‫ ﺁﻗﺎﻱ ﺩﮐﺘﺮ ﻣﺮﺗﻀﻲ ﻣﻮﺳﻮﻱ‬: ‫ﭘﺰﺷﮏ ﻣﻌﺎﻟﺞ‬ 1400/08/25 : ‫ﺗﺎرﯾﺦ ﭘﺬﯾﺮش‬ 08-1585 : ‫ﺷﻤــــﺎره ﭘﺬﯾﺮش‬

2 ‫ از‬1 ‫ص‬
‫ ﺳﺎﻝ‬29 : ‫ﺳﻦ‬ ‫ ﺧﺎﻧﻢ ﺍﻧﺪﻳﺸﻪ ﺷﻬﺮﻳﺎﺭﻱ‬: ‫ﻧﺎم ﻣﺮاﺟﻌﻪ ﮐﻨﻨﺪه‬

Hematology
Test Result Unit Reference Values Differential
C.B.C
W.B.C. 7.1 10*3/µL 4.4 - 11.3 Neutrophils 70.4 %
R.B.C. 4.83 10*6/µL 3.8 - 5.3 Lymphocytes 21.5 %
Hgb 13.2 g/dL 11.7 - 15.5 Eosinophils 1.3 %
HCT 38.6 % 35 - 45 Monocytes 5.8 %
M.C.V. 80 fL 78 - 100 Basophils 0.0 %
M.C.H. 27 pg 27 - 34 Variant Lymph 1.0 %
M.C.H.C. 34 g/dL 30 - 36 Immature cells 0.0 %
Platelets 208 10*3/µL 140 - 440
RDW-CV 12.3 % 10.6 - 15.7
E.S.R 1st h 12 mm/h 0 - 20
Checked by : ‫ﻣﺪﯾﺮﯾﺖ‬

Biochemistry
Test Result Unit Reference Values
Fasting Blood Sugar 101 ng/ml 70 - 100
Triglycerides 99 mg/dL <150 Normal
150-199 Borderline high
>200 High
Cholesterol 169 mg/dL <200 Desirable
200-239 Borderline high
>240 High
Bun 11 mg/dL 7 - 24
Creatinine 0.8 mg/dL 0.5 - 1.4
Uric Acid 3.5 mg/dL 2.7 - 7.3
HDL Cholesterol ( Direct ) 63 >40
LDL Cholesterol 86 mg/dL <100 Optimal
100-129 Above optimal
130-159 Borderline high
>160 High
LDL / HDL Ratio 1.4 Ratio Low risk <3
Moderate risk : 3 - 6
High risk >6
S.G.O.T. ( AST ) 15 IU/L 5 - 40
S.G.P.T. ( ALT ) 9 IU/L 5 - 40
Ca ( Calcium ) 9.0 mg/dL 8.5 - 10.5
Checked by : ‫ﻣﺪﯾﺮﯾﺖ‬
 2 ‫ از‬2 ‫ص‬ ‫ ﺳﺎﻝ‬29 : ‫ﺳﻦ‬ ‫ ﺧﺎﻧﻢ ﺍﻧﺪﻳﺸﻪ ﺷﻬﺮﻳﺎﺭﻱ‬: ‫ﻧﺎم ﻣﺮاﺟﻌﻪ ﮐﻨﻨﺪه‬ 08-1585 : ‫ﺷﻤﺎره ﭘﺬﯾﺮش‬

Special Biochemistry
Test Result Unit Method Reference Values
Ferritin 69.2 ng/ml CLIA 12 - 160
25-OH-Vitamin D 10 ng/ml HPLC Severe deficiency <10
Deficiency 10 -30
Optimal level 30-100
Potentially toxicant > 100
Checked by : ‫ﻣﺪﯾﺮﯾﺖ‬

Serology
Test Result Unit Reference Values
CRP(titre) 12.7 mg/L Up to 6.0
Checked by : ‫ﻣﺪﯾﺮﯾﺖ‬

Immunoassays-Endocrinology
Test Result Unit Method Reference Values
T4 8.8 µg/dL CLIA 4.5 - 12.5
T3 87 ng/dL CLIA 84 - 172
TSH 1.07 CLIA 0.4 - 4.2
Checked by : ‫ﻣﺪﯾﺮﯾﺖ‬

Urine Analysis
Macroscopic Microscopic
Urine Analysis W.B.C. 1-2
Color Yellow R.B.C. 0-1
Appearance Clear Epithelial Cells 2-3
Specific Gravity 1.025 Bacteria Negative
pH 5 Mucus Negative
Protein Negative Casts Negative
Glucose Negative
Ketone Negative
Bilirubin Negative
Urobilinogen Negative
Nitrite Negative
Blood/Hgb Negative
Checked by : ‫ﻣﺪﯾﺮﯾﺖ‬

Microbiology
Test Result
Urine ( Culture & Sensitivity )
Culture No growth after 24 hrs.
Checked by : ‫ﻣﺪﯾﺮﯾﺖ‬

Lab Director : A H Ghotbi M.D