﺎﻧﻢ ﻧﺴﺮﻳﻦ دھﻘﺎن ﻧﻴﺮي‬
‫ﺷﻤﺎره اﺷﺘﺮاک‪:‬‬ ‫ﺷﻤﺎره ﭘﺬﻳﺮش‪GX8291 :‬‬
‫‪1402/04/01‬‬ ‫ﺗﺎرﻳﺦ ﭘﺬﻳﺮش‪:‬‬ ‫ﺳﺎل ‪39‬‬ ‫ﺳﻦ و ﺟﻨﺲ‪:‬‬
‫ﺻﻔﺤﻪ‪2/2 :‬‬ ‫‪Copy‬‬ ‫) ت اﺟﺘﻤﺎﻋﻲ (‬ ‫‪0‬‬ ‫ﮐﺪ ﻣﻠﻲ‪:‬‬

‫)‪PATIENT HISTORY - AST(SGOT‬‬

‫‪PATIENT HISTORY - Gamma G.T‬‬

‫‪PATIENT HISTORY - Alkaline Phosphatase‬‬

‫‪Dr.olfati‬‬

‫ﺗﮭﺮان‪ :‬ﺑﻠﻮار ﻣﻴﺮداﻣﺎد ﻏﺮﺑﻲ‪ ،‬ﭘﻠﺎک ‪ 474‬ﮐﺪ ﭘﺴﺘﻲ‪ 1969764411 :‬ﺗﻠﻔﻦ‪ 88785003 ، 85586 :‬ﻓﮑﺲ‪88782034 :‬‬