Header

Prepared For
Ms PRACHI
F 23
Booking ID - 3950166 | Date - 30/04/2023 | Package -Vital Screening Package With Thyroid
Profile
fa lse
Name Patient ID Gender Age

Ms PRACHI 3950166 F 23
Health Summary
BLOOD COUNTS THYROID PROFILE
Everything looks good Everything looks good
LIPID PROFILE
Test Name Result

DIABETES MONITORING
Total Cholesterol 226
Triglycerides 218.2 Everything looks good

VLDL 43.64
+ 1 tests Please Watchout
KIDNEY PROFILE
LIVER PROFILE
Test Name Result

Test Name Result
Blood Urea 17.4
GGT 66
Uric Acid 6.3
ALP 160
Please Watchout
SGPT (ALT) 59
+ 3 tests Please Watchout
ANEMIA STUDIES
ELECTROLYTES
Test Name Result

Everything looks good
RDW-CV 15.3
Please Watchout
MINERAL PROFILE
Everything looks good

Patient Name : Ms PRACHI Bill Date : Apr 30, 2023, 06:52 AM
DOB/Age/Gender : 23 Y/Female Sample Collected : Apr 30, 2023, 09:40 AM
Patient ID / UHID : 3950166/RCL3290947 Sample Received : Apr 30, 2023, 05:05 PM
Referred By : Dr. Report Date : Apr 30, 2023, 06:11 PM
Sample Type : Whole blood EDTA Barcode No : HT428103
Client : HOME COLLECTION - NOIDA - F10166 Report Status : Final Report
Test Description Value(s) Unit(s) Reference Range
HEMATOLOGY REPORT
Vital Screening Package With Thyroid Profile
Complete Blood Count (CBC)
RBC PARAMETERS
Hemoglobin 12.9 g/dL 12.0 - 15.0
Method : colorimetric
RBC Count 4.6 10^6/µl 3.8 - 4.8
Method : Electrical impedance
PCV 38.7 % 36 - 46
Method : Calculated
MCV 83.9 fl 83 - 101
Method : Calculated
MCH 27.9 pg 27 - 32
Method : Calculated
MCHC 33.3 g/dL 31.5 - 34.5
Method : Calculated
RDW (CV) 15.3 % 11.6 - 14.0
Method : Calculated
RDW-SD 41.9 fl 35.1 - 43.9
Method : Calculated
WBC PARAMETERS
TLC 7.1 10^3/µl 4 - 10
Method : Electrical impedance and microscopy
DIFFERENTIAL LEUCOCYTE COUNT
Neutrophils 60.3 % 40-80
Lymphocytes 30.7 % 20-40
Monocytes 7.2 % 2-10
Eosinophils 1.2 % 1-6
Basophils 0.6 % <2
Absolute leukocyte counts
Neutrophils* 4.28 10^3/µl 2-7
Lymphocytes* 2.18 10^3/µl 1-3
Monocytes* 0.51 10^3/µl 0.2 - 1.0
Eosinophils* 0.09 10^3/µl 0.02 - 0.5
Basophils* 0.04 10^3/µl 0.02 - 0.5
PLATELET PARAMETERS
Platelet Count 194 10^3/µl 150 - 410
Method : Electrical impedance and microscopy
Mean Platelet Volume (MPV) 12.7 fL 9.3 - 12.1
Method : Calculated
30-Apr-2023 07:48 PM Page 1 of 11


PCT 0.2 % 0.17 - 0.32
Method : Calculated
PDW 32.4 fL 8.3 - 25.0
Method : Calculated
P-LCR 55.7 % 18 - 50
Method : Calculated
P-LCC 108 % 44 - 140
Method : Calculated
Mentzer Index 18.24
Interpretation:
CBC provides information about red cells, white cells and platelets. Results are useful in the diagnosis of anemia, infections, leukemias, clotting
disorders and many other medical conditions.
30-Apr-2023 07:48 PM Page 2 of 11

HEMATOLOGY REPORT
Erythrocyte Sedimentation Rate (ESR)
ESR - Erythrocyte Sedimentation Rate 13 mm/hr 0 - 12
Method : MODIFIED WESTERGREN
Interpretation:
Indicates presence and intensity of an inflammatory process; never diagnostic of a specific disease. ESR is increased in chronic inflammatory
diseases, especially collagen and vascular diseases. Decreased ESR is seen in congestive heart failure, cachexia and after high dose of adrenal
steroids.
30-Apr-2023 07:48 PM Page 3 of 11

Sample Type : Serum Barcode No : BT004510
BIOCHEMISTRY REPORT
Liver Function Test (LFT)
BILIRUBIN TOTAL 1.5 mg/dL 0.2 - 1.2
Method : Photometric
BILIRUBIN DIRECT 0.4 mg/dL 0.0 - 0.5
Method : Diazo Reaction
BILIRUBIN INDIRECT 1.1 mg/dL 0.1 - 1.0
Method : Calculation (T Bil - D Bil)
SGOT/AST 37 U/L 5 - 34
Method : Enzymatic NADH (without P5P)
SGPT/ALT 59 U/L 0 to 55
Method : Enzymatic NADH (without P5P)
SGOT/SGPT Ratio 0.63 - -
Method : Calculated
ALKALINE PHOSPHATASE 160 U/L 40 - 150
Method : Photometric (Para-Nitrophenyl Phosphate)
TOTAL PROTEIN 7.86 g/dL 6.4 - 8.3
Method : Biuret (Photometric)
ALBUMIN 5.07 g/dL 3.5 - 5.2
Method : Colorimetric BCG
GLOBULIN 2.79 g/dL 2.3 - 3.5
Method : Calculation (T.P - Albumin)
ALBUMIN : GLOBULIN RATIO 1.82 - 1.0 - 2.1
Method : Calculation (Albumin/Globulin)
GAMMA GLUTAMYL TRANSFERASE (GGT) 66 U/L 9 - 36
Result Rechecked,Please correlate clinically .
Interpretation:
The liver filters and processes blood as it circulates through the body. It metabolizes nutrients, detoxifies harmful substances, makes blood clotting proteins, and
performs many other vital functions. The cells in the liver contain proteins called enzymes that drive these chemical reactions. When liver cells are damaged or
destroyed, the enzymes in the cells leak out into the blood, where they can be measured by blood tests Liver tests check the blood for two main liver enzymes. Aspartate
aminotransferase (AST),SGOT: The AST enzyme is also found in muscles and many other tissues besides the liver. Alanine aminotransferase (ALT), SGPT: ALT is
almost exclusively found in the liver. If ALT and AST are found together in elevated amounts in the blood, liver damage is most likely present. Alkaline Phosphatase
and GGT: Another of the liver's key functions is the production of bile, which helps digest fat. Bile flows through the liver in a system of small tubes (ducts), and is
eventually stored in the gallbladder, under the liver. When bile flow is slow or blocked, blood levels of certain liver enzymes rise: Alkaline phosphatase Gamma-utamyl
transpeptidase (GGT) Liver tests may check for any or all of these enzymes in the blood. Alkaline phosphatase is by far the most commonly tested of the three. If
alkaline phosphatase and GGT are elevated, a problem with bile flow is most likely present. Bile flow problems can be due to a problem in the liver, the gallbladder, or
the tubes connecting them. Proteins are important building blocks of all cells and tissues. Proteins are necessary for your body's growth, development, and health. Blood
contains two classes of protein, albumin and globulin. Albumin proteins keep fluid from leaking out of blood vessels. Globulin proteins play an important role in your
immune system. Low total protein may
indicate:
1.bleeding
2.liver disorder
3.malnutrition
4.agammaglobulinemia High Protein levels 'Hyperproteinemia: May be seen in dehydration due to inadequate water intake or to excessive water loss (eg, severe
30-Apr-2023 07:48 PM Page 4 of 11


vomiting, diarrhea, Addison's disease and diabetic acidosis) or as a result of increased production of proteins Low albumin levels may be
caused by:
1.A poor diet (malnutrition).
2.Kidney disease.
3.Liver disease. High albumin levels may be caused by: Severe dehydration.
30-Apr-2023 07:48 PM Page 5 of 11

BIOCHEMISTRY REPORT
Kidney Function Test (KFT)
BLOOD UREA 17.4 mg/dL 15 - 40
Method : Urease
CREATININE 0.7 mg/dL 0.57 - 1.11
Method : Enzymatic-Creatinine Amidohydrolase
BUN 8.13 mg/dL 7.0 - 18.7
Method : Calculated
BUN/CREATININE RATIO 11.61
UREA / CREATININE RATIO 24.86
URIC ACID 6.3 mg/dL 2.6 - 6.0
Method : Uricase
CALCIUM Serum 9.5 mg/dL 8.4 - 10.2
Method : Arsenazo III
PHOSPHORUS 2.5 mg/dL 2.3 - 4.7
SODIUM 139 mmol/L 136 - 145
Method : Potentiometric
POTASSIUM 4.5 mmol/L 3.5 - 5.1
CHLORIDE 103.8 mmol/L 98 - 107
Interpretation:
Kidney function tests is a collective term for a variety of individual tests and proceduresthat can be done toevaluate how well the kidneys are functioning. Many
conditions can affect the ability of the kidneys to carryout their vital functions. Somelead to a rapid (acute) decline in kidney functionothers lead to a gradual
(chronic) declineinfunction. Both result in a buildup of toxic waste subst done on urine samples, as well as on blood samples. A number of symptoms may
indicate a problem with your kidneys. These include : high blood pressure,blood in urine frequent urges to urinate,difficulty beginning urination,painful
urination,swelling in the hands and feet due to a buildup of fluids in the body. A single symptom may not mean something serious. However, when occurring
simultaneously, these symptoms suggest that your kidneys are not working properly. Kidney function tests can help determine the reason. Electrolytes
(sodium,potassium,and chloride) are present in the human body and the balancing act of the electrolytes in our bodies is essential for normal function of our cells
and organs. There has to be a balance.Ionized calcium this test if you have signs of kidney or parathyroid disease. The test may also be done to monitor progress
and treatment of these diseases.
30-Apr-2023 07:48 PM Page 6 of 11

BIOCHEMISTRY REPORT
Lipid Profile
TOTAL CHOLESTEROL 226 mg/dL Desirable : <200
Method : Enzymatic Borderline : 200-239
High : >240
TRIGLYCERIDES 218.2 mg/dL Normal : <150
Method : Photometric Borderline : 150-199
High : 200-499
Very high : >500
HDL CHOLESTEROL 29 mg/dL >40
Method : Accelerator Selective Detergent
NON HDL CHOLESTEROL 197 mg/dL <130
Method : Calculated
LDL CHOLESTEROL 153.36 mg/dL 85 - 150
Method : Calculated
V.L.D.L CHOLESTEROL 43.64 mg/dL < 30
Method : Calculated
CHOL/HDL Ratio 7.79 Ratio 3.5 - 5.0
Method : Calculated
HDL/ LDL RATIO 0.19 - Desirable : 0.5 - 3.0
Method : Calculated
Borderline : 3.1 - 6.0
High : > 6.0

LDL/HDL Ratio 5.29 - -
Method : Calculated
Interpretation:
Lipid level assessments must be made following 9 to 12 hours of fasting, otherwise assay results might lead to erroneous interpretation. NCEP recommends of 3 different samples to be drawn at intervals of 1 week
for harmonizing biological variables that might be encountered in single assays.
NATIONAL LIPID ASSOCIATION TOTAL CHOLESTEROL TRIGLYCERIDE in LDL CHOLESTEROL in NON HDL CHOLESTEROL
RECOMMENDATIONS (NLA-2014) in mg/dL mg/dL mg/dL in mg/dL
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
Risk Stratification for ASCVD (Atherosclerotic Cardiovascular Disease) by Lipid Association of India.
Risk Category A. CAD with > 1 feature of high risk group
30-Apr-2023 07:48 PM Page 7 of 11


B. CAD with >1 feature of very high risk group of recurrent ACS (within 1 year) despite
Extreme risk group
LDL-C <or = 50 mg/dl or poly vascular disease
1.Established ASCVD 2.Diabetes with 2 major risk factors of evidence of end organ
Very High Risk
damage 3. Familial Homozygous Hypercholesterolemia
1. Three major ASCVD risk factors 2. Diabetes with 1 major risk factor or no evidence
of end organ damage 3. CHD stage 3B or 4. 4 LDL >190 mg/dl 5. Extreme of a single
High Risk
risk factor 6. Coronary Artery Calcium - CAC > 300 AU 7. Lipoprotein a >/= 50 mg/dl
8. Non stenotic carotid plaque
Moderate Risk 2 major ASCVD risk factors
Low Risk 0-1 major ASCVD risk factors
Major ASCVD (Atherosclerotic cardiovascular disease) Risk Factors
1. Age >or=45 years in males and > or = 55 years in females 3. Current Cigarette smoking or tobacco use
2. Family history of premature ASCVD 4. High blood pressure
5. Low HDL
Newer treatment goals and statin initiation thresholds based on the risk categories proposed by Lipid Association of India
in 2020.
Risk Group Treatment Goals Consider Drug Therapy
LDL-C (mg/dl) Non-HDL (mg/dl) LDL-C (mg/dl) Non-HDL (mg/dl)
Extreme Risk Group Category A <50 (Optional goal <OR = 30) <80 (Optional goal <OR = 60) >OR = 50 >OR = 80
Extreme Risk Group Category B >OR = 30 >OR = 60 > 30 > 60
Very High Risk <50 <80 >OR = 50 >OR = 80
High Risk <70 <100 >OR = 70 >OR = 100
Moderate Risk <100 <130 >OR = 100 >OR = 130
Low Risk <100 <130 >OR = 130* >OR = 160
* After an adequate non-pharmacological intervention for at least 3 months.
References :
Management of Dyslipidaemia for the Prevention of Stroke : Clinical practice Recommendations from the Lipid Association of India. Current Vascular Pharmacology,2022,20,134-155.
30-Apr-2023 07:48 PM Page 8 of 11

BIOCHEMISTRY REPORT
Thyroid Profile Total
TRIIODOTHYRONINE ( T3 ) 93.7 ng/dL 35 - 193
Method : CMIA
TOTAL THYROXINE ( T4 ) 7.3 µg/dL 4.87 - 11.2
Method : CMIA
THYROID STIMULATING HORMONE (Ultrasensitive) 3.1304 µIU/mL 0.35 - 4.94
Method : CMIA
Interpretation:
Pregnancy Reference ranges TSH
1 st Trimester 0.1 - 2.5
2 ed Trimester 0.2 - 3.0
3 rd Trimester 0.3 - 3.0
Primary malfunction of the thyroid gland may result in excessive (hyper) or below normal (hypo) release of T3 or T4. In addition as TSH directly
affects thyroid function, malfunction of the pituitary or the hypo - thalamus influences the thyroid gland activity. Disease in any portion of the
thyroid-pitutary-hypothala- mus system may influence the levels of T3 and T4 in the blood. In primary hypothyroidism, TSH levels are
significantly elevated, while in secondary and tertiary hypothyroidism, TSH levels may be low. In addition, in the Euthyroid Sick Syndrome,
multiple alterations in serum thyroid function test findings have been recognized in patients with a wide variety of non-thyroidal illnesses (NTI)
without evidence of preexisting thyroid or hypothalami c-pitutary diseases. Thyroid Binding Globulin (TBG) concentrations remain relatively
constant in healthy individuals. However, pregnancy, excess estrogen's, androgen's, antibiotic steroids and glucocorticoids are known to alter
TBG levels and may cause false thyroid values for Total T3 and T4 tests.
TSH T4 T3 INTERPRETATION
High Normal Normal Mild (subclinical) hypothyroidism
Low or
High Low Hypothyroidism
normal
Low Normal Normal Mild (subclinical) hyperthyroidism
High or High or
Low Hyperthyroidism
normal normal
Low or Low or
Low Nonthyroidal illness; pituitary (secondary) hypothyroidism
normal normal
Thyroid hormone resistance syndrome (a mutation in the thyroid hormone receptor decreases thyroid
Normal High High
hormone function)
30-Apr-2023 07:48 PM Page 9 of 11

30-Apr-2023 07:48 PM Page 10 of 11

Sample Type : Spot Urine Barcode No : CI177845
CLINICAL PATHOLOGY REPORT

Urine Routine and Microscopic Examination
PHYSICAL EXAMINATON
Volume 20 mL
Colour Pale yellow Pale yellow
Transparency Slightly Hazy Clear
Deposit Present Absent
CHEMICAL EXAMINATION
Reaction (pH) 5.5 5.5 - 8.0
Method : Double Indicator
Specific Gravity 1.020
Urine Glucose (sugar) Negative Negative
Method : Oxidase / Peroxidase
Urine Protein (Albumin) Negative Negative
Method : Acid / Base Colour Exchange
Urine Ketones (Acetone) Negative Negative
Method : Legals Test
Blood Negative Negative
Method : Peroxidase Hemoglobin
Leucocyte esterase Positive(++) Negative
Method : Enzymatic Reaction
Bilirubin Urine Negative Negative
Method : Coupling reaction
Nitrite Negative Negative
Method : Griless Test
Urobilinogen Normal Normal
Method : Ehrlichs Test
MICROSCOPIC EXAMINATION
Pus Cells (WBCs) 18-20 /hpf 0-5
Epithelial Cells 6-8 /hpf 0-4
Red blood Cells Absent /hpf Absent
Crystals Absent Absent
Cast Absent Absent
Yeast Cells Absent Absent
Amorphous deposits Absent Absent
Bacteria Absent Absent
Protozoa Absent Absent
30-Apr-2023 07:48 PM Page 11 of 11

Name Patient ID Gender Age
fa lse
Ms PRACHI 3950166 F 23
Health Advisory
Normal (N) Low (L) Borderline (BL) High (H)
Liver Profile
One of the main functions of your liver is to make proteins that are secreted in your blood. It also makes enzymes
which convert food into energy, and processes old muscles and cells. When your liver is damaged, enzymes leak
into your blood and appear in the blood test
Enzymes
Enzymes found in your liver are responsible for various processes that maintain body functions. These enzymes are leaked into
your blood when your liver suffers damage.
SGOT (AST): 37 U/L HIGH
LOW NORMAL HIGH
<5 5-34 > 34

You: 37
Common reasons for abnormal results :

A high AST level is a sign of liver damage, but it can also mean you have damage to another organ that makes it, like your heart or
kidneys. That's why doctors often do the AST test together with tests of other liver enzymes :
Liver damage Damage to Heart. Damage to Kidney.
GGT: 66 U/L HIGH
NORMAL HIGH
< 36 > 36
You: 66
It rises whenever there is an obstruction in

Regular alcohol drinking increases GGT
the passage between your liver and
levels.
intestine.
Enzymes
Enzymes found in your liver are responsible for various processes that maintain body functions. These enzymes are leaked into
your blood when your liver suffers damage.
fa lse
SGPT (ALT): 59 U/L HIGH
NORMAL HIGH
< 55 > 55
You: 59
It showcases problems such as viral hepatitis, diabetes, congestive heart failure, liver damage, bile duct
(small tubes that pass bile -- fluid made by liver helpful for digestion -- outside liver) problems etc.
Kidney Profile
This panel is used to check healthy functioning of your kidneys. Kidneys filter blood in your body to remove waste
products - these waste products are produced when breakdown of proteins (present in food, muscles and other
cells) occurs in the body to generate energy
Uric Acid: 6.3 mg/dL HIGH
LOW NORMAL HIGH
< 2.6 2.6-6 >6

You: 6.3
High protein diet Alcohol, high fat dairy, fast foods
Crash diet/over fasting. Certain Medicines.

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Lipid Profile
This panel measures the amount of lipoprotein - a type of fat required to produce energy in your body. Too much fat
restricts oxygen ow to your heart, which may lead to heart disease.
Total Cholesterol: 226 mg/dL BORDERLINE
NORMAL BORDERLINE HIGH
< 200 200-240 > 240

You: 226
Diet and Lifestyle Tips :
Regular aerobic exercise and weight loss

Eat a low-salt diet that emphasizes fruits,
(if obese) can bring your cholesterol
vegetables and whole grains.
levels in the normal healthy range.
Triglycerides: 218.2 mg/dL HIGH
NORMAL HIGH
< 150 > 150

You: 218
Complications :
High value: May contribute to hardening of

the arteries or thickening of the artery walls Extremely high triglycerides can also cause
(arteriosclerosis) — which increases the acute inflammation of the pancreas
risk of stroke, heart attack and heart (pancreatitis).
disease.
Diet and Lifestyle Tips :
Exercise regularly. Aim for at least 30

minutes of physical activity on most or all
days of the week. Try to incorporate more
Avoid sugar and refined carbohydrates.
physical activity into your daily tasks —
for example, climb the stairs at work or
take a walk during breaks.
Limit how much alcohol you drink.

Lose weight. If you have mild to moderate
Alcohol has a particularly potent effect
hypertriglyceridemia, focus on cutting
on triglycerides. If you have severe
calories. Extra calories are converted to
hypertriglyceridemia, avoid drinking any
triglycerides and stored as fat.
alcohol.
+ +
SMART HEALTH REPORT
RT
MC-5280
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Name Patient ID Gender Age

BLOOD COUNTS THYROID PROFILE

Everything looks good Everything looks good

Test Name Result

Triglycerides 218.2 Everything looks good

Test Name Result

Test Name Result

Everything looks good

Test Description Value(s) Unit(s) Reference Range

30-Apr-2023 07:48 PM Page 1 of 11

Test Description Value(s) Unit(s) Reference Range

30-Apr-2023 07:48 PM Page 2 of 11

Test Description Value(s) Unit(s) Reference Range

30-Apr-2023 07:48 PM Page 3 of 11

Test Description Value(s) Unit(s) Reference Range

Result Rechecked,Please correlate clinically .

30-Apr-2023 07:48 PM Page 4 of 11

Test Description Value(s) Unit(s) Reference Range

30-Apr-2023 07:48 PM Page 5 of 11

Test Description Value(s) Unit(s) Reference Range

30-Apr-2023 07:48 PM Page 6 of 11

Test Description Value(s) Unit(s) Reference Range

High : > 6.0

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

Risk Category A. CAD with > 1 feature of high risk group

30-Apr-2023 07:48 PM Page 7 of 11

Test Description Value(s) Unit(s) Reference Range

Risk Group Treatment Goals Consider Drug Therapy

LDL-C (mg/dl) Non-HDL (mg/dl) LDL-C (mg/dl) Non-HDL (mg/dl)

* After an adequate non-pharmacological intervention for at least 3 months.

30-Apr-2023 07:48 PM Page 8 of 11

Test Description Value(s) Unit(s) Reference Range

30-Apr-2023 07:48 PM Page 9 of 11

Test Description Value(s) Unit(s) Reference Range

30-Apr-2023 07:48 PM Page 10 of 11

Test Description Value(s) Unit(s) Reference Range

CLINICAL PATHOLOGY REPORT

30-Apr-2023 07:48 PM Page 11 of 11

SGOT (AST): 37 U/L HIGH

LOW NORMAL HIGH

<5 5-34 > 34

Common reasons for abnormal results :

Liver damage Damage to Heart. Damage to Kidney.

GGT: 66 U/L HIGH

Common reasons for abnormal results :

It rises whenever there is an obstruction in

SGPT (ALT): 59 U/L HIGH

Common reasons for abnormal results :

Uric Acid: 6.3 mg/dL HIGH

LOW NORMAL HIGH

< 2.6 2.6-6 >6

Common reasons for abnormal results :

High protein diet Alcohol, high fat dairy, fast foods

Crash diet/over fasting. Certain Medicines.

Total Cholesterol: 226 mg/dL BORDERLINE

NORMAL BORDERLINE HIGH

< 200 200-240 > 240

Diet and Lifestyle Tips :