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Booking ID : 9553253960

Sample Collection Date : 12/Dec/2023

Mugdha Chowdhry
Female, 39 Yrs
2021

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HEALTH ANALYSIS Mugdha Chowdhry


Personalized Summary & Vital Parameters Booking ID : 9553253960 | Sample Collection Date : 12/Dec/2023

Mugdha Chowdhry,
Your Health Score
Congratulations, We have successfully completed your health diagnosis. This is a big
step towards staying on top of your health and identify potential to improve!

10 Vital Health Parameters of a Human Body Ecosystem


Below are the health parameters which require routine checkups for primary healthcare.
The view also includes personalised information depending on the tests you have taken.
90Out of 100

*Calculated from test reports

Thyroid Function Vitamin B12


Thyroid Stimulating Hormone 263 pg/ml
(TSH)-Ultrasensit : 2.42 µIU/ml Everything looks good
Everything looks good

Cholesterol Total Liver Function


149.4 mg/dl Alanine Aminotransferase
Everything looks good (ALT/SGPT) : 44 U/L
Everything looks good

Kidney Function Calcium Total


Serum Creatinine : 0.73 mg/dl 9.4 mg/dl
Everything looks good Everything looks good

Vitamin D Iron studies


16.53 ng/ml Serum Iron : 108 ug/dl
Concern Everything looks good

HbA1c Complete
5.1 % Hemogram
Everything looks good Haemoglobin (HB) : 13.6 g/dL
Everything looks good
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New Features Mugdha Chowdhry


Report Summary Booking ID 9553253960 | Sample Collection Date: 12/Dec/2023

Understanding laboratory reports can be complex, often leading to unwarranted anxiety.


At Healthians, we understand that you shouldn't have to rely on a Google search to decipher your own health report. That's why we offer comprehensive summaries that are easy to understand.

Summary of Deranged Parameters

Based on the health test results you provided, there are a few parameters that are outside the normal range. Please remember that these values are just
indicators and not a definitive diagnosis. It's important not to jump to conclusions or worry unnecessarily.

Suggestions for Deranged Parameters

1. Vitamin D Total-25 Hydroxy: Your vitamin D levels are lower than normal. It's important to get enough sunlight exposure and consume foods rich in
vitamin D, such as fatty fish and fortified dairy products. Additionally, you may consider discussing with your healthcare provider about the possibility of
taking vitamin D supplements.

2. RDW (Red Cell Distribution Width): Your RDW is slightly lower than normal. This parameter measures the variation in size of your red blood cells. It's
important to maintain a balanced diet and stay hydrated to support healthy blood cell production. Regular exercise can also help improve blood circulation.

3. Lymphocytes: Your lymphocyte levels are slightly higher than normal. Lymphocytes are a type of white blood cell that play a role in your immune system.
It's important to maintain a healthy lifestyle, including a balanced diet, regular exercise, and adequate sleep, to support your immune system.

4. Globulin: Your globulin levels are slightly lower than normal. Globulin is a protein produced by the liver. It's important to maintain a healthy liver by
avoiding excessive alcohol consumption and eating a balanced diet. If you have any concerns, it's always a good idea to consult with your healthcare
provider.

5. HDL Cholesterol Direct: Your HDL cholesterol levels are higher than normal. HDL cholesterol is often referred to as "good" cholesterol because it helps
remove excess cholesterol from your bloodstream. To maintain healthy cholesterol levels, it's important to follow a balanced diet that includes healthy fats,
regular exercise, and avoiding smoking.

6. CHOL/HDL RATIO: Your CHOL/HDL ratio is lower than normal. This ratio compares your total cholesterol to your HDL cholesterol levels. To improve this
ratio, it's important to focus on maintaining healthy cholesterol levels through a balanced diet, regular exercise, and other lifestyle modifications.

Remember, these suggestions are general and it's always best to consult with your healthcare provider for personalized advice. Take care of yourself and
continue to prioritize your overall well-being.
Smart Report 3.0

HEALTH ANALYSIS Mugdha Chowdhry


HISTORICAL CHARTS Booking ID : 9553253960 | Sample Collection Date : 12/Dec/2023

Glycated Hemoglobin (HbA1c) Everything looks good Iron, Serum Everything looks good

• •
Your Latest result Your Latest result

5.1 % 108 ug/dl


12th Dec 2023 4.2 5.7 12th Dec 2023 50 170

5.3 120

5.2
100

5.1

80
5

4.9 60
May'21 Aug'21 Dec'23 May'21 Dec'23

Vitamin B12 Cyanocobalamin Everything looks good Calcium Total, Serum Everything looks good

• •
Your Latest result Your Latest result

263 pg/ml 9.4 mg/dl


12th Dec 2023 211 912 12th Dec 2023 8.7 10.4

450 9.45

400 9.4

350 9.35

300 9.3

250 9.25
May'21 Dec'23 May'21 Dec'23

Cholesterol-Total, Serum Everything looks good Creatinine, Serum Everything looks good

• •
Your Latest result Your Latest result

149.4 mg/dl 0.73 mg/dl


12th Dec 2023 0 200 12th Dec 2023 0.3 1.0

150 0.75

0.725
145

0.7

140
0.675

135 0.65
May'21 Dec'23 May'21 Dec'23

Hemoglobin Hb Everything looks good TSH Ultra - Sensitive Everything looks good

• •
Your Latest result Your Latest result

13.6 g/dL 2.417 µIU/ml


12th Dec 2023 12.0 15.0 12th Dec 2023 0.55 4.78

14 3

13 2

12 1

11 0
May'21 Dec'23 May'21 Dec'23
Patient Name : Mugdha Chowdhry Barcode : E0178448
Age/Gender : 39Y 0M 0D /Female Sample Collected On : 12/Dec/2023 11:49AM
Order Id : 9553253960 Sample Received On : 12/Dec/2023 03:53PM
Referred By : Self Report Generated On : 14/Dec/2023 04:49PM
Customer Since : 12/Dec/2023 Sample Temperature : Maintained
Sample Type : SERUM ReportStatus : Final Report

DEPARTMENT OF AUTOIMMUNITY
Test Name Value Unit Bio. Ref Interval
ANA by IFA (Anti Nuclear Antibody) screening End point titre, Serum
ANA Hep 20-10 POSITIVE Negative
Method: Indirect Immunofluorescence
Pattern Homogenous-AC 1
Intensity +
End Point Titer 1:100
Interpretation of The Results

Indirect immunofluorescence test (IIFT): BIOCHIP Slide is a combination of Hep-20-10 cells and primate liver
Grade Fluorescence Intensity
1+ Minimum
2+ Mildly positive
3+ Significantly positive
4+ Strongly Positive
Negative: No Immunofluorescence. All weak positive or minimum (+) results may be repeated after 6 - 8 weeks.
Confirmation of IIFT results: Positive results in the ANA IIFT screening assay should always be confirmed in additional specific testing like Monospecific ELISA or ANA
Immunoblot assay.
Anti-Nuclear antibody (ANA) is a group of autoantibodies directed against constituents of cell nuclei including DNA, RNA & various nuclear proteins. These autoantibodies are
found with high frequency in patients with connective tissue disorders specially SLE. Since positive ANA results have been reported in healthy individuals, these reactivities are
not by themselves diagnostic but must be correlated with other laboratory and clinical findings .
The BIOCHIP Slide is a combination of Hep-20-10 cells and primate liver and has the following advantages.
• It is a global standard tech. with a natural antigen spectrum capable of detecting more than 30 diagnostically relevant auto antibodies.
• Hep 20-10 cell lines contain 40% mitotic cells, facilitating easier identification of rare patterns.
Immunofluorescence pattern and their clinical associations are as per International Consensus on Antinuclear Antibody (ANA) Patterns (ICAP).

Table 1. Target antigens and associated diseases for Nuclear patterns


Pattern (ICAP) Code Antigen association Clinical relevance
Homogenous AC 1 dsDNA, histones, nucleosome SLE, drug induced lupus, juvenile idiopathic arthritis
hnRNP, U1RNP, Sm,SS-A/Ro (Ro60) , SS-B/La, RNA
Speckled AC 2,4,5 MCTD, SLE, SjS, DM, SSc/PM overlap
polymerase III, Mi-2 , Ku
Dense Fine speckled
AC 2 DFS 70/ LEDGF Rare in SLE, SjS, SSc
(DFS)
SS-A/Ro (Ro-60), SS-B /La, Mi-2, TIF1y, TIF18, Ku, RNA
Fine speckled AC 4 SJS, SLE, DM, SSc/Pm overlap
helicase A, replication protein A
Large/Coarse speckled AC 5 hnRNP, U1RNP, Sm, RNA polymerase III MCTD, SLE, SSc
Centromere AC 3 CENP-A/B(C) Limited cutaneous SSc, PBC
Discrete Nuclear dots AC 6,7
Multiple Nuclear dots AC 6 Sp100, PML proteins, MJ/NXP-2 PBC, SARD, PM/DM
Few Nuclear dots AC 7 p 80 – coilin, SMN SJS, SLE, SSc, PM, asymptomatic individuals
Nucleolar AC 8, 9,10
PM/Scl-75, PM/Scl-100, Th/to B23/nucleophosmin, nucleolin,
Nucleolar homogeneousAC 8 SSc, SSc/PM overlap
No55/SC65
Nucleolar clumpy AC 9 U3-snoRNP/fibrillarin SSc
Nucleolar punctate AC 10 RNA polymerase I, hUBF/NOR - 90 SjS, SSc
Nuclear envelope AC 11,12
Smooth nuclear
AC 11 Laminis A, B, C or lamin associated proteins SLE, Sjs, seronegative arthritis
envelope

Page 1 of 22

SIN No:E0178448
Patient Name : Mugdha Chowdhry Barcode : E0178448
Age/Gender : 39Y 0M 0D /Female Sample Collected On : 12/Dec/2023 11:49AM
Order Id : 9553253960 Sample Received On : 12/Dec/2023 03:53PM
Referred By : Self Report Generated On : 14/Dec/2023 04:49PM
Customer Since : 12/Dec/2023 Sample Temperature : Maintained
Sample Type : SERUM ReportStatus : Final Report

DEPARTMENT OF AUTOIMMUNITY
Test Name Value Unit Bio. Ref Interval
Punctate nuclear
AC 12 Nuclear pore complex proteins (i.e. gp 210) PBC
envelope
Pleomorphic AC 13,14
PCNA -like AC 13 PCNA SLE, other conditions
CENP -like AC 14 CENP-F Cancer, other conditions

Table 2. Target antigens and associated diseases for Cytoplasmic patterns


Pattern (ICAP) Code Antigen association Clinical relevance
Fibrillar AC- 15, 16, 17
MCTD, Chronic Active Hepatitis Liver Cirrhosis Myasthenia gravis, Crohn's
Linear/ actin Ac- 15 Actin, non-muscle myosin MCTD
disease, PBC long term hemodialysis, rare in SARD other than MCTD.
Filamentous / Infectious or inflammatory conditions, long term hemodialysis alcoholic liver
Ac- 16 Vimentin, cytokeratins
microtubules disease, SARD, psoriasis healthy controls
Segmental Ac- 17 Alpha actinin, vinculin, tropomyosin Myasthenia gravis, Crohn's disease, ulcerative colitis.
Speckled AC- 18, 19, 20
Discrete dots Ac- 18 SGW 182, Su/Ago2. Ge-1 PBC, SARD, neurological and autoimmune conditions
Dense fine speckled Ac- 19 PL – 7, PL-12, ribosomal P Proteins 'Anti-synthetase syndrome', PM/DM, SLE, juvenile SLE neuropsychiatric SLE
Fine speckled Ac- 20 Jo- 1/histidyl- tRNA synthetase Anti-synthetase syndrome, PM/DM, limited SSc, idiopathic pleural effusion
PDC-E2 /M2, BCCADC-E2 OGDC -E2, E1a subunit of PDC
Reticular/AMA AC - 21 Common in PBC, SSc, rare in other SARD
E3BP/protein X
Giantin/ macrogolgin, golgin – 95 / GM 130, golgin –160, Rare in SjS, SLE, RA, MCTD, GPA, idiopathic cerebellar ataxia, paraneoplastic
Polar / Golgi - like AC-22
golgin – 97, golgin 245 cerebellar degeneration viral infections
HCV infection, post IFN /ribavirin therapy, rare in SLE, Hashimoto`s and healthy
Rings and Rods AC-23 IMPDH2, others
controls

Table 3. Target antigens and associated diseases for Mitotic patterns


Pattern (ICAP) Code Antigen association Clinical relevance
Centrosome AC- 24 Pericentrin, ninein, Cep 250, Cep 110, enolase Rare in SSc, Raynaud's phenomenon, infections (viral and mycoplasma)
Spindle fibers AC- 25 HsEg5 Rare in Sjs SLE, other SARD
NUMA – like AC- 26 Centrophilin SjS, SLE, other
Intercellular bridge AC- 27 Aurora kinase B, CENP -E MSA – 2, KIF – 14, MKLP - 1 Rare in SSc Raynaud's phenomenon, malignancy
Rare in discoid lupus erythematosus chronic lymphocytic leukemia, SjS, and
Mitotic chromosome coatAC- 28 Modified histone H3, MCA -1
polymyalgia rheumatica
Topoisomerase 1 (Scl-
AC-29 Topoisomerase 1 Progressive Systemic sclerosis (Diffuse form)
70)

Abbreviations:
SLE: systemic lupus erythematosus, DM: dermatomyositis; dsDNA: double-stranded DNA, IM: inflammatory myopathies, JIA: juvenile idiopathic arthritis, MCTD: mixed
connective tissue disease, PM/Scl: polymyositis/scleroderma, PBC: primary biliary cirrhosis, RA: rheumatoid arthritis, SRP: signal recognition particle, PSS: Progressive
systemic sclerosis, CAH: chronic autoimmune hepatitis, CENP: centromere protein, NuMA: nuclear mitotic apparatus, SjS: Sjogren’s syndrome SARD: Systemic autoimmune
rheumatic diseases, SSc: Systemic Sclerosis, RA: Rheumatoid arthritis, GPA: Granulomatosis with polyangiitis, RM/DM: Diabetes mellitus
Disclaimer: ANA patterns and intensity of fluorescence by IIFT is a qualitative and subjective assessment that may vary between laboratory testing sites and the methodology
used. Assay results should be interpreted only in the context of additional laboratory findings and the overall clinical status of the patient.
References:
1.International consensus on ANA patterns; www.ANApatterns.org
2.Gosnik J, EUROIMMUNE AG, Luebeck Germany. The Quest for Standardised Laboratory Reporting. Diagnostics/ Anti-nuclear Antibody Patterns.
3.https://www.euroimmun.com/fileadmin/euroimmun/pdf/news/article/HA_1500_L_UK_D.pdf.

Page 2 of 22

SIN No:E0178448
Patient Name : Mugdha Chowdhry Barcode : E0178448
Age/Gender : 39Y 0M 0D /Female Sample Collected On : 12/Dec/2023 02:28PM
Order Id : 9553253960 Sample Received On : 12/Dec/2023 02:43PM
Referred By : Self Report Generated On : 12/Dec/2023 05:17PM
Customer Since : 12/Dec/2023 Sample Temperature : Maintained
Sample Type : Whole Blood EDTA ReportStatus : Final Report

DEPARTMENT OF BIOCHEMISTRY HBA1C


Advance Screening Package 3.0
Test Name Value Unit Bio. Ref Interval
HbA1c - Glycosylated Hemoglobin
Hba1c (Glycosylated Hemoglobin) 5.10 % 4.2 - 5.7
Method: HPLC
Machine: BIORAD D100
Average Estimated Glucose - plasma 99.67 mg/dl
Method: Calculated
INTERPRETATION:
AS PER AMERICAN DIABETES ASSOCIATION (ADA):
REFERENCE GROUP GLYCOSYLATED HEMOGLOBIN (HBA1c) in %
Non diabetic <5.7
At Risk (Prediabetes) 5.7 – 6.4
Diagnosing Diabetes >= 6.5
Age > 19 Years
Goals of Therapy: < 7.0
Actions Suggested: >8.0
Therapeutic goals for glycemic control Age < 19 Years
Goal of therapy: <7.5

REMARKS
1. HbA1c is used for monitoring diabetic control. It reflects the mean plasma glucose over three months
2. HbA1c may be falsely low in diabetics with hemolytic disease. In these individuals a plasma fructosamine level may be used which evaluates diabetes over 15
days.
3. Inappropriately low HbA1c values may be reported due to hemolysis, recent blood transfusion, acute blood loss, hypertriglyceridemia, chronic liver disease. Drugs
like dapsone, ribavirin, antiretroviral drugs, trimethoprim, may also cause interference with estimation of HbA1c, causing falsely low values.
4. HbA1c may be increased in patients with polycythemia or post-splenectomy.
5. Inappropriately higher values of HbA1c may be caused due to iron deficiency, vitamin B12 deficiency, alcohol intake, uremia, hyperbilirubinemia and large doses of
aspirin.
6. Trends in HbA1c are a better indicator of diabetic control than a solitary test. 7. Any sample with >15% HbA1c should be suspected of having a hemoglobin
variant, especially in a non-diabetic patient. Similarly, below 4% should prompt additional studies to determine the possible presence of variant hemoglobin.
8. HbA1c target in pregnancy is to attain level <6 % .
9. HbA1c target in paediatric age group is to attain level < 7.5 %.
Method : Ion-exchange high-performance liquid chromatography (HPLC).
Reference : American Diabetes Associations. Standards of Medical Care in Diabetes 2023

Page 3 of 22
SIN No:E0178448
Patient Name : Mugdha Chowdhry Barcode : E0178448
Age/Gender : 39Y 0M 0D /Female Sample Collected On : 12/Dec/2023 02:28PM
Order Id : 9553253960 Sample Received On : 12/Dec/2023 03:54PM
Referred By : Self Report Generated On : 12/Dec/2023 04:25PM
Customer Since : 12/Dec/2023 Sample Temperature : Maintained
Sample Type : Flouride Plasma ReportStatus : Final Report

DEPARTMENT OF BIOCHEMISTRY
Advance Screening Package 3.0
Test Name Value Unit Bio. Ref Interval
Fasting Blood Sugar
Glucose, Fasting 79 mg/dl 70 - 100
Method: Hexokinase
Machine: SIEMENS ADVIA 1800
American Diabetes Association Reference Range :

Normal : < 100 mg/dl


Impaired fasting glucose(Prediabetes) : 100 - 125 mg/dl
Diabetes : >= 126 mg/dl

Conditions that can result in an elevated blood glucose level include:

Diabetes mellitus ,Hemochromatosis ,Cushing syndrome ,Acromegaly and gigantism.


Increased circulating epinephrine such as in pheochromocytoma and adrenalin injections
Acute pancreatitis
Chronic pancreatitis

Conditions that cause low blood glucose level include :

Pancreatic disorders : Islet cell tumor , pancreatitis


Hepatic disease (diffuse severe disease )
Endocrine disorders : hypopituitarism, Addison’s disease ,hypothyroidism
Alcoholism
Malnutrition

Page 4 of 22

SIN No:E0178448
Patient Name : Mugdha Chowdhry Barcode : E0178448
Age/Gender : 39Y 0M 0D /Female Sample Collected On : 12/Dec/2023 02:28PM
Order Id : 9553253960 Sample Received On : 12/Dec/2023 03:48PM
Referred By : Self Report Generated On : 12/Dec/2023 07:24PM
Customer Since : 12/Dec/2023 Sample Temperature : Maintained
Sample Type : Serum ReportStatus : Final Report

DEPARTMENT OF BIOCHEMISTRY
Advance Screening Package 3.0
Test Name Value Unit Bio. Ref Interval
C-Reactive Protein (CRP) -Quantitative
C-REACTIVE PROTEIN (CRP) <4 mg/L <10
(QUANTITATIVE)
Method: Latex-Enhanced Immunoturbidimetric
Machine: SIEMENS ADVIA 2400
C-reactive protein (CRP) is one of the most sensitive acute-phase reactants for inflammation. Measuring changes in the concentration of CRP provides useful
diagnostic information about the level of acuity and severity of a disease. Unlike ESR, CRP levels are not influenced by hematologic conditions such as anemia,
polycythemia etc.

Increased levels are consistent with an acute inflammatory process. After onset of an acute phase response, the serum CRP concentration rises rapidly (within 6-
12 hours and peaks at 24-48 hours) and extensively.Concentrations above 100 mg/L are associated with severe stimuli such as major trauma and severe infection
(sepsis).

Page 5 of 22
SIN No:E0178448
Patient Name : Mugdha Chowdhry Barcode : E0178448
Age/Gender : 39Y 0M 0D /Female Sample Collected On : 12/Dec/2023 02:28PM
Order Id : 9553253960 Sample Received On : 12/Dec/2023 03:48PM
Referred By : Self Report Generated On : 12/Dec/2023 07:24PM
Customer Since : 12/Dec/2023 Sample Temperature : Maintained
Sample Type : SERUM ReportStatus : Final Report

DEPARTMENT OF BIOCHEMISTRY
Advance Screening Package 3.0
Test Name Value Unit Bio. Ref Interval
Lipid Profile
Total Cholesterol 149.4 mg/dl Desirable : <200
Method: ENZymatic Borderline: 200-239
Machine: SIEMENS ADVIA 2400 XPT
High : >/=240
Serum Triglycerides 71.3 mg/dl Desirable : <150
Method: GPO TRINDER Borderline high : 150-199
Machine: SIEMENS ADVIA 2400 XPT
High : 200-499
Very high : > 500
Serum HDL Cholesterol 62.7 mg/dl 40 - 60
Method: Elimination/catalase
Machine: SIEMENS ADVIA 2400 XPT
Serum LDL Cholesterol 83.1 mg/dl Optimal : <100
Method: Elimination/catalase Near /Above Optimal:100 -
Machine: SIEMENS ADVIA 2400 XPT
129
Borderline High:130 - 159
High : 160 - 189
Very High :>/=190
Serum VLDL Cholesterol <10 mg/dl <30
Method: Calculated
Machine: SIEMENS ADVIA 2400 XPT
Total CHOL / HDL Cholesterol Ratio 2.38 Ratio 3.30 - 4.40
Method: Calculated
LDL / HDL Cholesterol Ratio 1.33 Ratio Desirable/Low Risk: 0.5-3.0
Method: Calculated Line/Moderate Risk: 3.0-6.0
Elevated/High Risk: >6.0
HDL / LDL Cholesterol Ratio 0.75 Ratio Optimal->0.4
Method: Calculated Moderate-0.4 to 0.3
High-<0.3
Non-HDL Cholesterol 86.7 mg/dl 0.0 - 160.0
Method: Calculated
Dyslipidemia is a disorder of fat or lipoprotein metabolism in the body and includes lipoprotein overproduction or deficiency.
Dyslipidemias means increase in the level of one or more of the following: Total Cholesterol, low density lipoprotein (LDL) and/or triglyceride
concentrations.
Dyslipidemia also includes a decrease in the “good" cholesterol or high-density lipoprotein (HDL) concentration in the blood.
Cholesterol is a steroid carried in the bloodstream as lipoprotein, necessary for cell membrane functioning and as a precursor to bile acids,

Page 6 of 22
SIN No:E0178448
Patient Name : Mugdha Chowdhry Barcode : E0178448
Age/Gender : 39Y 0M 0D /Female Sample Collected On : 12/Dec/2023 02:28PM
Order Id : 9553253960 Sample Received On : 12/Dec/2023 03:48PM
Referred By : Self Report Generated On : 12/Dec/2023 07:24PM
Customer Since : 12/Dec/2023 Sample Temperature : Maintained
Sample Type : SERUM ReportStatus : Final Report

DEPARTMENT OF BIOCHEMISTRY
Advance Screening Package 3.0
Test Name Value Unit Bio. Ref Interval
progesterone ,vitamin D ,estrogens ,glucocorticoids and mineralocorticoids.
HDL is termed “good cholesterol” because its levels are inversely related to the risk of Coronary heart disease.
LDL cholesterol is termed the “bad cholesterol” and their increased levels are associated with increased risk of atherosclerosis and coronary
heart disease.
Lipid level assessments must be made following 9 to 12 hours of fasting, otherwise assay results might lead to erroneous interpretation.
Healthians labs report biological reference intervals (normal ranges) in accordance with the recommendations of The National Cholesterol
Education Program (NCEP) & Adult Treatment Panel IV (ATP IV) guidelines providing the most desirable targets of various circulating lipid
fractions in the blood. NCEP recommends that all adults above 20 years of age must be screened for abnormal lipid levels.

Page 7 of 22
SIN No:E0178448
Patient Name : Mugdha Chowdhry Barcode : E0178448
Age/Gender : 39Y 0M 0D /Female Sample Collected On : 12/Dec/2023 02:28PM
Order Id : 9553253960 Sample Received On : 12/Dec/2023 03:48PM
Referred By : Self Report Generated On : 12/Dec/2023 04:49PM
Customer Since : 12/Dec/2023 Sample Temperature : Maintained
Sample Type : Serum ReportStatus : Final Report

DEPARTMENT OF BIOCHEMISTRY
Advance Screening Package 3.0
Test Name Value Unit Bio. Ref Interval
Liver Function Test (LFT)
Serum Bilirubin, (Total) 0.80 mg/dl 0.3 - 1.2
Method: Vanadate oxidation
Machine: SIEMENS ADVIA 2400 XPT
Serum Bilirubin, (Direct) 0.27 mg/dl 0 - 0.3
Method: Vanadate oxidation
Machine: SIEMENS ADVIA 2400 XPT
Serum Bilirubin, (Indirect) 0.53 mg/dl 0.0 - 0.8
Method: Calculated
Aspartate Aminotransferase (AST/SGOT) 33.00 U/L 5 - 34
Method: Modified IFCC
Machine: SIEMENS ADVIA 2400 XPT
Alanine Aminotransferase (ALT/SGPT) 44 U/L 10 - 49
Method: Modified IFCC
Machine: SIEMENS ADVIA 2400 XPT
Alkaline Phosphatase (ALP) 50.00 U/L 38 - 126
Method: DEA BUFFER
Machine: SIEMENS ADVIA 2400 XPT
Gamma Glutamyl Transferase (GGT) 13.0 U/L 5-38.0
Method: IFCC
Machine: SIEMENS ADVIA 2400 XPT
Serum Total Protein 7.04 g/dl 5.7-8.2
Method: Biuret
Machine: SIEMENS ADVIA 2400 XPT
Serum Albumin 4.20 g/dl 3.4 - 4.8
Method: Bromo Cresol Green(BCG)
Machine: SIEMENS ADVIA 2400 XPT
Serum Globulin 2.84 gm/dl 3.0 - 4.2
Method: Calculated
Albumin/Globulin Ratio 1.48 Ratio 1.2 - 2.5
Method: Calculated
SGOT/SGPT Ratio 0.75 Ratio 0.7 - 1.4
Method: Calculated
Bilirubin is a yellowish pigment found in bile and is a breakdown product of normal heme catabolism. Elevated levels are a result of increased
bilirubin production (e.g hemolysis and ineffective erythropoiesis), decreased bilirubin excretion (e.g.; obstruction and hepatitis) and abnormal
bilirubin metabolism (e.g; hereditary and neonatal jaundice) .

Page 8 of 22

SIN No:E0178448
Patient Name : Mugdha Chowdhry Barcode : E0178448
Age/Gender : 39Y 0M 0D /Female Sample Collected On : 12/Dec/2023 02:28PM
Order Id : 9553253960 Sample Received On : 12/Dec/2023 03:48PM
Referred By : Self Report Generated On : 12/Dec/2023 04:49PM
Customer Since : 12/Dec/2023 Sample Temperature : Maintained
Sample Type : Serum ReportStatus : Final Report

DEPARTMENT OF BIOCHEMISTRY
Advance Screening Package 3.0
Test Name Value Unit Bio. Ref Interval
Conjugated (direct) bilirubin is elevated in conditions like- Hereditary disorders( Dubin Johnson syndrome, Rotor syndrome),Hepatocellular
damage(e.g –viral ,toxic ,alcohol ,drugs) ,biliary duct obstruction (extrahepatic or intrahepatic), Infiltrations ,space occupying lesions(e.g
metastasis, abscess , granuloma , amyloidosis. Increased unconjugated (indirect) bilirubin may be a result of hemolytic or pernicious anemia,
transfusion reaction & a common metabolic condition termed Gilbert syndrome.
AST levels increase in viral hepatitis, blockage of the bile duct ,cirrhosis of the liver, liver cancer, kidney failure, hemolytic anemia, pancreatitis,
hemochromatosis. AST levels may also increase after a heart attack or strenuous activity.
ALT is a liver specific enzyme commonly measured as a part of a diagnostic evaluation of hepatocellular injury, to determine liver health.

Elevated ALP levels are seen in Biliary Obstruction, Osteoblastic Bone Tumors, Osteomalacia, Hepatitis, Hyperparathyroidism, Leukemia,
Lymphoma, Paget’s disease, Rickets, Sarcoidosis etc.
Elevated serum GGT activity can be found in diseases of the liver, Biliary system and pancreas. Obstructive liver disease, high alcohol
consumption and use of enzyme-inducing drugs lead to raised GGT levels .

Serum total protein measures the total amount of protein in serum. It is largely comprised of albumin and globulins. Increased levels may be
due to: Chronic inflammation or infection, including HIV and hepatitis B or C, multiple myeloma, Waldenstrom's disease. Decreased levels may
be due to: Agammaglobulinemia, Bleeding (hemorrhage), Burns, Glomerulonephritis, Liver disease, Malabsorption, Malnutrition, Nephrotic
Syndrome.

Albumin is the most abundant protein in the serum and is produced in the liver. Low serum albumin levels (hypoalbuminemia) can be caused by:
Liver diseases like liver cirrhosis, nephrotic syndrome, protein-losing enteropathy, burns, hemodilution, increased vascular permeability or
decreased lymphatic clearance, malnutrition and wasting .
Globulins are increased in most liver diseases , in chronic inflammatory diseases and neoplastic diseases

Page 9 of 22

SIN No:E0178448
Patient Name : Mugdha Chowdhry Barcode : E0178448
Age/Gender : 39Y 0M 0D /Female Sample Collected On : 12/Dec/2023 02:28PM
Order Id : 9553253960 Sample Received On : 12/Dec/2023 03:48PM
Referred By : Self Report Generated On : 12/Dec/2023 04:49PM
Customer Since : 12/Dec/2023 Sample Temperature : Maintained
Sample Type : SERUM ReportStatus : Final Report

DEPARTMENT OF BIOCHEMISTRY
Advance Screening Package 3.0
Test Name Value Unit Bio. Ref Interval
Iron study
Serum Iron 108.0 ug/dl 50-170
Method: Ferrozine
Machine: SIEMENS ADVIA 2400 XPT
UIBC 210.40 ug/dl 120- 470
Method: Nitroso-PSAP
Machine: SIEMENS ADVIA 2400 XPT
Serum Total Iron Binding Capicity (TIBC) 318.4 µg/dl 250 - 400
Method: FE+UIBC (saturation with iron)
Transferrin Saturation % 33.92 % 15 - 50
Method: Calculated
Iron participates in a variety of vital processes in the body varying from cellular oxidative mechanisms to the transport and delivery of oxygen to body cells. It is a
constituent of the oxygen-carrying chromoproteins, haemoglobin and myoglobin, as well as various enzymes, such as cytochrome oxidase and peroxidases.

Serum iron may be increased in hemolytic, megaloblastic and aplastic anemias, and in hemochromatosis acute leukemia, lead poisoning, pyridoxine
deficiency, thalassemia, excessive iron therapy, and after repeated transfusions. Drugs causing increased serum iron include chloramphenicol, cisplatin,
estrogens (including oral contraceptives), ethanol, iron dextran, and methotrexate. Iron can be decreased in iron-deficiency anemia, acute and chronic infections,
carcinoma, nephrotic syndrome hypothyroidism, in protein- calorie malnutrition and after surgery.Diurnal variation is seen in serum iron levels with normal
values obtained in the midmorning, low values in midafternoon and very low values near midnight.

TIBC measures the blood’s capacity to bind iron with transferrin (TRF). Estrogens and oral contraceptives increase TIBC levels. Asparaginase, chloramphenicol,
corticotropin, cortisone, and testosterone decrease the TIBC levels.

Transferrin is the primary plasma iron transport protein, which binds iron strongly at physiological pH. Transferrin is generally only 25% to 30% saturated with
iron. The additional amount of iron that can be bound is the unsaturated iron-binding capacity (UIBC). Transferrin saturation represents the number of iron-
binding sites that are occupied. It is a better index of iron stores than serum iron alone. Transferrin saturation is decreased in iron deficiency anemia (usually
<10% in established deficiency).

Page 10 of 22

SIN No:E0178448
Patient Name : Mugdha Chowdhry Barcode : E0178448
Age/Gender : 39Y 0M 0D /Female Sample Collected On : 12/Dec/2023 02:28PM
Order Id : 9553253960 Sample Received On : 12/Dec/2023 03:48PM
Referred By : Self Report Generated On : 12/Dec/2023 04:49PM
Customer Since : 12/Dec/2023 Sample Temperature : Maintained
Sample Type : SERUM ReportStatus : Final Report

DEPARTMENT OF BIOCHEMISTRY
Advance Screening Package 3.0
Test Name Value Unit Bio. Ref Interval
Kidney Function Test1 (KFT1)
Serum Creatinine 0.73 mg/dl 0.3 - 1.0
Method: Jaffes Kinetic
Machine: SIEMENS ADVIA 2400 XPT
GFR, ESTIMATED 107.22 mL/min/1.73m2
Method: Calculated
Serum Uric Acid 4.5 mg/dl 2.6 - 6
Method: Uricase/Peroxidase
Machine: SIEMENS ADVIA 2400 XPT
Serum Calcium 9.4 mg/dl 8.7-10.4
Method: Arsenazo III
Machine: SIEMENS ADVIA 2400 XPT
Serum Phosphorus 4.1 mg/dl 2.4 - 5.1
Method: Phosphomolybdate/UV
Machine: SIEMENS ADVIA 2400 XPT
Serum Sodium 139 mmol/L 132 - 146
Method: ISE (Indirect)
Machine: SIEMENS ADVIA 2400 XPT
Serum Chloride 103 mmol/L 99-109
Method: ISE (Indirect)
Machine: SIEMENS ADVIA 2400 XPT
Blood Urea 22 mg/dl 19.3-49.38
Method: Urease
Machine: SIEMENS ADVIA 2400 XPT
Blood Urea Nitrogen (BUN) 10.2 mg/dl 8-20
Method: Calculated
Bun/Creatinine Ratio 14.00 Ratio
Method: Calculated
Urea/Creatinine Ratio 29.96
The kidneys play a vital role in the excretion of waste products and toxins such as urea, creatinine and uric acid, regulation of extracellular fluid
volume, serum osmolality and electrolyte concentrations, as well as the production of hormones like erythropoietin and 1,25 dihydroxy vitamin D
and renin. Assessment of renal function is important in the management of patients with kidney disease or pathologies affecting renal function.
Tests of renal function have utility in identifying the presence of renal disease, monitoring the response of kidneys to treatment, and determining
the progression of renal disease.
Urea is synthesized in the liver as the final product of protein and amino acid metabolism. Urea synthesis is therefore dependent on daily protein
intake and endogenous protein metabolism.
Creatinine is a metabolic product of creatine and phosphocreatine, which are both found almost exclusively in muscle.
Uric Acid is the major product of purine catabolism in humans. Uric acid levels are used to monitor the treatment of gout.

Page 11 of 22

SIN No:E0178448
Patient Name : Mugdha Chowdhry Barcode : E0178448
Age/Gender : 39Y 0M 0D /Female Sample Collected On : 12/Dec/2023 02:28PM
Order Id : 9553253960 Sample Received On : 12/Dec/2023 03:48PM
Referred By : Self Report Generated On : 12/Dec/2023 04:49PM
Customer Since : 12/Dec/2023 Sample Temperature : Maintained
Sample Type : SERUM ReportStatus : Final Report

DEPARTMENT OF BIOCHEMISTRY
Advance Screening Package 3.0
Test Name Value Unit Bio. Ref Interval
Measurement of calcium is used in the diagnosis and treatment of parathyroid disease, a variety of bone diseases, chronic renal disease,
urolithiasis and tetany. Phosphorus levels are increased in acute or chronic renal failure with decreased GFR .
Sodium is an electrolyte, and it helps regulate the amount of water in and around the cells & the balance of chemicals in the body called acids
and bases.
Chloride is a negatively charged ion that works with other electrolytes such as potassium, sodium, and bicarbonate, to help regulate the amount
of fluid in the body and maintain the acid-base balance.

Page 12 of 22

SIN No:E0178448
Patient Name : Mugdha Chowdhry Barcode : E0178448
Age/Gender : 39Y 0M 0D /Female Sample Collected On : 12/Dec/2023 02:28PM
Order Id : 9553253960 Sample Received On : 12/Dec/2023 03:26PM
Referred By : Self Report Generated On : 12/Dec/2023 07:22PM
Customer Since : 12/Dec/2023 Sample Temperature : Maintained
Sample Type : URINE ReportStatus : Final Report

DEPARTMENT OF CLINICAL PATHOLOGY


Advance Screening Package 3.0
Test Name Value Unit Bio. Ref Interval
Urine Routine & Microscopy Extended
PHYSICAL EXAMINATION
Colour Pale Yellow Pale Yellow
Method: Visual
Volume 15.00 mL
Method: Visual
Appearance Slightly Hazy Clear
Method: Visual
CHEMICAL EXAMINATION
Specific Gravity 1.015 1.001 - 1.035
Method: Acid ionic exchange
Machine: DIRUI FUS 2000
pH 7.5 4.5 - 7.5
Method: pH indicator method
Machine: DIRUI FUS 2000
Glucose Negative Negative
Method: Glucose oxidase enzyme reaction
Machine: DIRUI FUS 2000
Urine Protein Negative Negative
Method: protein error method
Machine: DIRUI FUS 2000
Ketones Negative Negative
Method: Sodium nitroprusside
Machine: DIRUI FUS 2000
Urobilinogen Normal Normal
Method: Diazonium salt
Machine: DIRUI FUS 2000
Bilirubin Negative Negative
Method: Diazotized Dichloroaniline reaction
Machine: DIRUI FUS 2000
Nitrite Negative Negative
Method: Griess method
Machine: DIRUI FUS 2000
Blood Negative Negative
Method: Peroxidase-like method
Machine: DIRUI FUS 2000

Page 13 of 22
SIN No:E0178448
Patient Name : Mugdha Chowdhry Barcode : E0178448
Age/Gender : 39Y 0M 0D /Female Sample Collected On : 12/Dec/2023 02:28PM
Order Id : 9553253960 Sample Received On : 12/Dec/2023 03:26PM
Referred By : Self Report Generated On : 12/Dec/2023 07:22PM
Customer Since : 12/Dec/2023 Sample Temperature : Maintained
Sample Type : URINE ReportStatus : Final Report

DEPARTMENT OF CLINICAL PATHOLOGY


Advance Screening Package 3.0
Test Name Value Unit Bio. Ref Interval
Leucocyte Esterase 1+ Negative
Method: Pyrrole diazoniun reaction
Machine: DIRUI FUS 2000
MICROSCOPIC EXAMINATION
Pus Cells 10-12 /HPF 0-5
Method: Flow Imaging Technique
Machine: DIRUI FUS 2000
Epithelial cells 6-8 /HPF 0-5
Method: Flow Imaging Technique
Machine: DIRUI FUS 2000
RBCs Nil /HPF Nil
Method: Flow Imaging Technique
Machine: DIRUI FUS 2000
Casts Nil Nil
Method: Flow Imaging Technique
Machine: DIRUI FUS 2000
Crystals Nil Nil
Method: Flow Imaging Technique
Machine: DIRUI FUS 2000
Bacteria Absent Absent
Method: Flow Imaging Technique
Machine: DIRUI FUS 2000
Yeast Cell Absent Absent
Method: Flow Imaging Technique
Machine: DIRUI FUS 2000
Others (Non Specific) Nil NIL
Method: Flow Imaging Technique
The main indication for testing for glucose in urine is detection of unsuspected diabetes mellitus or follow-up of known diabetic patients. Renal glycosuria accounts
for 5% of cases of glycosuria in general population.
Proteinuria can be seen in nephrotic syndrome, pyelonephritis, heavy metal poisoning, tuberculosis of kidney, interstitial nephritis, cystinosis, Fanconi syndrome ,
rejection of kidney transplant. Hemodynamic proteinuria is transient and can be seen in high fever, hypertension, heavy exercise, congestive cardiac failure,
seizures, and exposure to cold. Post-renal proteinuria is caused by inflammatory or neoplastic conditions in renal pelvis, ureter, bladder, prostate, or urethra.
Ketonuria can be seen in uncontrolled Diabetes mellitus with ketoacidosis, Glycogen storage disorder, starvation, persistent vomiting in children, weight reduction
program, fever in children, severe thyrotoxicosis, pregnancy and protein calorie malnutrition.
Presence of bilirubin in urine indicates conjugated hyperbilirubinemia (obstructive or hepatocellular jaundice). Bile salts along with bilirubin can be detected in urine in
cases of obstructive jaundice. Normally about 0.5-4 mg of urobilinogen is excreted in urine in 24 hours. Therefore, a small amount of urobilinogen is normally
detectable in urine. Increased urobilinogen in urine can be seen due to hemolysis , megaloblastic anemia and haemorrhage in tissues. Decreased urobilinogen can be
seen in obstructive jaundice, reduction of intestinal bacterial flora, neonates and following antibiotic treatment. The presence of abnormal number of intact red blood
cells in urine is called as hematuria. It implies presence of a bleeding lesion in the urinary tract. Hematuria can be seen in glomerular diseases like Glomerulonephritis,
Berger’s disease, lupus nephritis, Henoch-Schonlein purpura, non glomerular diseases like Calculus, tumor, infection, tuberculosis, pyelonephritis, hydronephrosis,

Page 14 of 22
SIN No:E0178448
Patient Name : Mugdha Chowdhry Barcode : E0178448
Age/Gender : 39Y 0M 0D /Female Sample Collected On : 12/Dec/2023 02:28PM
Order Id : 9553253960 Sample Received On : 12/Dec/2023 03:26PM
Referred By : Self Report Generated On : 12/Dec/2023 07:22PM
Customer Since : 12/Dec/2023 Sample Temperature : Maintained
Sample Type : URINE ReportStatus : Final Report

DEPARTMENT OF CLINICAL PATHOLOGY


Advance Screening Package 3.0
Test Name Value Unit Bio. Ref Interval
polycystic kidney disease, trauma, after strenuous physical exercise, diseases of prostate (benign hyperplasia of prostate, carcinoma of prostate).
Nitrites are not present in normal urine. Ingested nitrites are converted to nitrate and excreted
in urine. If gram-negative bacteria (e.g. E.coli, Salmonella, Proteus, Klebsiella, etc.) are present in urine, they will reduce the nitrates to nitrites through the action of
bacterial enzyme nitrate reductase. As E. coli is the commonest organism causing urinary tract infection, this test is helpful as a screening test for urinary tract
infection.
Some organisms like Staphylococci or Pseudomonas do not reduce nitrate to nitrite and therefore in such infections nitrite test is negative.
Leucocyte esterase test detects esterase enzyme released in urine from granules of leucocytes. Thus the test is positive in pyuria.

Page 15 of 22
SIN No:E0178448
Patient Name : Mugdha Chowdhry Barcode : E0178448
Age/Gender : 39Y 0M 0D /Female Sample Collected On : 12/Dec/2023 02:28PM
Order Id : 9553253960 Sample Received On : 12/Dec/2023 03:37PM
Referred By : Self Report Generated On : 12/Dec/2023 04:50PM
Customer Since : 12/Dec/2023 Sample Temperature : Maintained
Sample Type : WHOLE BLOOD EDTA ReportStatus : Final Report

DEPARTMENT OF HAEMATOLOGY
Advance Screening Package 3.0
Test Name Value Unit Bio. Ref Interval
Complete Blood Count
Haemoglobin (HB) 13.6 g/dL 12.0-15.0
Method: Photometry
Machine: BECKMAN COULTER DxH800
Total Leucocyte Count (TLC) 7.2 10^3/uL 4.0-10.0
Method: Impedance
Machine: BECKMAN COULTER DxH800
Hematocrit (PCV) 40 % 36.0-46.0
Method: Calculated
Machine: BECKMAN COULTER DxH800
Red Blood Cell Count (RBC) 4.50 10^6/µl 3.80-4.80
Method: Impedance
Machine: BECKMAN COULTER DxH800
Mean Corp Volume (MCV) 88.2 fL 83.0-101.0
Method: Derived from RBC Histogram
Machine: BECKMAN COULTER DxH800
Mean Corp Hb (MCH) 30 pg 27.0-32.0
Method: Calculated
Machine: BECKMAN COULTER DxH800
Mean Corp Hb Conc (MCHC) 34.0 g/dL 31.5-34.5
Method: Calculated
Machine: BECKMAN COULTER DxH800
RDW - CV 12.7 % 11.6-14.0
Method: Derived from RBC Histogram
Machine: BECKMAN COULTER DxH800
RDW - SD 38.90 fL 39.0-46.0
Method: Derived from RBC Histogram
Machine: BECKMAN COULTER DxH800
Mentzer Index 19.60 Ratio
Method: Calculated
RDWI 248.92 Ratio
Method: Calculated
Green and king index 73 Ratio
Method: Calculated
Differential Leucocyte Count

Page 16 of 22
SIN No:E0178448
Patient Name : Mugdha Chowdhry Barcode : E0178448
Age/Gender : 39Y 0M 0D /Female Sample Collected On : 12/Dec/2023 02:28PM
Order Id : 9553253960 Sample Received On : 12/Dec/2023 03:37PM
Referred By : Self Report Generated On : 12/Dec/2023 04:50PM
Customer Since : 12/Dec/2023 Sample Temperature : Maintained
Sample Type : WHOLE BLOOD EDTA ReportStatus : Final Report

DEPARTMENT OF HAEMATOLOGY
Advance Screening Package 3.0
Test Name Value Unit Bio. Ref Interval
Neutrophils 50.8 % 40 - 80
Method: VCS Technology
Machine: BECKMAN COULTER DxH800
Lymphocytes 40.4 % 20-40
Method: VCS Technology
Machine: BECKMAN COULTER DxH800
Monocytes 6.6 % 02 - 10
Method: VCS Technology
Machine: BECKMAN COULTER DxH800
Eosinophils 1.6 % 01 - 06
Method: VCS Technology
Machine: BECKMAN COULTER DxH800
Basophils 0.6 % 00 - 02
Method: VCS Technology
Machine: BECKMAN COULTER DxH800
Absolute Leucocyte Count
Absolute Neutrophil Count (ANC) 3.66 10^3/uL 2.0-7.0
Method: Calculated
Machine: BECKMAN COULTER DxH800
Absolute Lymphocyte Count (ALC) 2.91 10^3/uL 1.0-3.0
Method: Calculated
Machine: BECKMAN COULTER DxH800
Absolute Monocyte Count 0.48 10^3/uL 0.2-1.0
Method: Calculated
Machine: BECKMAN COULTER DxH800
Absolute Eosinophil Count (AEC) 0.12 10^3/uL 0.02-0.5
Method: Calculated
Machine: BECKMAN COULTER DxH800
Absolute Basophil Count 0.04 10^3/uL 0.02 - 0.10
Method: Calculated
Machine: BECKMAN COULTER DxH800
Platelet Count(PLT) 271 10^3/µl 150-410
Method: Impedance
Machine: BECKMAN COULTER DxH800
MPV 8.2 fL 7-9
Method: Derived from PLT Histogram
Machine: BECKMAN COULTER DxH800
The International Council for Standardization in Haematology (ICSH) recommends reporting of absolute counts of various WBC subsets for clinical decision making.

Page 17 of 22
SIN No:E0178448
Patient Name : Mugdha Chowdhry Barcode : E0178448
Age/Gender : 39Y 0M 0D /Female Sample Collected On : 12/Dec/2023 02:28PM
Order Id : 9553253960 Sample Received On : 12/Dec/2023 03:37PM
Referred By : Self Report Generated On : 12/Dec/2023 04:50PM
Customer Since : 12/Dec/2023 Sample Temperature : Maintained
Sample Type : WHOLE BLOOD EDTA ReportStatus : Final Report

DEPARTMENT OF HAEMATOLOGY
Advance Screening Package 3.0
Test Name Value Unit Bio. Ref Interval
This test has been performed on a fully automated 5 part differential cell counter which counts over 10,000 WBCs to derive differential counts. A complete blood
count is a blood panel that gives information about the cells in a patient's blood, such as the cell count for each cell type and the concentrations of Hemoglobin and
platelets. The cells that circulate in the bloodstream are generally divided into three types: white blood cells (leukocytes), red blood cells (erythrocytes), and platelets
(thrombocytes). Abnormally high or low counts may be physiological or may indicate disease conditions, and hence need to be interpreted clinically.

The Mentzer index is used to differentiate iron deficiency anaemia beta thalassemia trait. If a CBC indicates microcytic anaemia, these are two of the most likely
causes, making It necessary to distinguish between them.
If the quotient of the mean corpuscular volume divided by the red blood cell count is then 13, thalassemia is more likely. If the result is greater than 13, then iron-
deficiency anaemia is more likely.

Page 18 of 22
SIN No:E0178448
Patient Name : Mugdha Chowdhry Barcode : E0178448
Age/Gender : 39Y 0M 0D /Female Sample Collected On : 12/Dec/2023 02:28PM
Order Id : 9553253960 Sample Received On : 12/Dec/2023 03:48PM
Referred By : Self Report Generated On : 12/Dec/2023 07:45PM
Customer Since : 12/Dec/2023 Sample Temperature : Maintained
Sample Type : Serum ReportStatus : Final Report

DEPARTMENT OF IMMUNOLOGY
Advance Screening Package 3.0
Test Name Value Unit Bio. Ref Interval
Vitamin B12
VITAMIN B12 263 pg/ml 211 - 912
Method: CLIA
Machine: SIEMENS CENTAUR XP
Interpretation
Vitamin B12 is a coenzyme that is involved in two very important metabolic functions vital to normal cell growth and DNA synthesis: 1) the synthesis of methionine
from homocysteine and 2) the conversion of methyl malonyl CoA to succinyl CoA. Deficiency of this vitamin can lead to megaloblastic anemia andultimately to severe
neurological problems. It can also lead to macrocytic anemia, glossitis, peripheral neuropathy, weakness, hyperreflexia, ataxia, loss of proprioception, poor
coordination, and affective behavioral changes. A significant increase in RBC mean corpuscular volume (MCV) may be an important indicator of vitamin B12
deficiency.
Patients taking vitamin B12 supplementation may have misleading results. A normal serum concentration of Vitamin B12 does not rule out tissue deficiency of vitamin
B12. The most sensitive test for Vitamin B12 deficiency at the cellular level is the assay for methyl malonic acid (MMA). If clinicalsymptoms suggest deficiency,
measurement of MMA and homocysteine should be considered, even ifserum B12 concentrations are normal.

Page 19 of 22

SIN No:E0178448
Patient Name : Mugdha Chowdhry Barcode : E0178448
Age/Gender : 39Y 0M 0D /Female Sample Collected On : 12/Dec/2023 02:28PM
Order Id : 9553253960 Sample Received On : 12/Dec/2023 03:48PM
Referred By : Self Report Generated On : 12/Dec/2023 07:45PM
Customer Since : 12/Dec/2023 Sample Temperature : Maintained
Sample Type : Serum ReportStatus : Final Report

DEPARTMENT OF IMMUNOLOGY
Advance Screening Package 3.0
Test Name Value Unit Bio. Ref Interval
Vitamin D, 25-Hydroxy
VITAMIN D (25 - OH VITAMIN D) 16.53 ng/ml 30 - 100
Method: CLIA
Machine: SIEMENS CENTAUR XP

VITAMIN D STATUS VITAMIN D 25 HYDROXY (ng/mL), Adult VITAMIN D 25 HYDROXY (ng/mL), Pediatric
DEFICIENCY <20 <15
INSUFFICIENCY 20 - 30 15 - 20
SUFFICIENCY 30 – 100 20 - 100

Vitamin D is a steroid hormone known for its important role in regulating body levels of calcium and phosphorus and in the mineralization of bone
Uses :

Diagnosis of Vitamin D deficiency


Differential diagnosis of causes of rickets and Osteomalacia
Monitoring Vitamin D replacement therapy
Diagnosis of hypervitaminosis D

Increased in

Vitamin D intoxication
Excessive exposure to sunlight

Decreased in

Malabsorption
Steatorrhoea
Dietary osteomalacia
Thyrotoxicosis
Coeliac disease
Inflammatory bowel disease
Rickets
Pancreatic insufficiency

Page 20 of 22

SIN No:E0178448
Patient Name : Mugdha Chowdhry Barcode : E0178448
Age/Gender : 39Y 0M 0D /Female Sample Collected On : 12/Dec/2023 02:28PM
Order Id : 9553253960 Sample Received On : 12/Dec/2023 03:48PM
Referred By : Self Report Generated On : 12/Dec/2023 07:31PM
Customer Since : 12/Dec/2023 Sample Temperature : Maintained
Sample Type : Serum ReportStatus : Final Report

DEPARTMENT OF IMMUNOLOGY
Advance Screening Package 3.0
Test Name Value Unit Bio. Ref Interval
Thyroid Profile (Total T3,T4, TSH)
Tri-Iodothyronine (T3, Total) 1.00 ng/ml 0.60-1.81
Method: CLIA
Machine: SIEMENS CENTAUR XP
Thyroxine (T4, Total) 9.50 ug/dl 3.2-12.6
Method: CLIA
Machine: SIEMENS CENTAUR XP
Thyroid Stimulating Hormone (TSH)-Ultrasensitive 2.4170 µIU/ml 0.55-4.78
Method: CLIA
Machine: SIEMENS CENTAUR XP

Pregnancy interval Bio Ref Range for TSH in uIU/ml (As per American Thyroid Association)
First trimester 0.1 - 2.5
Second trimester 0.2 – 3.0
Third trimester 0.3 – 3.0

Healthians recommends that the following potential sources of variation should be considered while interpreting thyroid hormone results:
1. Thyroid hormones undergo rhythmic variation within the body this is called circadian variation in TSH secretion: Peak levels are seen between
2-4 AM. Minimum levels seen between 6-10 AM. This variation may be as much as 50% thus, influence of sampling time needs to be considered
for clinical interpretation.
2. Circulating forms of T3 and T4 are mostly reversibly bound with Thyroxine binding globulins (TBG), and to a lesser extent with albumin and
Thyroid binding Pre-Albumin. Thus the conditions in which TBG and protein levels alter such as chronic liver disorders, pregnancy, excess of
estrogens, androgens, anabolic steroids and glucocorticoids may cause misleading total T3, total T4 and TSH interpretations.
3. Total T3 and T4 levels are seen to have physiological rise during pregnancy and in patients on steroid treatment.
4. T4 may be normal even in the presence of hyperthyroidism under the following conditions : T3 thyrotoxicosis, Hypoproteinemia related reduced
binding, during intake of certain drugs (eg Phenytoin, Salicylates etc)
5. Neonates and infants have higher levels of T4 due to increased concentration of TBG
6. TSH levels may be normal in central hypothyroidism, recent rapid correction of hypothyroidism or hyperthyroidism, pregnancy, phenytoin therapy
etc.
7. TSH values of <0.03 uIU/mL must be clinically correlated to evaluate the presence of a rare TSH variant in certain individuals which is
undetectable by conventional methods.
8. Presence of Autoimmune disorders may lead to spurious results of thyroid hormones.
9. Various drugs influence the levels of thyroid hormones such as L-Dopa, Lithium, Glucocorticoids, Phenytoin etc.
10. Healthians recommends evaluation of unbound fractions, that is free T3 (fT3) and free T4 (fT4) for clinic-pathologic correlation, as these are
the metabolically active forms.

Page 21 of 22

SIN No:E0178448
Patient Name : Mugdha Chowdhry Barcode : E0178448
Age/Gender : 39Y 0M 0D /Female Sample Collected On : 12/Dec/2023 11:49AM
Order Id : 9553253960 Sample Received On : 12/Dec/2023 03:53PM
Referred By : Self Report Generated On : 12/Dec/2023 05:52PM
Customer Since : 12/Dec/2023 Sample Temperature : Maintained
Sample Type : SERUM ReportStatus : Final Report

DEPARTMENT OF SEROLOGY
Test Name Value Unit Bio. Ref Interval
Hepatitis B Surface (HbsAg )by CMIA Method
Hepatitis B surface antigen Qualitative test 0.28 S/CO <1.00 NON-REACTIVE
Method: Chemiluminescent microparticle immunoassay >/=1.00 REACTIVE
(CMIA)
Machine: Abbott Archirect i2000
Interpretation of Results:
The HBsAg Qualitative assay is a CMIA for the qualitative detection of hepatitis B surface antigen (HBsAg) in human serum and plasma including
specimens collected post-mortem (non-heart-beating). The HBsAg Qualitative assay is intended to be used as an aid in the diagnosis of HBV
infection and as a screening test to prevent transmission of HBV to recipients of blood, blood components, cells, tissue and organs.
The causative agent of serum hepatitis is hepatitis B virus (HBV) which is an enveloped DNA virus. During infection, HBV produces an excess of
hepatitis B surface antigen (HBsAg), also known as Australia antigen, which can be detected in the blood of infected individuals. It is responsible
for binding the virus to the liver cell and is the target structure of neutralizingantibodies. HBsAg is the first serological marker after infection with
HBV appearing one to ten weeks after exposure and two to eight weeks before the onset of clinical symptoms HBsAg persists during this
acutephase and clears late in the convalescence period. Failure to clear HBsAg within six months indicates a chronic HBsAg carrier state. HBsAg
assays are used to identify persons infected with HBV and to prevent transmission of the virus by blood and blood products as well as to monitor
the status of infected individuals in combination with other hepatitis B serological markers.

Anti HCV Total Antibody by CMIA Method


Hepatitis C Virus Antibody Qualitative test 0.08 S/CO <1 NON-REACTIVE
Method: Chemiluminescent microparticle immunoassay >1/= REACTIVE
(CMIA)
Machine: Abbott Archirect i2000
Interpretation of Results:
The Anti-HCV assay is a CMIA for the qualitative detection of total antibody to hepatitis C virus (anti-HCV) in human serum and plasma including specimens collected
post-mortem (non-heart-beating). The Anti-HCV assay is intended to be used as an aid in the diagnosis of Hepatitis C infection and as a screening test to prevent
transmission of Hepatitis C virus (HCV) to recipients of blood, blood components, cells, tissue and organs. The Anti-HCV assay is for the detection of antibodies to
hepatitis C virus.Uses as an indicator of past or present infection, but does not differentiate between Acute / Chronic / Resolved infection.Uses as an indicator of
past or present infection, but does not differentiate between Acute / Chronic / Resolved infection.

False positive results are seen in Autoimmune diseases, Rheumatoid factor, Hypergammaglobulinemia, Paraproteinemia, passive antibody transfer, Anti-
idiotypes & Anti superoxide dismutase.
False negative results are seen in early Acute infection, Immunosuppression & Immuno-incompetence.
HCV RNA PCR recommended in all Reactive results to differentiate between past and present infection

HCV is an RNA virus of Flavivirus group transmitted via blood transfusions, transplantation, injection drug users, accidental needle punctures in healthcare workers,
dialysis patients and rarely from mother to infant. 10% of new cases show sexual transmission. As compared to HAV & HBV, chronic infection with HCV occurs in
85% of infected individuals. In high risk populations, the predictive value of Anti HCV for HCV infection is > 99% whereas in low risk populations it is only 25%.

*** End Of Report ***

Page 22 of 22
SIN No:E0178448
Ms. MUGDHA CHOWDHRY 9553253960 Reference: SELF VID: 230111502519236
DELHI Factory Area Faridabad.. Sample Collected At: Registered On:
Tel No : 9898568989 Expedient Healthcare Marketing Private
12/12/2023 03:27 PM
Limited
PIN No: 121001 Plot No.518, Udyog Vihar, Phase-iii, Collected On:
PID NO: P55423515333496 Gurgaon, Haryana, 122016 12/12/2023 3:20PM
Age: 39 Year(s) Sex: Female Processing Location:- Metropolis Reported On:
Healthcare Ltd,Unit No409-416,4th
Floor,Commercial Building-1,Kohinoor 14/12/2023 09:23 AM
Mall,Mumbai-70

Investigation Observed Value Unit Biological Reference Interval


Calprotectin Below 5 µg/g < 50
(Stool,CLIA) Please note change in Method

Interpretation:

Fecal Calprotectin as a screening test-

Result Interpretation
0-50 µg/g Within Biological Reference Interval
50-100 µg/g Most likely to be associated with irritable bowel syndrome (IBS)
100 to 250 µg/g Considered as indeterminate and should be re-evaluated within
in 2 weeks
Above 250 µg/g highly suggestive of Inflammatory Bowel Disease(IBD).
Fecal Calprotectin as a monitoring test-
• Values above 150 µg/g are strongly indicative of endoscopically and/or histologically evident disease activity in a known
case of Inflammatory Bowel Disease(IBD).
Clinical Utility

• Fecal calprotectin is a direct measure of inflammation in the gut and is directly correlates to disease activity in Inflammatory
Bowel Disease (IBD).
• Faecal calprotectin concentrations relate well to disease activity in the inflammatory bowel diseases and can therefore be
used to monitor therapy.
Note:
• Other intestinal ailments, including GI infections, polyps, NSAIS usage and colorectal cancer, can result in elevated
concentrations of fecal calprotectin
• Diagnosis of IBD cannot be established solely on the basis of an abnormal calprotectin results.
• Patients with IBD fluctuate between active and inactive stages of disease. Hence fecal calprotectin results may also
fluctuate
• GI bleeding of as much as 100 mL per day will increase the fecal calprotectin levels by only 15 µg/g.

References-
• Faecal calprotectin diagnostic tests for inflammatory diseases of the bowel. NICE diagnostics guidance [DG11]: October
2013
• Calprotectin is a stronger predictive marker of relapse in ulcerative colitis than in Crohn’s disease. Costa, Ceccarelli, et al.
Gut 2005 54: 364-368

-- End of Report --

Tests marked with NABL symbol are accredited by NABL vide Certificate no MC-2139; Validity till 01-06-2024

Page 1 of 1
Dr. ALAP CHRISTY
MBBS, MD, PGDM-HC Head -
Clinical Chemistry
Reg No.2020/12/6991
Smart Report 3.0

ADVISORY Mugdha Chowdhry


Health Advisory Booking ID : 9553253960 | Sample Collection Date : 12/Dec/2023

Body Mass Index

No Data

Physical Activity Smoke Food Preference Blood Pressure

Height · No Data No Data No Data No Data

5' 1"(ft/in)

Weight
Sugar levels

·
Medication Alcohol Family History
No Data
No Data Found
No Data No Data No Data

SUGGESTED NUTRITION

Do's Dont's

Have a balanced diet that includes whole grains, Avoid flavoured and seasoned foods
pulses, dairy, fruits, vegetables, nuts and healthy fats Decrease intake of colas and sugary drinks
SUGGESTED Include fruits like apples, berries and melons in your Avoid saturated fats, transfats, oily and greasy foods

NUTRITION
diet like cakes, creamy or fried foods
Include calcium rich foods like milk, yoghurt, cheese
Limit sugar intake
and green, leafy vegetables
Reduce caffeine intake
Include Brazil nuts, sesame seeds, sunflower seeds

SUGGESTED LIFESTYLE

Do's Dont's

Have breakfast early in morning and a light high fiber Avoid overexertion without having food or drink
snack for dinner Avoid strenuous exercises
SUGGESTED Plan a healthy routine and have food at the same time Avoid smoking and alcohol

LIFESTYLE
everyday
Don't ignore your body signals and don't skip your
Have regular exposure to sunlight regular health check-ups

SUGGESTED FUTURE TESTS

Complete Hemogram - Every 2 Month


Peripheral Smear Examination By Pathologist - Every 2 Month
SUGGESTED Vitamin D Total-25 Hydroxy - Every 2 Month

FUTURE Calcium Total, Serum - Every 2 Month

TESTS
Smart Report 3.0

HEALTH ADVISORY Mugdha Chowdhry


Suggestions for Health & Well-being Booking ID : 9553253960 | Sample Collection Date : 12/Dec/2023

PHYSICAL ACTIVITY

Physical activities can vary from Regular walks (Brisk or normal),


Jogging , Sports, Stretching, Yoga to light weight lifting etc. It is
PHYSICAL recommended to partake in physical activity at least 30 minutes

ACTIVITY
a day for 3-4 days a week.
If regular workout is difficult, then we can adapt changes such as
using stairs instead of lift/escalators and doing household work!

BALANCED DIET

A balanced diet is the key to healthy lifestyle. Include Whole


grains, vegetables, whole fruits, nuts, seeds, beans, plant oils in
your diet. BALANCED
It is recommended to always have a high protein breakfast and a
light dinner. Avoid items such as processed foods, potatoes and
DIET
high calorie/sugar products. Don't forget to drink water regularly!

STRESS MANAGEMENT

Managing stress is an essential part of well-being. Some day to


day changes can help such as having sufficient sleep (6-8 hours),
STRESS indulging yourself in meditation, positive attitude towards lifestyle,

MANAGEMENT using humor, traveling, talking to people whom you feel


comfortable with and making time for hobbies by doing what you
love to do.

BMI INFORMATION NOT AVAILABLE


Please fill your Health Karma to know your BMI results
Smart Report 3.0

Supplement Suggestions Mugdha Chowdhry


Booking ID : 9553253960 | Sample Collection Date : 12/Dec/2023

Your test report has indicated that you have certain deficiencies in your body which may hamper your health & wellbeing in the
longer run.
In order to fulfill the gaps in nutrition and promote a healthier body we suggest you the following supplements mentioned below:

Deficiency/Out of Range Parameter(s) Suggested Supplement

Vitamin D Total-25 Hydroxy VITAMIN D3


To order, call 1800-572-000-4

Suggestions for Improving Deficiencies

Improve bone health with enhanced calcium


VITAMIN D3
absorption, the natural way

Make your muscles and bones stronger with VITAMIN D3. Sourced from natural substances, it helps in
regulating the absorption of calcium and phosphorus, which help keep your bones strong and enhancing
the normal immune system functioning. Vitamin D3 is an essential nutrient that’s critical for normal
growth and development of bones and teeth, as well as improved resistance against certain diseases.

Remember, a lack of vitamin D3 can cause dangerous health situations.

• Rickets (in children) | • Brittle Bones | • Osteoporosis | • Weakened Bones (in adults)

Strengthens Bones & Protects Against Helps in Reducing Boosts Heart Health Aids in Kidney Disease
Muscles Pneumonia & Acute Depression Treatment
Respiratory Infections

Give your immunity a boost the all-natural


IMMUNO-PLUS
way.

IMMUNO-PLUS is the perfect all-natural herbal supplement to boost your immune system and strengthens
your body’s defenses against diseases and infections.IMMUNO-PLUS provides your immune system the
necessary reinforcement to keep you safe and healthy.

A weakened immune system opens you to a host of illnesses, such as:

• Recurring Infections | • Heightened Risk of Cancer | • Autoimmune Disorders | • Slow


Growth Rate | • Serious Damage to the Heart, Lungs, Digestive Tract & the Nervous System

Infused with the ages-proven goodness of all-natural ingredients, IMMUNO-PLUS is the perfect
supplement to strengthen your immune system without having to worry about side effects. Sourced from
nature’s own pharmacy of herbs, the ingredients in IMMUNO-PLUS present the following benefits:

Amla Jetwatika Aloe Vera Ashwagandha Ginger


Boosts immunity & Antioxidant properties Fights against Reinforces the immune Anti-inflammatory &
Stores antioxidants strengthen the immune oxygenated rogue system to increase its antioxidant effects
system molecules in the blood fighting ability reinforce the immune
system

To order, call 1800-572-000-4


Smart Report 3.0

About Healthians Labs


How we control Report Accuracy at Healthians

Quality Control Machine Data QR Code


We follow Quality control to ensure We save patient's result values QR Code based authenticity check
both precision & accuracy of patient directly from machines ensuring on all its reports
results. no manipulations & no fake values.

Calibration Equipment EQA


We make use of calibrators to Our Labs are equipped with state-of- Our Labs participate in EQA & show
evaluate the precision & accuracy of the-art instruments with cutting proven accuracy by checking
measurement equipment. edge technology to provide faster & laboratory performance through
reliable results. external agency or facility.

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