.

A50 - FPSC SIKANDRA-1

SHOP NO.13, UPPER GROUND FLOOR,
BHAWNA MULTIPLEX , SIKANDRA-BODLA
ROAD, NEAR
Phone no 0562-4004293

Name : Mr. PREM KISHAN BHATNAGAR Collected : 3/5/2022 3:29:00PM

Received : 3/5/2022 3:30:40PM
Lab No. : 321181603 Age: 65 Years Gender: Male Reported : 6/5/2022 11:32:13AM
A/c Status : P Ref By : PRABHA HOSPITAL Report Status : Final

Test Name Results Units Bio. Ref. Interval

Physical

Chemical

URINE EXAMINATION, ROUTINE; URINE, R/E PREREP015- Please Repeat Sample

Microscopy

PatientReportSCSuperPanel.URINE_EXAMINATION_SC (Version: 6) Page 1 of 8

*321181603*
.

A50 - FPSC SIKANDRA-1

SHOP NO.13, UPPER GROUND FLOOR,
BHAWNA MULTIPLEX , SIKANDRA-BODLA
ROAD, NEAR
Phone no 0562-4004293

Name : Mr. PREM KISHAN BHATNAGAR Collected : 3/5/2022 3:29:00PM

Received : 3/5/2022 3:30:40PM
Lab No. : 321181603 Age: 65 Years Gender: Male Reported : 6/5/2022 11:32:13AM
A/c Status : P Ref By : PRABHA HOSPITAL Report Status : Final

Test Name Results Units Bio. Ref. Interval

CULTURE AEROBIC, SPUTUM**

(Conventional culture, Automated-MIC, MALDITOF-MS, KBDD)
Type of Specimen :

Result :- No Pathogenic organism grown.

PatientReportCategory.MICRO_AEROBIC (Version: 6)

*321181603*
Page 2 of 8
.

A50 - FPSC SIKANDRA-1

SHOP NO.13, UPPER GROUND FLOOR,
BHAWNA MULTIPLEX , SIKANDRA-BODLA
ROAD, NEAR
Phone no 0562-4004293

Name : Mr. PREM KISHAN BHATNAGAR Collected : 3/5/2022 3:29:00PM

Received : 3/5/2022 3:30:40PM
Lab No. : 321181603 Age: 65 Years Gender: Male Reported : 6/5/2022 11:32:13AM
A/c Status : P Ref By : PRABHA HOSPITAL Report Status : Final

Test Name Results Units Bio. Ref. Interval

CULTURE, URINE
(Conventional culture, Automated-MIC, MALDITOF-MS, KBDD)
Type of Specimen :

Result :- No Aerobic pyogenic organism grown

Page 3 of 8
PatientReportCategory.MICRO_AEROBIC (Version: 6)
.

A50 - FPSC SIKANDRA-1

SHOP NO.13, UPPER GROUND FLOOR,
BHAWNA MULTIPLEX , SIKANDRA-BODLA
ROAD, NEAR
Phone no 0562-4004293

Name : Mr. PREM KISHAN BHATNAGAR Collected : 3/5/2022 3:29:00PM

Received : 3/5/2022 3:30:40PM
Lab No. : 321181603 Age: 65 Years Gender: Male Reported : 6/5/2022 11:32:13AM
A/c Status : P Ref By : PRABHA HOSPITAL Report Status : Final

Test Name Results Units Bio. Ref. Interval

FUNGUS ROUTINE, KOH PREPARATION**

(KOH/KOH- Calcofluor preparation fluorescent Microscopy)
Type of Specimen : SPUTUM

FUNGAL ELEMENTS RESULT GRADE

Yeast cells Seen 1+

Pseudohyphae Nil 0

Fungal spores Nil 0

Fungal hyphae Nil 0

Others Nil 0

Impression : Rare budding yeast cells seen.

GRAM STAIN**
(Automated Gram stain & Conventional Microscopy)
Type of Specimen : SPUTUM

PARAMETERS RESULT GRADE

Epithelial Cells / LPF Seen 2+

Polymorphonuclear cells (PMN) / LPF Seen 2+

Gram Positive Bacteria / opf Seen 2+

Gram Negative Bacteria / opf Nil 0

Pleomorphic Bacteria / opf Nil 0

Yeast cells / opf Nil 0

Others Nil 0

PatientReportCategory.MICRO_STAIN (Version: 5)

*321181603*
Page 4 of 8
.

A50 - FPSC SIKANDRA-1

SHOP NO.13, UPPER GROUND FLOOR,
BHAWNA MULTIPLEX , SIKANDRA-BODLA
ROAD, NEAR
Phone no 0562-4004293

Name : Mr. PREM KISHAN BHATNAGAR Collected : 3/5/2022 3:29:00PM

Received : 3/5/2022 3:30:40PM
Lab No. : 321181603 Age: 65 Years Gender: Male Reported : 6/5/2022 11:32:13AM
A/c Status : P Ref By : PRABHA HOSPITAL Report Status : Final

Test Name Results Units Bio. Ref. Interval

Impression : Few Gram positive cocci in short chains, Few polymorphonuclear cells, Few Squamous epithelial cells
seen.

*Bio- Reference Range: Depends on the site of Specimen*

Interpretation
Cells and Bacteria will be reported according to the following tables:

-----------------------------------------------------------------------------------------
| WBC Cells/ | Grade | /LPF | | Organisms | /OPF |
| Epithelial Cells| | | | Grade | |
|-----------------|------------|-------------|----------------|----------------|----------|
| Low | Rare | <=1 | Oil Immersion | Rare | <1 |
| |------------|-------------| Field | ---------------|----------|
| Power Field | Few | 1-9 | | Few | 1-5 |
| |------------|-------------| | ---------------|----------|
| (LPF-10x) | Moderate | 10-25 | | Moderate | 6-30 |
| |------------|-------------|(OIF-100x) |----------------|----------|
| | Many | >25 | | Many | >30 |
-----------------------------------------------------------------------------------------

Note
Positive Gram stain report indicates type of microorganism, their morphology and specimen based on the
type of cells seen.
Negative Gram stain report indicates the absence of microorganisms/ cells. False negative may be due pauci
bacillary nature of specimen or certain organisms like (Treponema, Mycoplasma, Chlamydia, and Rickettsia)
do not take stain as they lack cell wall or are too small. An- aerobic bacteria, Leigonella, Brucella,Francisella,
older culture and bacteria exhibiting effects of antibiotics will be difficult to interpret.
The test cannot be used to speciate the organism.

Comments
The Gram stain is a rapid stain used extensively in microbiology for the preliminary differentiation of
microbiological organisms directly from clinical specimens or positive culture growth. The Gram stain can be
a reliable indicator to guide initial antibiotic therapy in diverse bacterial infections.
This stain is used to identify the presence of microorganisms in normally sterile body fluids (cerebrospinal
fluid, synovial fluid, pleural fluid, peritoneal fluid). It is also used to screen sputum specimens to establish
acceptability for bacterial culture (<25 squamous epithelial cells per field is considered an acceptable
PatientReportCategory.MICRO_STAIN (Version: 5)

*321181603*
Page 5 of 8
.

A50 - FPSC SIKANDRA-1

SHOP NO.13, UPPER GROUND FLOOR,
BHAWNA MULTIPLEX , SIKANDRA-BODLA
ROAD, NEAR
Phone no 0562-4004293

Name : Mr. PREM KISHAN BHATNAGAR Collected : 3/5/2022 3:29:00PM

Received : 3/5/2022 3:30:40PM
Lab No. : 321181603 Age: 65 Years Gender: Male Reported : 6/5/2022 11:32:13AM
A/c Status : P Ref By : PRABHA HOSPITAL Report Status : Final

Test Name Results Units Bio. Ref. Interval

specimen for culture) and may reveal the causative organism in bacterial pneumonia.

PatientReportCategory.MICRO_STAIN (Version: 5)

*321181603*
Page 6 of 8
.

A50 - FPSC SIKANDRA-1

SHOP NO.13, UPPER GROUND FLOOR,
BHAWNA MULTIPLEX , SIKANDRA-BODLA
ROAD, NEAR
Phone no 0562-4004293

Name : Mr. PREM KISHAN BHATNAGAR Collected : 3/5/2022 3:29:00PM

Received : 3/5/2022 3:30:40PM
Lab No. : 321181603 Age: 65 Years Gender: Male Reported : 6/5/2022 11:32:13AM
A/c Status : P Ref By : PRABHA HOSPITAL Report Status : Final

Test Name Results Units Bio. Ref. Interval

SPUTUM EXAMINATION, AFB**

(Fluorescent and conventional microscopy)

Type of Specimen :

STAIN RESULT GRADE

Auramine No acid fast bacilli seen

Ziehl Neelsen No acid fast bacilli seen

*Bio- Reference range is negative*

Note: Result is dependent on the quality of specimen submitted.

Interpretation
Auramine smear reporting for AFB is qualitative (Positive/ Negative) only.
Grading of AFB smear by Z-N- Stain on basis of RNTCP/WHO recommendation
---------------------------------------------------------------------
| EXAMINATION | RESULT | GRADING |
|-----------------------------------------|--------------|------------|
| More than 10 AFB / oil immersion field | Positive | 3+ |
|-----------------------------------------|--------------|------------|
| 1-10 AFB/ oil immersion field| Positive | Positive | 2+ |
|-----------------------------------------|--------------|------------|
| 10 -99 AFB / 100 oil immersion field | Positive | 1+ |
|-----------------------------------------|--------------|------------|
| 1-9 AFB /100 oil immersion field | Positive | scanty |
|-----------------------------------------|--------------|------------|
| No AFB seen/ 100 oil immersion field | Negative | -NA |
---------------------------------------------------------------------

Note
Positive AFB smear results provide a first indication of mycobacterial infection and potential TB disease.
Smear-positivity and grade indicates relative bacterial burden and correlates with disease presentation.
Patient therapy may be initiated for TB based on smear result and clinical presentation-Changes in smear
status important for monitoring response to therapy.
Does not distinguish between viable and dead organisms nor differentiates species of Mycobacteria.
A negative AFB smear may mean that no infection is present, that symptoms are caused by something
other than mycobacteria, or that the mycobacteria were not present in sufficient numbers to be seen under
the microscope.
PatientReportCategory.MICRO_AFBSTAIN (Version: 5)

*321181603*
Page 7 of 8
.

A50 - FPSC SIKANDRA-1

SHOP NO.13, UPPER GROUND FLOOR,
BHAWNA MULTIPLEX , SIKANDRA-BODLA
ROAD, NEAR
Phone no 0562-4004293

Name : Mr. PREM KISHAN BHATNAGAR Collected : 3/5/2022 3:29:00PM

Received : 3/5/2022 3:30:40PM
Lab No. : 321181603 Age: 65 Years Gender: Male Reported : 6/5/2022 11:32:13AM
A/c Status : P Ref By : PRABHA HOSPITAL Report Status : Final

Test Name Results Units Bio. Ref. Interval

*In smear negative AFB cases of highly suspected TB patients WHO recommended TB -LAMP test
code M 248 is advisable for further investigation.*
Comments
Mycobacterium tuberculosis is a major health problem in India accounting for 25% of global TB burden. Due
to the airborne spread of the disease have wide implications on public health making rapid diagnosis and
treatment of the infected patient essential. Nontuberculous mycobacteria infections also cause significant
morbidity and mortality in humans, particularly in immunocompromised persons. Detection of acid-fast bacilli
in sputum specimens allows rapid identification of individuals who are likely to be infected with mycobacteria
while definitive diagnosis and treatment are pursued.

Dr Aditi Kapoor Dr Ritu Nayar Dr Shalabh Malik Dr. Puneeta Singh

DCP, Pathology MD, Microbiology MD, Microbiology Ph.D (Microbiology)
Chief of Laboratory Deputy HOD - Microbiology & Serology Technical Director - Microbiology, Sr. Research Scientist
Dr Lal PathLabs Ltd NRL - Dr Lal PathLabs Ltd Infectious Disease Serology and
Clinical Pathology
-------------------------------End of report --------------------------------

AHEEEHAPMKHKEJDNLDCBANNCBILLJCECCLKCIKPJPKEDFIFAPPAHEEEHA
BNFFFNBPAPBOILNGFOELAOIPAOAHFHAKBGJOBCJKBLELMOJHMPBNFFFNB
GIEHACFLPMNHBFEJEFIAAJHFJHFEHEDDLKPHENFLMKKCKEFLBKHDEHANP
DJDGFAFNBOMIEPENIIPELGOFAFHKBLAFJIFEPBOAKODJPDNLIJFBKEMEL
LBCBBJFJPBFFDIAIMHFFILBJKENLKBAHKKMFECEIPLKGKPNGKFFFOOKCD
JBCBBEFOIEOJOIEKIOOBFIPBADHFOFAINDFCBKDKBLIKOMNALNEJPOMCL
KFIMIJFFALOOBAOIEGMBOGGHIHAFJBAKOPMPBLMMOJCGKPNAIJNNMDILD
FJHBAMFMAJMCDHGPFANHDHGILLBMFMBLKFCCAMNNIIKJOPNOBNFNBHILL
NKIBBNFNCFJGFEMGHOOIHDAKHEBFEKFBJFFLBKPFOEDIOCNKDJPHNEKLJ
PONHKGFCEAMJJDCHHDKJDLFLJDFKPNJHKEPHEHNKNKCKIGEOCBLKHKCPK
DDIKDPFLGKKECOCMPCBEPJEEINMOHIEBJMEEBFODPNDMKPFKEPCIGCAMG
MGICGJFDGLDAAEOMHHKDMNDEIEOPPFOFBKNPBLNOOLJBIENINKONHDICL
MNNNNNEPCHDNCPEEPCFLHNNHJBAHFHAHPKPFCMNLMLIILFNNAHFHAHIKL
APBBBPAPBLLAEFFLIPBKCMNFAGECHHCAONFEPKPGODKHNLNNEDFHCBKHH

** Test conducted under NABL scope MC-2113,LPL-NATIONAL REFERENCE LAB at NEW DELHI

IMPORTANT INSTRUCTIONS

ŸTest results released pertain to the specimen submitted .ŸAll test results are dependent on the quality of the sample received by the Laboratory .
ŸLaboratory investigations are only a tool to facilitate in arriving at a diagnosis and should be clinically correlated by the Referring
Physician.ŸSample repeats are accepted on request of Referring Physician within 7 days post reporting.ŸReport delivery may be delayed due to
unforeseen circumstances. Inconvenience is regretted .ŸCertain tests may require further testing at additional cost for derivation of exact value .
Kindly submit request within 72 hours post reporting.ŸTest results may show interlaboratory variations .ŸThe Courts/Forum at Delhi shall have
exclusive jurisdiction in all disputes /claims concerning the test(s) & or results of test(s).ŸTest results are not valid for medico legal purposes .
ŸContact customer care Tel No. +91-11-39885050 for all queries related to test results.
(#) Sample drawn from outside source.

PatientReportCategory.MICRO_AFBSTAIN (Version: 5)

*321181603*
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