LPL - LPL-ROHINI (NATIONAL

REFERENCE LAB)
SECTOR - 18, BLOCK -E ROHINI
DELHI 110085

Name : DUMMY DUMMY WM68 Collected: 21/4/2020 10:26:00AM Received: 21/4/2020

: Report Status : Final
Lab No. : 152286760 Age: 25 Years Gender:Male

A/c Status P Ref By : SELF

Test Name Results Units Bio. Ref.

Interval Fever Advance Package

TYPHI DOT/ SALMONELLA TYPHI IgM Negative

(ICT)

Note
1. Low titre of IgM antibodies to S.typhi may persist for about 4 months post infection in endemic areas
2. All results to be clinically correlated

Comment
Accurate diagnosis of Typhoid fever at an early stage is not only important for etiological diagnosis, but also to
identify and treat potential carriers and prevent acute typhoid fever outbreaks. The conventional Widal test
detects antibodies to S.typhi in patient serum from the second week of onset of symptoms whereas early
rising antibodies predominantly IgM in nature detected by this assay serve as a marker for recent infection.

Detectable IgM response

|Onset of fever | Percent positive |

|----------------|------------------|
| 4-6 days | 43.5 |
|----------------|------------------|
| 6-9 days | 92.9 |
|----------------|------------------|
| >9 days | 99.5 |

DENGUE FEVER ANTIGEN, NS1, EIA, SERUM 1.00 Index <0.90

(ELISA)

Interpretation
|RESULT IN INDEX | REMARKS
|----------------|-------------------------------------------------------------------------------
| Negative |No detectable Dengue NS1 antigen.The Result does not rule out Dengue infection.
| (<0.90) |An additional sample should be tested for IgG & IgM serology in 7-14 days.
|----------------|-------------------------------------------------------------------------------
| Equivocal |Repeat sample after 1 week
| (0.90 - 1.10) |
|----------------|-------------------------------------------------------------------------------
| Positive |Presence of detectable dengue NS1 antigen. Dengue IgG & IgM serology assay
| (>1.10) |should be performed on follow up samples after 5-7 days of onset of fever,to
| |confirm dengue infection.

Note: Recommended test is NS1 Antigen by ELISA in the first 5 days of fever. After 7-10 days of fever, the

Page 1
LPL - LPL-ROHINI (NATIONAL
REFERENCE LAB)
SECTOR - 18, BLOCK -E ROHINI
DELHI 110085

Name : DUMMY DUMMY WM68 Collected: 21/4/2020 10:26:00AM Received: 21/4/2020

: Report Status : Final
Lab No. : 152286760 Age: 25 Years Gender:Male

A/c Status P Ref By : SELF

Test Name Results Units Bio. Ref. Interval

recommended test is Dengue fever antibodies IgG & IgM by ELISA

Comments
Dengue viruses belong to the family Flaviviridae and have 4 subtypes (1-4). Dengue virus is transmitted by
the mosquito Aedes aegypti and Aedes albopictus, widely distributed in Tropical and Subtropical areas of the
world. Dengue is considered to be the most important arthropod borne viral disease due to the human
morbidity and mortality it causes. The disease may be subclinical, self limiting, febrile or may progress to a
severe form of Dengue hemorrhagic fever or Dengue shock syndrome

C-REACTIVE PROTEIN; CRP, SERUM 0.50 mg/L <5.00

(Immunoturbidimetry)

Comments
CRP is an acute phase reactant which is used in inflammatory disorders for monitoring course and effect of
therapy. It is most useful as an indicator of activity in Rheumatoid arthritis, Rheumatic fever, tissue injury or
necrosis and infections. As compared to ESR, CRP shows an earlier rise in inflammatory disorders which
begins in 4-6 hrs, the intensity of the rise being higher than ESR and the recovery being earlier than ESR.
Unlike ESR, CRP levels are not influenced by hematologic conditions like Anemia, Polycythemia etc.
CHIKUNGUNYA VIRUS ANTIBODY, IgM Negative
(ICT)

Note: 1. Negative result does not exclude the possibility of exposure to Chikungunya virus
2. False negative results are seen if IgM antibody is below the detectable limit or is absent
during the stage of the disease in which specimen has been collected.
3. All results to be clinically correlated
4. Test conducted on serum
Comments
Chikungunya is a viral infection transmitted by the bite of an infected Aedes aegypti mosquito. Symptoms are
very similar to those of Dengue fever, but unlike Dengue there is no hemorrhagic or shock syndrome. The disease
is characterized by rash, fever and severe joint pain (arthralgia). Laboratory diagnosis is critical to establish the
cause and initiate specific public health response.

WIDAL TEST, SERUM

(Slide Agglutination)

Salmonella typhi O (TO) Non Reactive

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LPL - LPL-ROHINI (NATIONAL
REFERENCE LAB)
SECTOR - 18, BLOCK -E ROHINI
DELHI 110085

Name : DUMMY DUMMY WM68 Collected: 21/4/2020 10:26:00AM Received: 21/4/2020

: Report Status : Final
Lab No. : 152286760 Age: 25 Years Gender:Male

A/c Status P Ref By : SELF

Test Name Results Units Bio. Ref. Interval

Salmonella typhi H (TH) Non Reactive

Salmonella paratyphi A, H (AH) Non Reactive

Salmonella paratyphi B, H (BH) Non Reactive

Note: 1. Titres 1:80 and above of “O” antigen & 1:160 and above of “H” antigen are significant
2. Rising titres are significant
3. The recommended Widal test is by Tube Agglutination Method

Comments
This test measures somatic O and flagellar H antibodies against Typhoid and Paratyphoid bacilli. The
agglutinins usually appear at the end of the first week of infection and increase steadily till third / fourth
week after which the decline starts. A positive Widal test may occur because of typhoid vaccination or
previous typhoid infection and in certain autoimmune diseases. Non specific febrile disease may cause
this titre to increase (anamnestic reaction). The test may be falsely negative in cases of Enteric fever
treated with antibiotics in the early stages. The recommended test specially in the first week after infection
is Blood Culture.

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LPL - LPL-ROHINI (NATIONAL
REFERENCE LAB)
SECTOR - 18, BLOCK -E ROHINI
DELHI 110085

Name :DUMMY DUMMY WM68 Collected: 21/4/2020 10:26:00AM Received: 21/4/2020

Report Status : Final
Lab No. : 152286760 Age: 25 Years Gender:Male
:
A/c Status P Ref By :SELF

Test Name Results Units Bio. Ref. Interval

BLOOD PICTURE; PERIPHERAL BLOOD
SMEAR EXAMINATION RBCs are normocytic normochromic,
(Microscopy) WBCs are normal in number and morphology,
Platelets are adequate,
No abnormal cells/hemoparasite seen,
Imp: Normal Blood picture.

MALARIA PARASITE / BLOOD

No MP seen in smears
PARASITE IDENTIFICATION
examined.
(Microscopy)

Note: A Single negative smear does not rule out malaria

Page 4
LPL - LPL-ROHINI (NATIONAL
REFERENCE LAB)
SECTOR - 18, BLOCK -E ROHINI
DELHI 110085

Name :DUMMY DUMMY WM68 Collected: 21/4/2020 10:26:00AM Received: 21/4/2020

Report Status : Final
Lab No. : 152286760 Age: 25 Years Gender:Male
:
A/c Status P Ref By : SELF

Test Name Results Units Bio. Ref. Interval

HEMOGRAM

Hemoglobin 14.50 g/dL 13.00 - 17.00

(Photometry)
Packed Cell Volume (PCV) 42.00 % 40.00 - 50.00
(Calculated)
RBC Count 5.00 mill/mm3 4.50 - 5.50
(Electrical Impedence)
MCV 95.00 fL 80.00 - 100.00
(Electrical Impedence)
MCH 30.00 pg 27.00 - 32.00
(Calculated)
MCHC 32.00 g/dL 32.00 - 35.00
(Calculated)
Red Cell Distribution Width (RDW) 14.50 % 11.50 - 14.50
(Electrical Impedence)
Total Leukocyte Count (TLC) 7.50 thou/mm3 4.00 - 10.00
(Electrical Impedence)

Differential Leucocyte Count (DLC)

(VCS Technology)

Segmented Neutrophils 60.00 % 40.00 - 80.00

Lymphocytes 30.00 % 20.00 - 40.00
Monocytes 5.00 % 2.00 - 10.00
Eosinophils 4.00 % 1.00 - 6.00
Basophils 1.00 % <2.00
Absolute Leucocyte Count
(Calculated)

Neutrophils 4.50 thou/mm3 2.00 - 7.00

Lymphocytes 2.25 thou/mm3 1.00 - 3.00
Monocytes 0.38 thou/mm3 0.20 - 1.00
Eosinophils 0.30 thou/mm3 0.02 - 0.50
Basophils 0.08 thou/mm3 0.01 - 0.10
Platelet Count 300.0 thou/mm3 150.00 - 450.00
(Electrical impedence)

Page 5
LPL - LPL-ROHINI (NATIONAL
REFERENCE LAB)
SECTOR - 18, BLOCK -E ROHINI
DELHI 110085

Name :DUMMY DUMMY WM68 Collected: 21/4/2020 10:26:00AM Received: 21/4/2020

Report Status : Final
Lab No. : 152286760 Age: 25 Years Gender:Male
:
A/c Status P Ref By : SELF

Test Name Results Units Bio. Ref. Interval

Mean Platelet Volume (MPV) 12.00 fL 6.50 - 12.00
(Electrical Impedence)
ESR 8 mm/hr 0 - 15
(Capillary photometry)

Note
1. As per the recommendation of International council for Standardization in Hematology, the differential
leucocyte counts are additionally being reported as absolute numbers of each cell in per unit volume
of blood

2. Test conducted on EDTA whole blood

Page 6
LPL - LPL-ROHINI (NATIONAL
REFERENCE LAB)
SECTOR - 18, BLOCK -E ROHINI
DELHI 110085

Name : DUMMY DUMMY WM68 Collected: 21/4/2020 10:26:00AM Received: 21/4/2020

: Report Status : Final
Lab No. : 152286760 Age: 25 Years Gender:Male

A/c Status P Ref By : SELF

Test Name Results Units Bio. Ref. Interval

CULTURE AEROBIC BLOOD, RAPID

Second
(Rapid Automated
interim report
Aerobic culture, Identification & Sensitivity)
Type of Specimen : No Aerobic pyogenic organism grown after 48 hrs incubation at 37°C.

First interim report

No Aerobic pyogenic organism grown after 24 hrs incubation at 37°C.
Final report
No Aerobic pyogenic organism grown after 5 days incubation at 37°C.

Dr.Kamal Modi
Dr Anand Chandrasekaran Annan Dr Himangshu Mazumdar Dr Ritu Nayar
MD, Biochemistry
MD (American Board of Pathology) MD, Biochemistry MD, Microbiology
Consultant Biochemist
PhD (Molecular & Cellular Pathology) Senior Consultant - Clinical Chemistry Deputy HOD - Microbiology & Serology
NRL - Dr Lal PathLabs Ltd
HOD - Oncopathology & Biochemical Genetics NRL - Dr Lal PathLabs Ltd
NRL - Dr Lal PathLabs Ltd

Dr Nimmi Kansal Dr Parul Chopra

Dr Shalabh Malik Dr Anil Arora
MD, Biochemistry MD, Laboratory Medicine
MD, Microbiology MD, Pathology
National Head - Clinical Chemistry & Consultant
National Head - Microbiology & HOD Hematology &
Biochemical Genetics NRL - Dr Lal PathLabs Ltd
Serology Immunohematology
NRL - Dr Lal PathLabs Ltd
NRL - Dr Lal PathLabs Ltd NRL - Dr Lal PathLabs Ltd

Dr Sunanda
MD, Pathology
Consultant
NRL - Dr Lal PathLabs Ltd

Page 7
LPL - LPL-ROHINI (NATIONAL
REFERENCE LAB)
SECTOR - 18, BLOCK -E ROHINI
DELHI 110085

Name : DUMMY DUMMY WM68 Collected: 21/4/2020 10:26:00AM Received: 21/4/2020

: Report Status : Final
Lab No. : 152286760 Age: 25 Years Gender:Male

A/c Status P Ref By : SELF

Test Name Results Units Bio. Ref. Interval

-------------------------------End of report --------------------------------

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INSTRUCTIONS

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