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Date 02/Nov/2022 01:37PM Report Date 02/Nov/2022 06:50PM

Name Mr. ABHRANIL MOHANTA Age/Sex 18 YRS/MALE
Lab No. 292211020028 Reg. No. 7875405
Panel Name CICL CGHS RATE-CASH Slide No.
Ref. Dr. Dr. S.LASKAR Sample Collection Date 02-Nov-2022 04:06PM
Report Status Barcode No. 29010671

CLINICAL BIOCHEMISTRY
Test Name Value Unit Reference Range

LIVER FUNCTION TEST(LFT),Serum

TOTAL PROTEIN 7.16 gm/dl 6.6-8.7
Biuret Reaction
ALBUMIN,SERUM 4.88 gm/dl 3.2-4.5
Colorimetric Assay Using Bromocresolgreen
GLOBULIN 2.28 gm/dL 2.3-3.5
calculated
A/G Ratio 2.14
Calculated
SGOT (AST) 43.70 IU/L 0.0-40.0
IFCC Method Without Pyridoxyl Phosphate
SGPT (ALT) 56.50 IU/L 0.0-41.0
IFCC Method Without Pyridoxyl Phosehate
ALKALINE PHOSPHATASE 103.86 U/L 40.0-129.0
Colorimetric Assay Using P-Nitro Phenyl Phosphate
TOTAL BILIRUBIN 0.41 mg/dl 0.1-1.2
Diazo Method
CONJUGATED BILIRUBIN 0.11 mg/dl 0.0-0.3
Diazo Method
UNCONJUGATED BILIRUBIN(INDIRECT) 0.30 mg/dl 0.10-1.0
Calculated
GAMMA G.T. 47.40 IU/L 10-71.0
Enzymatic colorimetr
Reference Range :

Total Bilirubin
Full-Term
24 hrs 2.0-6.0 mg/dL
48 hrs 6.0-7.0 mg/dL
3-5 days 4.0-12.0 mg/dL

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Date 02/Nov/2022 01:37PM Report Date 02/Nov/2022 06:50PM

Name Mr. ABHRANIL MOHANTA Age/Sex 18 YRS/MALE
Lab No. 292211020028 Reg. No. 7875405
Panel Name CICL CGHS RATE-CASH Slide No.
Ref. Dr. Dr. S.LASKAR Sample Collection Date 02-Nov-2022 04:06PM
Report Status Barcode No. 29010671

5 days -1 month upto 12 mg/dL

more than 1 month <1.0 mg/dl

Interpretation:

It is a group of tests that are performed together to detect, evaluate, and monitor liver disease or damage. The panel usually consists of
several tests that are run at the same time on a blood sample. These typically include:

Alanine Aminotransferase (ALT)

An enzyme found mainly in liver tissue and to a lesser extent in the heart, kidney and skeletal muscle. It’s measurement is clinically useful in
the diagnosis of liver and biliary disease.

Aspartate aminotransferase (AST)

An enzyme found in several parts of the body, including the heart, liver, and muscles.
Since AST levels aren’t as specific for liver damage as ALT, it’s usually measured together with ALT to check for liver problems. When
the liver is damaged, AST can be released into the bloodstream. A high result on an AST test might indicate a problem with the liver or
muscles.

Gamma Glutamyl Transpeptidase (GGTP) An enzyme that is found in many organs throughout the body, with the highest concentrations
found in the liver. GGT is elevated in the blood in most diseases that cause damage to the liver or bile ducts.

Bilirubin, Total
It is used to detect an increased level of bilirubin in the blood. It helps to determine the cause of jaundice and diagnose conditions such as
liver disease, hemolytic anemia, and blockage of the bile ducts.

Bilirubin, Direct
It measures a form of bilirubin that is conjugated (combined with another compound) in the liver; It is only increased in the case of liver
disease.

Alkaline Phosphatase (ALP)

An enzyme related to the bile ducts but also produced by the bones, intestines, and during pregnancy by the placenta (afterbirth).
High levels of ALP may indicate liver inflammation, blockage of the bile ducts, or bone disease.

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Date 02/Nov/2022 01:37PM Report Date 02/Nov/2022 06:50PM

Name Mr. ABHRANIL MOHANTA Age/Sex 18 YRS/MALE
Lab No. 292211020028 Reg. No. 7875405
Panel Name CICL CGHS RATE-CASH Slide No.
Ref. Dr. Dr. S.LASKAR Sample Collection Date 02-Nov-2022 04:06PM
Report Status Barcode No. 29010671

Albumin
Albumin is the main protein made by the liver. This test measures the level of albumin in the blood. A low result indicates that the liver isn’t
functioning properly.

Total Protein
The total protein test measures the total amount of protein in the blood and specifically looks for the amount of albumin and globulin. It also
measures the ratio of albumin to globulin in the blood known as the “A/G ratio.”
Total Protein is useful in evaluating patients for nutritional status, liver disease, protein losing renal and gastrointestinal diseases.

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Date 02/Nov/2022 01:37PM Report Date 02/Nov/2022 06:50PM

Name Mr. ABHRANIL MOHANTA Age/Sex 18 YRS/MALE
Lab No. 292211020028 Reg. No. 7875405
Panel Name CICL CGHS RATE-CASH Slide No.
Ref. Dr. Dr. S.LASKAR Sample Collection Date 02-Nov-2022 04:06PM
Report Status Barcode No. 29010671

Test Name Value Unit Reference Range

KIDNEY FUNCTION TEST (KFT / RFT),Serum

BLOOD UREA 10.55 mg/dl 15.0-45.0
Urease
CREATININE,SERUM 0.90 mg/dl 0.70-1.20
Jaffe reaction
Critical Alert range:->5.0 mg/dl
URIC ACID 4.52 mg/dl 3.4-7.0
Uricase
TOTAL PROTEIN 7.16
ALBUMIN,SERUM 4.88 gm/dl 3.2-4.5
Bromocresol Green
GLOBULIN 2.28 gm/dl 2.3-3.5
calculated
A/G Ratio 2.14
calculated
BLOOD UREA NITROGEN 4.93 mg/dl 6.0-20.0
Urease
Critical Alert:- 2 mg/dL >80 mg/dl
UREA : Infants < 1 Year 8.56 - 40.66 mg/dL

BUN : Infants < 1 Year 4.0 - 19.0 mg/dL

Interpretation:

A kidney panel is a group of tests that may be performed together to evaluate kidney function. The tests measure levels of various
substances, including

Electrolytes, electrically charged chemicals that are vital to normal body processes.
Electrolytes include
- Sodium
- Potassium
- Chloride

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Date 02/Nov/2022 01:37PM Report Date 02/Nov/2022 06:50PM

Name Mr. ABHRANIL MOHANTA Age/Sex 18 YRS/MALE
Lab No. 292211020028 Reg. No. 7875405
Panel Name CICL CGHS RATE-CASH Slide No.
Ref. Dr. Dr. S.LASKAR Sample Collection Date 02-Nov-2022 04:06PM
Report Status Barcode No. 29010671

Minerals, electrically charged chemicals that are vital to normal body processes. Electrolytes include
- Phosphorus, vital for energy production, muscle and nerve function, and bone growth
- Calcium, essential for the proper functioning of muscles, nerves, and the heart and is required in blood clotting and the formation of
bones.

Albumin
a protein essential to keeping fluid from leaking out of blood vessels and transporting hormones, vitamins, drugs, and ions like calcium
throughout the body.

Waste products
- Urea, a nitrogen-containing waste product that forms from the metabolism of protein
- Creatinine, produced by the body's muscles. Almost all creatinine is eliminated by the kidneys.
- Uric Acid, the end product of protein metabolism.

A:G Ratio, the calculated ratio of albumin to globulins. It may provide a clue as to the cause of the change in protein levels.

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Date 02/Nov/2022 01:37PM Report Date 02/Nov/2022 04:31PM

Name Mr. ABHRANIL MOHANTA Age/Sex 18 YRS/MALE
Lab No. 292211020028 Reg. No. 7875405
Panel Name CICL CGHS RATE-CASH Slide No.
Ref. Dr. Dr. S.LASKAR Sample Collection Date 02-Nov-2022 04:06PM
Report Status Barcode No. 29010671

Test Name Value Unit Reference Range

HAEMATOLOGY
CBC WITH P/S AND ESR,EDTA Blood
HAEMOGLOBIN 16.0 gm/dL 13-18
SLS
TLC (Total Leucocyte Count) 4920 /cumm 4000-10000
Flowcytometry
DIFFERENTIAL LEUCOCYTE COUNT
NEUTROPHIL 69.2 % 40-80
Flowcytometry
LYMPHOCYTES 16.9 % 20-40
Flowcytometry
MONOCYTES 9.8 % 0-10
Flowcytometry
EOSINOPHIL 3.3 % 0-6
Flowcytometry
BASOPHILS 0.8 % 0-2
Flowcytometry
ABSOLUTE NEUTROPHIL COUNT 3.41 1000/ul 2-7
Calculated
ABSOLUTE LYMPHOCYTE COUNT 0.83 1000/ul 1-3
Calculated
ABSOLUTE MONOCYTE COUNT 0.48 1000/ul 0.2-1.0
Calculated
ABSOLUTE EOSINOPHIL COUNT 0.16 1000/ul 0.02-0.5
Calculated
ABSOLUTE BASOPHIL COUNT 0.04 1000/ul 0.02-0.1
Calculated
.
RBC 5.65 mill/cumm 4.5-5.5
HFIM
PCV/HAEMATOCRIT 49.5 % 40-50
Calculated
MCV 87.6 fl 83-101

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Date 02/Nov/2022 01:37PM Report Date 02/Nov/2022 04:31PM

Name Mr. ABHRANIL MOHANTA Age/Sex 18 YRS/MALE
Lab No. 292211020028 Reg. No. 7875405
Panel Name CICL CGHS RATE-CASH Slide No.
Ref. Dr. Dr. S.LASKAR Sample Collection Date 02-Nov-2022 04:06PM
Report Status Barcode No. 29010671

Calculated
MCH 28.3 pg 27-31
Calculated
MCHC 32.3 g/L 31.5-34.5
Calculated
PLATELET COUNT 2.48 Lakh/cumm 1.5-4.0
HFIM
RDW-CV 12.5 % 11.6-14.0
Calculated
RDW SD 40.3 fL 39.0-46.0
Calculated
PDW 13.0 fl 9.0-17.0
Calculated
MPV 10.9 fl 9.0-13.0
Calculated
P-LCR 32.2 % 13-43
Calculated
PCT 0.3 % 0.17-0.35
Calculated
IG 0.0 % 0.0-5.5
Flowcytometry
PERIPHERAL SMEAR
RBCS are predominantly normocytic and normochromic.
W.B.C SERIES: Total and differential leucocyte count are within normal limits.
Platelets are adequate.
No haemoparasites in thin smear seen.

IMPRESSION :- NORMAL PERIPHERAL SMEAR.

Note: Peripheral Smear has been interpreted according to absolute values.

Note:- The parameter marked with an asterix (*) is not in scope of accreditation.

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Date 02/Nov/2022 01:37PM Report Date 02/Nov/2022 05:15PM

Name Mr. ABHRANIL MOHANTA Age/Sex 18 YRS/MALE
Lab No. 292211020028 Reg. No. 7875405
Panel Name CICL CGHS RATE-CASH Slide No.
Ref. Dr. Dr. S.LASKAR Sample Collection Date 02-Nov-2022 04:06PM
Report Status Barcode No. 29010671

Test Name Value Unit Reference Range

ESR 17 mm/1st hr.

Capillary Photometry / Modified Westergren
ESR remains a widely used test for the screening and monitoring of infectious, autoimmune, malignant and other chronic inflammatory
diseases and carries prognostic value .
Normal values of ESR by Westergren method
Males (mm at 1st Hr)
Age (Years) Females (mm at 1st Hr)

<50 <12 <10

51-60 <19 <12

61-70 <20 <14

70 <35 <30

Note :High ESR can be a incidental finding in asymptomatic patient. A mild to moderate elevated ESR without obvious underlying disease
should prompt repeat testing after several months . However, an extremely high ESR even in asymptomatic patients should prompt the
clinician to search for occult infections or inflammatory disease as stated above .

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Date 02/Nov/2022 01:37PM Report Date 02/Nov/2022 06:27PM

Name Mr. ABHRANIL MOHANTA Age/Sex 18 YRS/MALE
Lab No. 292211020028 Reg. No. 7875405
Panel Name CICL CGHS RATE-CASH Slide No.
Ref. Dr. Dr. S.LASKAR Sample Collection Date 02-Nov-2022 04:06PM
Report Status Barcode No. 29010671

Test Name Value Unit Reference Range

SEROLOGY
NS1 ANTIGEN Rapid test,Serum
NS 1 ANTIGEN DENGUE NEGATIVE
Method : Immunochromatography

Interpretation-
Positive: shows that there are very high chances of the sample having dengue virus NS1 antigen
Negative: The sample does not contain dengue virus NS1 antigen

Comments-
Dengue viruses are transmitted by mosquitoes. There are four known distinct serotypes (dengue virus 1,2,3,4). In
children, infection is often sub clinical or causes a self limited febrile disease. However, if the patient is infected second
time with a different serotype, a more severe disease is more likely to occur. NS1 is a highly- conserved glycoprotein that
is present at high concentrations in the sera of dengue infected patients during the early clinical phase of the disease. NS1
antigen is found from the first day and up to almost 9 days after the onset of fever in samples of infected patients. Usually
IgM does not become detectable until 5 to 10 days after the onset of illness in cases of primary dengue infection and until
4-5 days after onset of illness in secondary infections.

Limitations-
1. A negative result can not exclude a recent infection. It can occur if the quantity of Dengue virus NS1 antigen present in
the specimen is below the detection limits of the assay, or the antigens that are detected are not present during the
stage of the disease in which a sample is collected.
2. The presence of detectable Dengue virus NS1 Ag may mean positive for early dengue infection. All results must be
considered with other clinical information.

Note: It is a rapid screening test for Dengue NS1 antigen. Diagnosis should be confirmed by Dengue NS1 Antigen ELISA.

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Date 02/Nov/2022 01:37PM Report Date 02/Nov/2022 06:26PM

Name Mr. ABHRANIL MOHANTA Age/Sex 18 YRS/MALE
Lab No. 292211020028 Reg. No. 7875405
Panel Name CICL CGHS RATE-CASH Slide No.
Ref. Dr. Dr. S.LASKAR Sample Collection Date 02-Nov-2022 04:06PM
Report Status Barcode No. 29010671

TYPHIDOT IgM,Serum
TYPHIDOT IgM NEGATIVE

Method : Immunochromatography

Interpretation:-

This test is performed for dectection of IgM antibodies To Salmonella Typhi.

IgM Positive - indicates presence of anti S. typhi antibodies in the specimen. (acute or middle phase of typhoid fever)

Limitations:-

1. The result depends on the stage of the disease when the sample has been collected.
2. The result obtained must be used in conjunction with other investigatory and clinical findings.
3. Some specimens with unusually high titer of heterophile antibodies or rheumatoid factor may effect expected result.
4. A negative result does not preclude the possibility of exposure to S.typhi.

TYPHIDOT IgG,Serum

RESULT NEGATIVE

Method : Immunochromatography

Interpretation:-

This test is performed for dectection Of IgG antibodies To Salmonella Typhi and Paratyphi.
IgG Positive - indicates presence of anti S. typhi or paratyphi IgG in the specimen.

Limitations:-

1. The result depends on the stage of the disease when the sample has been collected.
2. The result obtained must be used in conjunction with other investigatory and clinical findings.
3. Some specimens with unusually high titer of heterophile antibodies or rheumatoid factor may effect expected result.

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Date 02/Nov/2022 01:37PM Report Date 02/Nov/2022 06:26PM

Name Mr. ABHRANIL MOHANTA Age/Sex 18 YRS/MALE
Lab No. 292211020028 Reg. No. 7875405
Panel Name CICL CGHS RATE-CASH Slide No.
Ref. Dr. Dr. S.LASKAR Sample Collection Date 02-Nov-2022 04:06PM
Report Status Barcode No. 29010671

4. A negative result does not preclude the possibility of exposure to S.typhi or paratyphi.

WIDAL TEST (SLIDE METHOD),Serum

1:20 1:40 1:80 1:160 1:320

S. TYPHI "O" + - - - -

S. TYPHI "H" + - - - -

S. PARATYPHI A"H" - - - - -

S. PARATYPHI B"H" - - - - -

Method : Slide Agglutination

INTERPRETATION : Titers 1:80 and above of O antigen and 1 :160 and above for H antigen are significant.

LIMITATIONS OF WIDAL TEST:

1.Numerous false positives due to cross reacting antibodies & heterospecific anamnestic responses, and false low titres as a result of
partial treatment are observed. This makes clinical correlation with lab findings mandatory.

2. Diagnostic titre is observed 7-10 days after the onset of fever. In the first week of infection, the
test is negative.

3. A rise in titre seen in two samples collected at a difference of one week is more significant.

*** End Of Report ***

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