Name : SANAL KUMAR Age/Sex : 49/ Male SRD No.

: TB1716986
Doctor : MOHAN D S MD Sample Collected At : 28-02-2018 07:11 AM Ref. No. :
Hospital : PRS HOSPITAL Report On : 28-02-2018 01:10 PM IP/OP No :
Test Description Value Observed Reference Range

DEPARTMENT OF CLINICAL BIOCHEMISTRY

GLYCATED Hb ( HbA1c ) 8.70 % Normal :< 5.7%

Pre-diabetes:5.7 - 6.4%
Diabetes :6.5 % or higher

MICROALBUMINURIA (SPOT) 11.0 mg albumin /g creatinine Normal : < 20 mg albumin /g creatinine

Microalbuminuria 20-200 mg/L
Albuminuria >200 mg/L
Children:
< 37 mg albumin /g creatinine (3 -5 years)

Notes:
TEST : HbA1c , METHOD : HPLC, SAMPLE : EDTA BLOOD

Interpretation: Glycated hemoglobin values are used to assess long-term glucose control in diabetes, especially in insulin-dependent diabetics whose
glucose levels are labile, and in whom blood and urine glucose measurements exhibit significant daily variation. GHB measurements reflect the level of
control present over the preceding 100-120 days. In such patients, whose fasting glucose concentrations are fairly consistent from day to day, there is a
correlation between glycated hemoglobin and single fasting glucose levels. Continued high levels of blood glucose are reflected in high GHB
concentrations. Glycated hemoglobin predicts the progression of retinopathy.Chronic blood loss, hemolytic anemia, or other setting for decrease in RBC
life span, results in a decrease in the glycated hemoglobin level. Pregnancy may lower glycated hemoglobin.

Microalbuminuria is an abnormal albumin excretion too low to be detected by routine dipstick methods (ie, urine albumin levels above the reference
range and below the level of clinical albuminuria.) It is an important indicator of deteriorating renal function Because of the inherent day-to-day variability
of albumin excretion into the urine, two of three microalbumin levels measured within a 3- to 6-month period should be abnormal before considering a
patient to have crossed a diagnostic threshold. Physical exercise during the previous 24 hours and during the period of collection can cause a transient
elevation in microalbumin. Other variables, including infection, fever, congestive heart failure, marked hyperglycemia, and marked hypertension can
result in increased microalbumin levels.

Method:Immunoturbidimetry

Sample : Urine

Method: Immunoturbidimetry

Mr. BABU MATHEW

M.Sc.(Biochemistry)
Status : FINAL REPORT Certificate No. : M-0208 BIOCHEMIST
ULLOOR ,TRIVANDRUM, Mob: 9496005087

Page 1 of 5
Name : SANAL KUMAR Age/Sex : 49/ Male SRD No. : TB1716986
Doctor : MOHAN D S MD Sample Collected At : 28-02-2018 07:11 AM Ref. No. :
Hospital : PRS HOSPITAL Report On : 28-02-2018 01:10 PM IP/OP No :
Test Description Value Observed Reference Range

DEPARTMENT OF CLINICAL BIOCHEMISTRY

FBS, PLASMA 156 mg/dl 60 - 100 mg/dl

SGPT 46 U/L < 41 U/L

URIC ACID, SERUM 3.1 mg/dl 3..4 - 7.0 mg/dl

PPBS 216 mg/dl <140 mg/dl

CREATININE, SERUM 0.9 mg/dl 0.7 - 1.3 mg/dl

0.6 - 1.44 mg/dl ( > 60 yrs )

LIPID PROFILE
CHOLESTEROL, SERUM 199 mg/dl <200 mg/dl (Desirable)
200-239mg/dl Borderline High)
>240 mg/dl (High)

TRIGLYCERIDE, SERUM 153 mg/dl < 150 mg/dl ( desirable )

150-199 mg/dl ( Borderline high )
200-499 mg/dl ( High )
>500 mg/dl ( Very high )

LDL - CHOLESTEROL 134 mg/dl <100 mg/dl (Desirable)

100 - 129 mg/dl (Low risk)
130 - 159 mg/dl (Borderline high)
160 - 189 mg/dl (High )
Homogeneous enzymatic colorimetric assay
(Direct method )

HDL-CHOLESTEROL 34 mg/dl >55 ( Desirable )

35-55 ( Standard Risk Level)
<35 ( High
Homogeneous enzymatic colorimetric test.( Direct
method )

VLDL - CHOLESTEROL 31 mg/dl Calculated.

LIPAEMIA

Page 2 of 5
Name : SANAL KUMAR Age/Sex : 49/ Male SRD No. : TB1716986
Doctor : MOHAN D S MD Sample Collected At : 28-02-2018 07:11 AM Ref. No. :
Hospital : PRS HOSPITAL Report On : IP/OP No :

Notes:
According to the NCEP guidelines, the following are targets for treatment, Total Cholesterol, Total Triglycerides, LDL Cholesterol and HDL Cholesterol.
VLDL Cholesterol can be calculated as either (TC-HDL-LDL) or as( TG/5). A very large difference between the two values indicates the presence of IDL
and/or other lipoproteins like Lp(a) necessitating further investigation.

Method: Enzymatic colorimetric method.

Measurement of LDL and HDL by direct method.

Levels <140 mg/dL are consistent with normal glucose metabolism. A result between 140-199 mg/dL indicates impaired glucose tolerence.

METHODS : Enzymatic reference method with hexokinase.VITROS.

Sample : Oxalate-fluoride plasma,serum

METHODS: Enzymatic reference method with hexokinase.VITROS.

Sample :Oxalate fluoride plasma,serum

Method: Kinetic Jaffe Reaction.

Sample :Serum,Plasma.

Method: IFCC without PLP.

Sample : Serum and plasma

Method: Enzymatic colorimetric test.

Sample :Serum and plasma

MIRZA BEEGAM F
LAB TECHNICIAN
Status : FINAL REPORT DEPT OF BIOCHEMISTRY
AMBALATHARA ,TEL:-8547631023

Page 3 of 5
Name : SANAL KUMAR Age/Sex : 49/ Male SRD No. : TB1716986
Doctor : MOHAN D S MD Sample Collected At : 28-02-2018 07:11 AM Ref. No. :
Hospital : PRS HOSPITAL Report On : 28-02-2018 12:01 PM IP/OP No :
Test Description Value Observed Reference Range

DEPARTMENT OF HAEMATOLOGY

URINE ROUTINE EXAMINATION

PROTEIN SLIGHT TRACE

SUGAR TRACE

DEPOSIT

..... PUS CELLS 2-4/HPF

..... RBCS OCCASIONAL

..... EPITHELIAL CELLS 1-3/HPF

..... CRYSTALS NIL

..... CASTS NIL

Notes:

SEEMA GOPINATH
Lab Technician
Status : FINAL REPORT Dept Of Haematology
DDRC SRL,AMBALATHARA PH:8547631023

Page 4 of 5
Name : SANAL KUMAR Age/Sex : 49/ Male SRD No. : TB1716986
Doctor : MOHAN D S MD Sample Collected At : 28-02-2018 07:11 AM Ref. No. :
Hospital : PRS HOSPITAL Report On : 28-02-2018 12:13 PM IP/OP No :
Test Description Value Observed Reference Range

DEPARTMENT OF HORMONES

TSH 2.56 mIU/L Healthy Persons : 0.35 - 5.0

Euthyroidism : 0.35 - 5.0
Preclinical -
Hyperthyroidism: 0.1 - 0.4
Hyperthyroidism <0.1
Subclinical -
Hypothyroidism 5 - 20
Primary -
Hypothyroidism > 20

Notes:
TEST : TSH, METHOD : CLIA, SAMPLE : SERUM

Notes : Serum T3 levels are used as a thyroid function test which is particularly useful in the diagnosis of T3

thyrotoxicosis, in which T3 is increased and T4 is within normal limits. T3 toxicosis is occasionally found in Graves' disease. T3 is needed in patients
with clinical evidence of hyperthyroidism, in whom the usual thyroid profile is normal or borderline. T3 is decreased with nonthyroidal chronic diseases
and iodine defeciency . It is not helpful for evaluation of hypothyroidism.

Serum T4 levels are used in the diagnosis of hyper and hypothyroidism.T4 may be increased with the surreptitious use of thyroxine. T4 levels may be
abnormal in the presence of systemic nonthyroidal disease. Alterations in binding capacity or quantity of TBG may increase or decrease total thyroxine
without causing symptoms.

TSH estimations are used as a thyroid function test, in investigating low T4 results, in the differential diagnosis of primary hypothyroidism from
pituitary/hypothalamic hypothyroidism and monitoring therapy. A normal result on a sensitive TSH assay is acceptable evidence for adequate thyroid
replacement. 3rd generation TSH assays can be considered as a test for thyroid disease. A result within the accepted reference interval provides strong
evidence for euthyroidism.This assay has a sensitivity of 0.001 mIU/L and meets all criteria as a 3rd Generation TSH assay.Secretion of T3 and T4 is
regulated by TSH through a negative feedback mechanisms involving the Thyroid, Pitutary and Hypothalamus.

Pregnancy reference ranges for TSH

Ist Trimester : 0.10-2.5

2nd Trimester : 0.20-3.0

3 rd Trimester : 0.30-3.0

Reference :

Guidelines of American Thyroid association for the Diagnosis and Management of Thyroid Disease During Pregnancy and Postpartum ,Thyroid
,2011,21;1-46

Prof. (Dr.) R. PADMANABHAN NAIR

M.Sc (Biochemistry Faculty of Medicine.)
Status : FINAL REPORT Certificate No. : M-0208 Ph.D(Immunology Faculty of Medicine),
ULLOOR, TRIVANDRUM ,Tel:0471-2554869

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