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F8BBB8F04AE71B7D69FF303D10F8BBB8F RUBA QURESHI Ref.:Dr.

RAHUL P KENDRE
E2AAA2E0AC7CE1A5A1FC2D3560E2AAA2E
D7D385A41FEB6DB068B85F38F446902F7 Sample Collected At: SID: 323123032
1FD4D6A8B74BC4F6D3DDEB892ADA1A436
E43A0AADA685C0C85F00FF099CF510276 PRIVATE WARD Collection Date:
2D2387A5D96913ABB77D1D41F3EF0E2FF Dr. D. Y. Patil Medical College,
B22A2AB0C5A87499BB188B22F8A8F4A0F 04-09-2023 02:46 PM
F0EEE0F0AFAF6DC9A7700B44AA98FC696 Hospital & Research Centre, Registration Date:
888888808800088888000808888088088
PID: 3655530 04-09-2023 02:46 pm
Sant Tukaram Nagar, Pimpri Colony, Pune, Zone
PRN: PRN-1-01399483 IPOP:IPD-1-23-059810 Report Date:
Age:19.07 Years Sex:FEMALE 04-09-2023 08:03 PM
Complete Blood Count (EDTA Whole Blood) Result Biological Reference Interval
Hemoglobin (Hb), EDTA whole blood 14.00 11.6 - 15.0 g/dL
Method: Cyanide Free SLS
Total Leucocytes (WBC) count 17,960 4000-10000/µL
Method :Flow Cytometry/ Microscopy
Platelet count 189,000 150000 - 410000 /µL
Method :Hydrodynamic focus/ Microscopy
Red blood cell (RBC) count 5.62 3.92 - 5.13 x 10^6 /µL
Method: Impedance Hydrodynamic focusing
HCT (Hematocrit) 45.80 35.00 - 44.90 %
Method:Calculated
MCV (Mean Corpuscular Volume) 81.50 78.2 - 97.9 fL
Method: Calculated
MCH (Mean Corpuscular Hb) 24.90 27.00 - 32.00 pgms
Method: Calculated
MCHC (Mean Corpuscular Hb Conc.) 30.60 31.5 - 34.5 g/dL
Method: Calculated
RDW (RBC distribution width) 18.00 11.2 - 16.1 %
Method: Calculated
MPV ( Mean PLT Volume) 12.80 7.9 - 10.8 fL
Method: Calculated
WBC Diff. Count(FCM/Micro/Cal)
Neutrophils 65 40 - 80 %
Absolute Neutrophils 11,674 2000 - 7000 /µL
Eosinophils 1 1-6%
Absolute Eosinophils 180 20 - 500 /µL
Basophils 0 0-2%
Absolute Basophils 0 0 - 100 /µL
Lymphocytes 25 20 - 40 %
Absolute Lymphocytes 4,490 1000 - 3000 /µL
Monocytes 9 2 - 10 %
Absolute Monocytes 1,616 200 - 1000 /µL
Comments if any -

Page 1 of 22
F8BBB8F04AE71B7D69FF303D10F8BBB8F RUBA QURESHI Ref.:Dr.RAHUL P KENDRE
E2AAA2E0AC7CE1A5A1FC2D3560E2AAA2E
D7D385A41FEB6DB068B85F38F446902F7 Sample Collected At: SID: 323123032
1FD4D6A8B74BC4F6D3DDEB892ADA1A436
E43A0AADA685C0C85F00FF099CF510276 PRIVATE WARD Collection Date:
2D2387A5D96913ABB77D1D41F3EF0E2FF Dr. D. Y. Patil Medical College,
B22A2AB0C5A87499BB188B22F8A8F4A0F 04-09-2023 02:46 PM
F0EEE0F0AFAF6DC9A7700B44AA98FC696 Hospital & Research Centre, Registration Date:
888888808800088888000808888088088
PID: 3655530 04-09-2023 02:46 pm
Sant Tukaram Nagar, Pimpri Colony, Pune, Zone
PRN: PRN-1-01399483 IPOP:IPD-1-23-059810 Report Date:
Age:19.07 Years Sex:FEMALE 04-09-2023 08:03 PM

Peripheral Blood Smear Examination (Microscopy)

R.B.C. : Mild anisocytosis.

W.B.C. : Mild leucocytosis.

Platelets : Adequate

Parasites : Not Detected

Remark : SUGGESTED CLINICAL CORRELATION & FOLLOW UP.


.
.
.

Page 2 of 22
F8BBB8F04AE71B7D69FF303D10F8BBB8F RUBA QURESHI Ref.:Dr.RAHUL P KENDRE
E2AAA2E0AC7CE1A5A1FC2D3560E2AAA2E
D7D385A41FEB6DB068B85F38F446902F7 Sample Collected At: SID: 323123032
1FD4D6A8B74BC4F6D3DDEB892ADA1A436
E43A0AADA685C0C85F00FF099CF510276 PRIVATE WARD Collection Date:
2D2387A5D96913ABB77D1D41F3EF0E2FF Dr. D. Y. Patil Medical College,
B22A2AB0C5A87499BB188B22F8A8F4A0F 04-09-2023 02:46 PM
F0EEE0F0AFAF6DC9A7700B44AA98FC696 Hospital & Research Centre, Registration Date:
888888808800088888000808888088088
PID: 3655530 04-09-2023 02:46 pm
Sant Tukaram Nagar, Pimpri Colony, Pune, Zone
PRN: PRN-1-01399483 IPOP:IPD-1-23-059810 Report Date:
Age:19.07 Years Sex:FEMALE 04-09-2023 08:03 PM
Blood Group
(Gel Technique / Tube Agglutination/ Slide Agglutination)
(EDTA Whole Blood and/or Serum)
Blood Group O Rh Positive

ABO System "O"

Rh System Positive

This is for your information only.


Kindly note that any blood or blood product transfusion or therapeutic intervention has to be done
after confirmation of blood group by concerned authorities.
In infants (< 6 months age), please repeat Blood Group after 6 months of age for confirmation.

Page 3 of 22
F8BBB8F04AE71B7D69FF303D10F8BBB8F RUBA QURESHI Ref.:Dr.RAHUL P KENDRE
E2AAA2E0AC7CE1A5A1FC2D3560E2AAA2E
D7D385A41FEB6DB068B85F38F446902F7 Sample Collected At: SID: 323123032
1FD4D6A8B74BC4F6D3DDEB892ADA1A436
E43A0AADA685C0C85F00FF099CF510276 PRIVATE WARD Collection Date:
2D2387A5D96913ABB77D1D41F3EF0E2FF Dr. D. Y. Patil Medical College,
B22A2AB0C5A87499BB188B22F8A8F4A0F 04-09-2023 02:46 PM
F0EEE0F0AFAF6DC9A7700B44AA98FC696 Hospital & Research Centre, Registration Date:
888888808800088888000808888088088
PID: 3655530 04-09-2023 02:46 pm
Sant Tukaram Nagar, Pimpri Colony, Pune, Zone
PRN: PRN-1-01399483 IPOP:IPD-1-23-059810 Report Date:
Age:19.07 Years Sex:FEMALE 04-09-2023 08:03 PM
Test Description Observed Value Biological Reference Interval
Ferritin, serum by CMIA 133.05 Female : 4.63- 204 ng/mL

Ferritin is the major iron storage protein for the body. Ferritin is found chiefly in the cytoplasm of cells of the
reticuloendothelial system and is a constituent of normal human serum. Generally the concentration of
ferritin is directly proportional to the total iron stores in the body. There is a significant positive correlation
between age and serum ferritin concentrations in females, but not in males. Patients with iron deficiency
anemia have serum ferritin concentration approximately one-tenth of normal while patients with iron
overload (hemochromatosis, hemosiderosis) have serum ferritin concentrations much higher than normal.
Ferritin is a positive acute phase reactant in both adults and children, whereby chronic inflammation
results in a disproportionate increase in ferritin in relation to iron reserves. Elevated ferritin is also observed
in acute and chronic liver disease, chronic renal failure, and in some types of neoplastic disease.

Page 4 of 22
F8BBB8F04AE71B7D69FF303D10F8BBB8F RUBA QURESHI Ref.:Dr.RAHUL P KENDRE
E2AAA2E0AC7CE1A5A1FC2D3560E2AAA2E
D7D385A41FEB6DB068B85F38F446902F7 Sample Collected At: SID: 323123032
1FD4D6A8B74BC4F6D3DDEB892ADA1A436
E43A0AADA685C0C85F00FF099CF510276 PRIVATE WARD Collection Date:
2D2387A5D96913ABB77D1D41F3EF0E2FF Dr. D. Y. Patil Medical College,
B22A2AB0C5A87499BB188B22F8A8F4A0F 04-09-2023 02:46 PM
F0EEE0F0AFAF6DC9A7700B44AA98FC696 Hospital & Research Centre, Registration Date:
888888808800088888000808888088088
PID: 3655530 04-09-2023 02:46 pm
Sant Tukaram Nagar, Pimpri Colony, Pune, Zone
PRN: PRN-1-01399483 IPOP:IPD-1-23-059810 Report Date:
Age:19.07 Years Sex:FEMALE 04-09-2023 08:03 PM
Test Description Observed Biological Reference Interval
Liver Function Test :

Bilirubin-Total, serum by Diazo method 0.39 0.22 - 1.20 mg/dL


Neonates : Upto 15.0 mg/dL

Bilirubin-Conjugated, serum by Diazo method 0.18 Upto 0.5 mg/dL

Bilirubin-Unconjugated, serum by calculation 0.21 0.1 to 1.0 mg/dL

SGOT (AST), serum by Enzymatic method 36 >or= 14 years : 8 - 43 U/Lt

SGPT (ALT), serum by Enzymatic Method 68 7 to 45 U/Lt

Alkaline Phosphatase,serum by pNPP-kinetic 95 Adult Female : (Unit : U/Lt.).


15 - < 17 years : 50 - 117
> or =17 years: 35 - 104

--XX--

Page 5 of 22
F8BBB8F04AE71B7D69FF303D10F8BBB8F RUBA QURESHI Ref.:Dr.RAHUL P KENDRE
E2AAA2E0AC7CE1A5A1FC2D3560E2AAA2E
D7D385A41FEB6DB068B85F38F446902F7 Sample Collected At: SID: 323123032
1FD4D6A8B74BC4F6D3DDEB892ADA1A436
E43A0AADA685C0C85F00FF099CF510276 PRIVATE WARD Collection Date:
2D2387A5D96913ABB77D1D41F3EF0E2FF Dr. D. Y. Patil Medical College,
B22A2AB0C5A87499BB188B22F8A8F4A0F 04-09-2023 02:46 PM
F0EEE0F0AFAF6DC9A7700B44AA98FC696 Hospital & Research Centre, Registration Date:
888888808800088888000808888088088
PID: 3655530 04-09-2023 02:46 pm
Sant Tukaram Nagar, Pimpri Colony, Pune, Zone
PRN: PRN-1-01399483 IPOP:IPD-1-23-059810 Report Date:
Age:19.07 Years Sex:FEMALE 04-09-2023 08:03 PM
Test Description Observed Value Biological Reference Interval
Glycated Hemoglobin (HbA1C), by HPLC 6.10 4.0 to 5.6 %

Estimated Average Glucose (eAG) 128 mg/dL

Interpretation :
HbA1C level reflects the mean glucose concentration over previous 8-12 weeks and provides better
indication of long term glycemic control.

For diagnosis of Diabetes Mellitus (>/= 18 yrs of age) :


5.7 % - 6.4 % : Increased risk for developing diabetes.
>/= 6.5 % : Diabetes

Therapeutic goals for glycemic control :


Adults : < 7%
Toddlers and Preschoolers : < 8.5% (but > 7.5 %)
School age (6-12 yrs) : < 8%
Adolescents and young adults (13 - 19 yrs) : < 7.5 %
The A1c target should be individualized based on numerous factors, such as age, life expectancy,
comorbid conditions, duration of diabetes, risk of hypoglycemia or adverse consequences from
hypoglycemia, patient motivation and adherence.
Levels of HbA1C may be low as result of shortened RBC life span in case of hemolytic anemia.
Increased HbA1C values may be found in patients with polycythemia or post splenectomy patients.
In patients with Homozygous forms of rare variant Hb(CC,SS,EE,SC), HbA1c cannot be quantitated as
there is no HbA. In such circumstances glycemic control needs to be monitored using alternative methods
like plasma glucose levels or serum Fructosamine.

Estimated Average Glucose (eAG) :


1. eAG is an estimated average of blood glucose level over previous 8-12 weeks.
2. HbA1C and eAG have a linear relationship.
3. The eAG is not a substitute for fasting and post prandial blood sugar measurements as prescribed
by your physician or home blood glucose monitoring.
Ref : American Diabetes Association (Standards of Medical Care in Diabetes - 2022)

Page 6 of 22
F8BBB8F04AE71B7D69FF303D10F8BBB8F RUBA QURESHI Ref.:Dr.RAHUL P KENDRE
E2AAA2E0AC7CE1A5A1FC2D3560E2AAA2E
D7D385A41FEB6DB068B85F38F446902F7 Sample Collected At: SID: 323123032
1FD4D6A8B74BC4F6D3DDEB892ADA1A436
E43A0AADA685C0C85F00FF099CF510276 PRIVATE WARD Collection Date:
2D2387A5D96913ABB77D1D41F3EF0E2FF Dr. D. Y. Patil Medical College,
B22A2AB0C5A87499BB188B22F8A8F4A0F 04-09-2023 02:46 PM
F0EEE0F0AFAF6DC9A7700B44AA98FC696 Hospital & Research Centre, Registration Date:
888888808800088888000808888088088
PID: 3655530 04-09-2023 02:46 pm
Sant Tukaram Nagar, Pimpri Colony, Pune, Zone
PRN: PRN-1-01399483 IPOP:IPD-1-23-059810 Report Date:
Age:19.07 Years Sex:FEMALE 04-09-2023 08:03 PM
Test Description Observed Value Biological Reference Interval
TEST NAME

Magnesium, serum by Calmagite dye 1.70 1.80 to 2.40 mg/dL

Interpretation :
1. Magnesium is a major intracellular cation.

2. Regulation takes place mainly via the kidneys, primarily via the ascending loop of Henle.

3. Conditions that interfere with glomerular filtration result in retention of magnesium and, hence, elevation
of serum concentrations. Hypermagnesemia is found in acute and chronic renal failure, magnesium
overload, and magnesium release from the intracellular space.

4. Conditions that have been associated with hypomagnesemia include chronic alcoholism, childhood
malnutrition, lactation, malabsorption, acute pancreatitis, hypothyroidism, chronic glomerulonephritis,
aldosteronism, and prolonged intravenous feeding.

5. Magnesium toxicity may result in central nervous system (CNS) depression, cardiac arrest, and
respiratory arrest.

Page 7 of 22
F8BBB8F04AE71B7D69FF303D10F8BBB8F RUBA QURESHI Ref.:Dr.RAHUL P KENDRE
E2AAA2E0AC7CE1A5A1FC2D3560E2AAA2E
D7D385A41FEB6DB068B85F38F446902F7 Sample Collected At: SID: 323123032
1FD4D6A8B74BC4F6D3DDEB892ADA1A436
E43A0AADA685C0C85F00FF099CF510276 PRIVATE WARD Collection Date:
2D2387A5D96913ABB77D1D41F3EF0E2FF Dr. D. Y. Patil Medical College,
B22A2AB0C5A87499BB188B22F8A8F4A0F 04-09-2023 02:46 PM
F0EEE0F0AFAF6DC9A7700B44AA98FC696 Hospital & Research Centre, Registration Date:
888888808800088888000808888088088
PID: 3655530 04-09-2023 02:46 pm
Sant Tukaram Nagar, Pimpri Colony, Pune, Zone
PRN: PRN-1-01399483 IPOP:IPD-1-23-059810 Report Date:
Age:19.07 Years Sex:FEMALE 04-09-2023 08:03 PM

Test Description Observed Value Biological Reference Interval


Haematology :
Erythrocyte Sedimentation Rate, EDTA Whole Blood 17 Female under 50 Yrs : Upto 20mm/hr.
Female 50 - 85 Yrs : Upto 30mm/hr.
Female > 85 yrs : Upto 42mm/hr.
Results corrected to 18 deg. celsius

Technique : Automated Westergren Method .


1. ESR is markedly elevated in monoclonal gammopathy such as multiple myeloma, in severe polyclonal hyperglobulinemia due
to inflammatory disease, and in hyperfibrinogenemia. 2. Moderate elevations are common in active inflammatory
disease such as rheumatoid arthritis, chronic infections, collagen disease and neoplastic disease
3. ESR has little diagnostic value in these disorders but can be useful in monitoring disease activity.
4. Useful in the diagnosis and in monitoring polymyalgia rheumatica and temporal arteritis.
5. Moderate increase is seen in pregnancy (beginning at the 10th to 12th week) and returns to normal about 1 month
postpartum .
6. Red cells with an abnormal or irregular shape, such as sickle cells or spherocytes, hinder rouleaux formation and
lower the ESR.

Page 8 of 22
F8BBB8F04AE71B7D69FF303D10F8BBB8F RUBA QURESHI Ref.:Dr.RAHUL P KENDRE
E2AAA2E0AC7CE1A5A1FC2D3560E2AAA2E
D7D385A41FEB6DB068B85F38F446902F7 Sample Collected At: SID: 323123032
1FD4D6A8B74BC4F6D3DDEB892ADA1A436
E43A0AADA685C0C85F00FF099CF510276 PRIVATE WARD Collection Date:
2D2387A5D96913ABB77D1D41F3EF0E2FF Dr. D. Y. Patil Medical College,
B22A2AB0C5A87499BB188B22F8A8F4A0F 04-09-2023 02:46 PM
F0EEE0F0AFAF6DC9A7700B44AA98FC696 Hospital & Research Centre, Registration Date:
888888808800088888000808888088088
PID: 3655530 04-09-2023 02:46 pm
Sant Tukaram Nagar, Pimpri Colony, Pune, Zone
PRN: PRN-1-01399483 IPOP:IPD-1-23-059810 Report Date:
Age:19.07 Years Sex:FEMALE 04-09-2023 08:03 PM

Test Description Observed Value Biological Reference Interval


Proteins in Serum :
Protein (total), serum by Biuret method 7.60 6.4 to 8.3 g/dL
Albumin, serum by Bromocresol purple method 4.50 3.5 to 5.2 g/dL
Globulin, serum by calculation 3.10 2.3 - 3.5 g/dL
Albumin - Globulin Ratio 1.45 Ratio

Enzymes

LDH-Lactate Dehydrogenase,serum by UV Kinetic 382.00 81 to 234 U/Lt.

Lactate dehydrogenase (LDH) activity is present in all cells of the body with highest concentrations in heart,
liver, muscle, kidney, lung, and erythrocytes. Moderate to slight increase in LDH levels are seen in
myocardial infarction (MI), pulmonary infarction, pulmonary embolism, leukemia, hemolytic anemia, infectious
mononucleosis, progressive muscular dystrophy , liver liver disease, and renal disease Marked elevations
in LDH activity can be observed in megaloblastic anemia, untreated pernicious anemia, Hodgkin disease,
abdominal and lung cancers, severe shock, and hypoxia.

Page 9 of 22
F8BBB8F04AE71B7D69FF303D10F8BBB8F RUBA QURESHI Ref.:Dr.RAHUL P KENDRE
E2AAA2E0AC7CE1A5A1FC2D3560E2AAA2E
D7D385A41FEB6DB068B85F38F446902F7 Sample Collected At: SID: 323123032
1FD4D6A8B74BC4F6D3DDEB892ADA1A436
E43A0AADA685C0C85F00FF099CF510276 PRIVATE WARD Collection Date:
2D2387A5D96913ABB77D1D41F3EF0E2FF Dr. D. Y. Patil Medical College,
B22A2AB0C5A87499BB188B22F8A8F4A0F 04-09-2023 02:46 PM
F0EEE0F0AFAF6DC9A7700B44AA98FC696 Hospital & Research Centre, Registration Date:
888888808800088888000808888088088
PID: 3655530 04-09-2023 02:46 pm
Sant Tukaram Nagar, Pimpri Colony, Pune, Zone
PRN: PRN-1-01399483 IPOP:IPD-1-23-059810 Report Date:
Age:19.07 Years Sex:FEMALE 04-09-2023 08:03 PM

Test Description Observed Value Biological Reference Interval


Enzymes :

Clinical Chemistry

Urea, serum by GLDH-urease 29 17 to 49 mg/dL


Creatinine, serum by Jaffe w/o deproteinization 0.48 0.6 to 1.2 mg/dL
Sodium, serum by IMT Indirect 139.00 136 to 145 mmol/Lt
Potassium, serum by IMT Indirect 3.91 3.50 to 5.10 mmol/Lt
Chloride, serum by IMT Indirect 104.00 98 to 107 mmol/Lt
Calcium, serum by Arsenazo III method 9.70 Adult : 8.6 to 10.2 mg/dL

1. Calcium is useful for diagnosis and monitoring of a wide range of disorders including diseases of bone, kidney,
parathyroid gland, or gastrointestinal tract .
2. Calcium ions play an important role in blood clotting, bone mineralization, musculature contractility and
CNS functioning. .
3. Hypocalcemia is due to the absence or impaired function of the parathyroid glands or impaired vitamin-D
synthesis. Chronic renal failure is also frequently associated with hypocalcemia due to decreased vitamin-D
synthesis as well as hyperphosphatemia and skeletal resistance to the action of parathyroid hormone (PTH).
4. Hypercalcemia is mainly due to primary hyperparathyroidism (pHPT), and bone metastasis of carcinoma
of the breast, thyroid gland, or lung. Severe hypercalcemia may result in cardiac arrhythmia.

Page 10 of 22
F8BBB8F04AE71B7D69FF303D10F8BBB8F RUBA QURESHI Ref.:Dr.RAHUL P KENDRE
E2AAA2E0AC7CE1A5A1FC2D3560E2AAA2E
D7D385A41FEB6DB068B85F38F446902F7 Sample Collected At: SID: 323123032
1FD4D6A8B74BC4F6D3DDEB892ADA1A436
E43A0AADA685C0C85F00FF099CF510276 PRIVATE WARD Collection Date:
2D2387A5D96913ABB77D1D41F3EF0E2FF Dr. D. Y. Patil Medical College,
B22A2AB0C5A87499BB188B22F8A8F4A0F 04-09-2023 02:46 PM
F0EEE0F0AFAF6DC9A7700B44AA98FC696 Hospital & Research Centre, Registration Date:
888888808800088888000808888088088
PID: 3655530 04-09-2023 02:46 pm
Sant Tukaram Nagar, Pimpri Colony, Pune, Zone
PRN: PRN-1-01399483 IPOP:IPD-1-23-059810 Report Date:
Age:19.07 Years Sex:FEMALE 04-09-2023 08:03 PM

Test Description Observed Value Biological Reference Interval


Clinical Chemistry :

Phosphorus,serum by Ammonium molybdate UV 3.20 2.6 to 4.7 mg/dL

1. Phosphorus is useful for diagnosis of a variety of disorders including bone, parathyroid, and renal disease.
2. Hypophosphatemia may have 4 general causes: shift of phosphate from extracellular to intracellular, renal
phosphate wasting, loss from the gastrointestinal tract, and loss from intracellular stores.
3. Hyperphosphatemia is usually secondary to an inability of the kidneys to excrete phosphate. Other factors may relate
to increased intake or a shift of phosphate from the tissues into the extracellular fluid.
4. The most acute problem associated with rapid elevations of serum phosphate levels is hypocalcemia.
5. Phosphorus levels below 1.0 mg/dL are potentially life-threatening.
6. Phosphorus has a very strong biphasic circadian rhythm.

Page 11 of 22
F8BBB8F04AE71B7D69FF303D10F8BBB8F RUBA QURESHI Ref.:Dr.RAHUL P KENDRE
E2AAA2E0AC7CE1A5A1FC2D3560E2AAA2E
D7D385A41FEB6DB068B85F38F446902F7 Sample Collected At: SID: 323123032
1FD4D6A8B74BC4F6D3DDEB892ADA1A436
E43A0AADA685C0C85F00FF099CF510276 PRIVATE WARD Collection Date:
2D2387A5D96913ABB77D1D41F3EF0E2FF Dr. D. Y. Patil Medical College,
B22A2AB0C5A87499BB188B22F8A8F4A0F 04-09-2023 02:46 PM
F0EEE0F0AFAF6DC9A7700B44AA98FC696 Hospital & Research Centre, Registration Date:
888888808800088888000808888088088
PID: 3655530 04-09-2023 02:46 pm
Sant Tukaram Nagar, Pimpri Colony, Pune, Zone
PRN: PRN-1-01399483 IPOP:IPD-1-23-059810 Report Date:
Age:19.07 Years Sex:FEMALE 04-09-2023 08:03 PM

Test Description Observed Value Biological Reference Interval


Clinical Chemistry :

Iron 134.00 Male : 50 - 150 µg/dL


Female : 35 - 145 µg/dL

Method : Ferrozine Chromogen / Magnesium Carbonate Colorimeteric.

TIBC-Total Iron Binding Capacity 373.00 250 to 450 µg/dL

Method : Ferrozine Chromogen / Magnesium Carbonate Colorimeteric.

Transferrin Saturation 35.92 20 to 50 %


NT-Pro- BNP, Serum CMIA 317.80 Age </= 75 yrs : </ = 125 pg/mL
Age > 75 yrs : </= 450 pg/mL
Method : CMIA

B-type natriuretic peptide (brain natriuretic peptide: BNP) is a small, ringed peptide secreted by the heart to regulate
regulate blood pressure and fluid balance. ProBNP is the storage form of BNP. In response to ventricle volume
expansion or pressure overload, N-terminal pro brain natriuretic peptide (NT-proBNP) is released and rapidly
cleaved. Both BNP and NT-proBNP are markers of atrial and ventricular distension due to increased intracardiac
pressure. NT-proBNP values <125 pg/ml exclude cardiac dysfunction with a high level of certainity in patients with
symptoms suggestive of cardiac failure (ex. Dyspnoea). NT-proBNP measurement can also be used for diagnosing
impending heart failure, therapy monitoring in heart failure

Page 12 of 22
F8BBB8F04AE71B7D69FF303D10F8BBB8F RUBA QURESHI Ref.:Dr.RAHUL P KENDRE
E2AAA2E0AC7CE1A5A1FC2D3560E2AAA2E
D7D385A41FEB6DB068B85F38F446902F7 Sample Collected At: SID: 323123032
1FD4D6A8B74BC4F6D3DDEB892ADA1A436
E43A0AADA685C0C85F00FF099CF510276 PRIVATE WARD Collection Date:
2D2387A5D96913ABB77D1D41F3EF0E2FF Dr. D. Y. Patil Medical College,
B22A2AB0C5A87499BB188B22F8A8F4A0F 04-09-2023 02:46 PM
F0EEE0F0AFAF6DC9A7700B44AA98FC696 Hospital & Research Centre, Registration Date:
888888808800088888000808888088088
PID: 3655530 04-09-2023 02:46 pm
Sant Tukaram Nagar, Pimpri Colony, Pune, Zone
PRN: PRN-1-01399483 IPOP:IPD-1-23-059810 Report Date:
Age:19.07 Years Sex:FEMALE 04-09-2023 08:03 PM

Test Description Observed Value Biological Reference Interval


Clinical Chemistry :

Serology

RA-Rheumatoid Arthritis, serum by Nephelometry Negative (9.37) Negative : Below 15.00 IU/mL

Clinical Information :
1.The diagnosis of rheumatoid arthritis (RA) is established primarily on clinical criteria and seroloic findings.
2. Positive results indicate probability of RA .
3. The titre of RA factor correlates poorly with disease activity.
4. However, patients with high titres tend to have more severe disease.
5. Patients with various non rheumatoid diseases characterised by chronic inflammation (like SLE,
polymyositis tuberculosis, viral hepatitis, infections mononucleosis and influenza) may have positive tests for RF.

Page 13 of 22
F8BBB8F04AE71B7D69FF303D10F8BBB8F RUBA QURESHI Ref.:Dr.RAHUL P KENDRE
E2AAA2E0AC7CE1A5A1FC2D3560E2AAA2E
D7D385A41FEB6DB068B85F38F446902F7 Sample Collected At: SID: 323123032
1FD4D6A8B74BC4F6D3DDEB892ADA1A436
E43A0AADA685C0C85F00FF099CF510276 PRIVATE WARD Collection Date:
2D2387A5D96913ABB77D1D41F3EF0E2FF Dr. D. Y. Patil Medical College,
B22A2AB0C5A87499BB188B22F8A8F4A0F 04-09-2023 02:46 PM
F0EEE0F0AFAF6DC9A7700B44AA98FC696 Hospital & Research Centre, Registration Date:
888888808800088888000808888088088
PID: 3655530 04-09-2023 02:46 pm
Sant Tukaram Nagar, Pimpri Colony, Pune, Zone
PRN: PRN-1-01399483 IPOP:IPD-1-23-059810 Report Date:
Age:19.07 Years Sex:FEMALE 04-09-2023 08:03 PM

Test Description Observed Value Biological Reference Interval


Serology :

Infectious Diseases

HBsAg, serum by CMIA Non-reactive (0.03) Non-reactive : < 0.05 IU/mL

1. HBsAg assays are routinely used to aid in the diagnosis of suspected hepatitis B viral (HBV) infection.
2. Vaccination with a recombinant HBsAg Hepatitis B vaccine may cause transient positive results.
3. If the HBsAg results are inconsistent with clinical evidence, additonal testing is suggested to confirm the
result.

HBsAb- Ab to Hepatitis B Surface Ag,serum by CMIA Reactive (13.86) Non-reactive or below protection : < 10
mIU/mL
HIV Combo(p24Ag,HIV1Ab,HIV2Ab),Serum by CMIA Non-reactive (0.6) Non-reactive : Less than 1.00 S/CO

HIV Antibodies & p24 may be negative in window period (seroconversion period). All positive results need
confirmation by another EIA / Western Blot on fresh sample.

Page 14 of 22
F8BBB8F04AE71B7D69FF303D10F8BBB8F RUBA QURESHI Ref.:Dr.RAHUL P KENDRE
E2AAA2E0AC7CE1A5A1FC2D3560E2AAA2E
D7D385A41FEB6DB068B85F38F446902F7 Sample Collected At: SID: 323123032
1FD4D6A8B74BC4F6D3DDEB892ADA1A436
E43A0AADA685C0C85F00FF099CF510276 PRIVATE WARD Collection Date:
2D2387A5D96913ABB77D1D41F3EF0E2FF Dr. D. Y. Patil Medical College,
B22A2AB0C5A87499BB188B22F8A8F4A0F 04-09-2023 02:46 PM
F0EEE0F0AFAF6DC9A7700B44AA98FC696 Hospital & Research Centre, Registration Date:
888888808800088888000808888088088
PID: 3655530 04-09-2023 02:46 pm
Sant Tukaram Nagar, Pimpri Colony, Pune, Zone
PRN: PRN-1-01399483 IPOP:IPD-1-23-059810 Report Date:
Age:19.07 Years Sex:FEMALE 04-09-2023 08:03 PM

Test Description Observed Value Biological Reference Interval


Infectious Diseases :
HCV-Ab to Hepatitis C virus,serum by CMIA Non-reactive (0.15) Non-reactive : < 1.00 S/CO
Reactive : >/= 1.00 S/CO

Abbott Version 3 Recombinant HCV Includes following Antigens : Hcr43 : Includes


HCV core structural protein+ nonstructural protein NS3, C 200 : Includes NS3, NS4,
C 100-3 : Includes NS3, NS4, NS503 .
This is a screening test only. All reactive results particularly Weak Reactive results need to be
confirmed by immunoblot or HCV RNA detection or by proving rising titre in repeat test after 1 month.

Page 15 of 22
F8BBB8F04AE71B7D69FF303D10F8BBB8F RUBA QURESHI Ref.:Dr.RAHUL P KENDRE
E2AAA2E0AC7CE1A5A1FC2D3560E2AAA2E
D7D385A41FEB6DB068B85F38F446902F7 Sample Collected At: SID: 323123032
1FD4D6A8B74BC4F6D3DDEB892ADA1A436
E43A0AADA685C0C85F00FF099CF510276 PRIVATE WARD Collection Date:
2D2387A5D96913ABB77D1D41F3EF0E2FF Dr. D. Y. Patil Medical College,
B22A2AB0C5A87499BB188B22F8A8F4A0F 04-09-2023 02:46 PM
F0EEE0F0AFAF6DC9A7700B44AA98FC696 Hospital & Research Centre, Registration Date:
888888808800088888000808888088088
PID: 3655530 04-09-2023 02:46 pm
Sant Tukaram Nagar, Pimpri Colony, Pune, Zone
PRN: PRN-1-01399483 IPOP:IPD-1-23-059810 Report Date:
Age:19.07 Years Sex:FEMALE 04-09-2023 08:03 PM

Test Description Observed Value Biological Reference Interval


Infectious Diseases :
CMV-IgG antibodies to Cyto Megalo Virus, by CMIA Reactive (192) Sample : Serum / Plasma
Non-Reactive : < 6.0 AU/mL
Reactive : >/= 6.0 AU/mL
Reactive results suggests past infection.

CMV-IgM antibodies to Cyto Megalo Virus, by CMIA Non-Reactive (0.15) Sample : Serum
Non-Reactive : < 0.85 Index
Grayzone : 0.85 to 0.99 Index
Reactive: >/= 1.00 Index

Auto Immunity

CCP-Ab to Cyclic Citrullinated Peptide,serumbyCMIA Negative (1) Negative : < 5.0 U/mL
Positive : >/= 5.0 U/mL

A positive result for cyclic citrullinated peptide (CCP) antibodies indicates a high likelihood of rheumatoid
arthritis (RA). A Mayo prospective clinical evaluation of the CCP antibody test showed a diagnostic sensitivity for RA
of 78% with fewer than 5% false positive results in healthy controls. CCP antibodies have also been reported in
approximately 40% of seronegative RA patients, and, like rheumatoid factor (RF), a positive CCP antibody result
indicates an increased likelihood of erosive disease in patients with RA. High levels of CCP antibodies may be
useful to identify patients with aggressive disease. The level of CCP antibodies may also correlate with disease
activity in RA.

Page 16 of 22
F8BBB8F04AE71B7D69FF303D10F8BBB8F RUBA QURESHI Ref.:Dr.RAHUL P KENDRE
E2AAA2E0AC7CE1A5A1FC2D3560E2AAA2E
D7D385A41FEB6DB068B85F38F446902F7 Sample Collected At: SID: 323123032
1FD4D6A8B74BC4F6D3DDEB892ADA1A436
E43A0AADA685C0C85F00FF099CF510276 PRIVATE WARD Collection Date:
2D2387A5D96913ABB77D1D41F3EF0E2FF Dr. D. Y. Patil Medical College,
B22A2AB0C5A87499BB188B22F8A8F4A0F 04-09-2023 02:46 PM
F0EEE0F0AFAF6DC9A7700B44AA98FC696 Hospital & Research Centre, Registration Date:
888888808800088888000808888088088
PID: 3655530 04-09-2023 02:46 pm
Sant Tukaram Nagar, Pimpri Colony, Pune, Zone
PRN: PRN-1-01399483 IPOP:IPD-1-23-059810 Report Date:
Age:19.07 Years Sex:FEMALE 04-09-2023 08:03 PM

Test Description Observed Value Biological Reference Interval


Auto Immunity :

Coagulation

Prothrombin TimeCitrated Plasma-Patient value 10.60 10.66 - 14.53 secs


Prothrombin time - Control value 12.24 secs
INR Value 0.87 0.85 - 1.15 (ISI : 1.00)

TEST DONE ON : AUTOMATED BLOOD COAGULATION ANALYZER,


ACLTOP CTS 300 , Instrumentation Laboratory. PHOTO OPTICAL CLOT DETECTION METHOD.

Kindly correlate clinically.

aPTT, Citrated Plasma - Patient value 24.80 25.24 - 30.76 Secs


aPTT- Control value 28.00 Secs

TEST DONE ON : SEMI AUTOMATED BLOOD COAGULATION ANALYZER


ACLTOP CTS 300 Instrumentation Laboratory PHOTO OPTICAL CLOT DETECTION METHOD.

Page 17 of 22
F8BBB8F04AE71B7D69FF303D10F8BBB8F RUBA QURESHI Ref.:Dr.RAHUL P KENDRE
E2AAA2E0AC7CE1A5A1FC2D3560E2AAA2E
D7D385A41FEB6DB068B85F38F446902F7 Sample Collected At: SID: 323123032
1FD4D6A8B74BC4F6D3DDEB892ADA1A436
E43A0AADA685C0C85F00FF099CF510276 PRIVATE WARD Collection Date:
2D2387A5D96913ABB77D1D41F3EF0E2FF Dr. D. Y. Patil Medical College,
B22A2AB0C5A87499BB188B22F8A8F4A0F 04-09-2023 02:46 PM
F0EEE0F0AFAF6DC9A7700B44AA98FC696 Hospital & Research Centre, Registration Date:
888888808800088888000808888088088
PID: 3655530 04-09-2023 02:46 pm
Sant Tukaram Nagar, Pimpri Colony, Pune, Zone
PRN: PRN-1-01399483 IPOP:IPD-1-23-059810 Report Date:
Age:19.07 Years Sex:FEMALE 04-09-2023 08:03 PM
Test Description Observed Value Biological Reference Interval
VDRL (RPR), serum by Flocculation method Non-reactive Non-reactive

Interpretation :
1. The RPR (Rapid Plasma Reagin) test is a macroscopic non treponemal flocculation test for the detection
and quantitation of anti-lipoidal antibodies.
2. This is a screening test. The sensitivity of tests varies based on the disease stage. It is used for monitoring
treatment response of syphilis.
3. Reactive of 1:8 titre is considered as significant titre. However it does not differentiate from false positive
reaction definitely.
4. False negative tests may be associated with very high titres of antibody (prozone phenomenon).
5. False positive results may occur with acute illnesses such as hepatitis other viral infections, malaria,
pregnancy or chronically with the connective tissue diseases.
6. Follow up titres are used to determine the efficacy of treatment with a 4-fold decrease in titre is
considered as an adequate response. Treponema specific serology tests should be considered in such
cases.

Comparison of VDRL, TPHA tests.


Test Use Limitations
VDRL (RPR) Screening test. Follow up titres for Biological false positives possible.
monitoring response to treatment Repeat testing should be done with a
specific test like TPHA low titres
such as 1:1, 1:2 and 1:4
TPHA More specific than VDRL (RPR) Less sensitive in early syphilis.

VDRL (RPR) : Rising titres are found in active disease and levels subside after successful treatment.

Page 18 of 22
F8BBB8F04AE71B7D69FF303D10F8BBB8F RUBA QURESHI Ref.:Dr.RAHUL P KENDRE
E2AAA2E0AC7CE1A5A1FC2D3560E2AAA2E
D7D385A41FEB6DB068B85F38F446902F7 Sample Collected At: SID: 323123032
1FD4D6A8B74BC4F6D3DDEB892ADA1A436
E43A0AADA685C0C85F00FF099CF510276 PRIVATE WARD Collection Date:
2D2387A5D96913ABB77D1D41F3EF0E2FF Dr. D. Y. Patil Medical College,
B22A2AB0C5A87499BB188B22F8A8F4A0F 04-09-2023 02:46 PM
F0EEE0F0AFAF6DC9A7700B44AA98FC696 Hospital & Research Centre, Registration Date:
888888808800088888000808888088088
PID: 3655530 04-09-2023 02:46 pm
Sant Tukaram Nagar, Pimpri Colony, Pune, Zone
PRN: PRN-1-01399483 IPOP:IPD-1-23-059810 Report Date:
Age:19.07 Years Sex:FEMALE 04-09-2023 08:03 PM
Test Description Observed Value Biological Reference Interval
TEST NAME

Vitamin B12, serum by CMIA 948.0 187 - 883 pg/mL

? On Vitamin B12 supplement

Interpretation :
1. Vitamin B12 (cobalamin) is necessary for hematopoiesis and normal neuronal function.

2. Vitamin B12 is decreased in

Decreased Serum B12


Pregnancy
Contraceptive hormones
Malabsorption
Ethanol ingestion
Smoking
Strict vegan diet
Pernicious anemia

3. Serum methylmalonic acid and homocysteine levels are also elevated in vitamin B12 deficiency states.
Active B12 ( Holotranscobalamin) is low in Vitamin B12 deficiency.

4. Please correlate in case of patients taking vitamin B12 supplementation.

Page 19 of 22
F8BBB8F04AE71B7D69FF303D10F8BBB8F RUBA QURESHI Ref.:Dr.RAHUL P KENDRE
E2AAA2E0AC7CE1A5A1FC2D3560E2AAA2E
D7D385A41FEB6DB068B85F38F446902F7 Sample Collected At: SID: 323123032
1FD4D6A8B74BC4F6D3DDEB892ADA1A436
E43A0AADA685C0C85F00FF099CF510276 PRIVATE WARD Collection Date:
2D2387A5D96913ABB77D1D41F3EF0E2FF Dr. D. Y. Patil Medical College,
B22A2AB0C5A87499BB188B22F8A8F4A0F 04-09-2023 02:46 PM
F0EEE0F0AFAF6DC9A7700B44AA98FC696 Hospital & Research Centre, Registration Date:
888888808800088888000808888088088
PID: 3655530 04-09-2023 02:46 pm
Sant Tukaram Nagar, Pimpri Colony, Pune, Zone
PRN: PRN-1-01399483 IPOP:IPD-1-23-059810 Report Date:
Age:19.07 Years Sex:FEMALE 04-09-2023 08:03 PM
Test Description Observed Value Biological Reference Interval
TEST NAME
25 - OH Vitamin D, serum by CMIA 14.10 Severe deficiency : < 10 ng/mL
Mild to moderate deficiency : 10 to 19
ng/mL
Optimum levels : 20 to 50 ng/mL
Increased risk of hypercalciuria: 51 to 80
ng/mL
Toxicity possible : > 80 ng/mL
Ref. : Mayo Medical Laboratories
These reference ranges represent
clinical decision values, based on
the 2011 Institute of Medicine report

Suggested clinical correlation , Vitamin D supplements and , follow up.


Interpretation :
Vitamin D is vital for strong bones. It also has important, emerging roles in immune function and cancer
prevention.

Vitamin D compounds in the body are exogenously derived by dietary means; from plants as
25-hydroxyvitamin D2 (ergocalciferol or calciferol) or from animal products as 25-hydroxyvitamin D3
(cholecalciferol or calcidiol).

Vitamin D may also be endogenously derived by conversion of 7-dihydrocholesterol to


25-hydroxyvitamin D3 in the skin upon ultraviolet exposure.

The total 25-hydroxyvitamin D (25-OH-VitD) level (the sum of 25-OH-vitamin D2 and 25-OH-vitamin D3)
is the appropriate indicator of vitamin D body stores.

Patients with renal failure can have very high 25-OH-VitD levels without any signs of toxicity, as renal
conversion to the active hormone 1,25-OH-VitD is impaired or absent.

Kindly corelate clinically, with supplementation history & repeat with fresh sample if necessary.

Page 20 of 22
F8BBB8F04AE71B7D69FF303D10F8BBB8F RUBA QURESHI Ref.:Dr.RAHUL P KENDRE
E2AAA2E0AC7CE1A5A1FC2D3560E2AAA2E
D7D385A41FEB6DB068B85F38F446902F7 Sample Collected At: SID: 323123032
1FD4D6A8B74BC4F6D3DDEB892ADA1A436
E43A0AADA685C0C85F00FF099CF510276 PRIVATE WARD Collection Date:
2D2387A5D96913ABB77D1D41F3EF0E2FF Dr. D. Y. Patil Medical College,
B22A2AB0C5A87499BB188B22F8A8F4A0F 04-09-2023 02:46 PM
F0EEE0F0AFAF6DC9A7700B44AA98FC696 Hospital & Research Centre, Registration Date:
888888808800088888000808888088088
PID: 3655530 04-09-2023 02:46 pm
Sant Tukaram Nagar, Pimpri Colony, Pune, Zone
PRN: PRN-1-01399483 IPOP:IPD-1-23-059810 Report Date:
Age:19.07 Years Sex:FEMALE 04-09-2023 08:03 PM
Urine Routine Examination Result Biological Reference Interval
(Sample : Urine, Automated / Semiautomated)
Physical
Quantity Examined 5 ml
Method : Visual
Appearance Clear -
Method : Visual / Automated
Colour Pale Yellow -
Method : Visual / Automated
Deposit Absent Absent
Method : Visual
Specific Gravity 1.003 1.003 to 1.035
Method : Bromothymol blue indicator
Chemical (Dipstick)
pH 6.5 4.6 - 8.0
Method : Indicator Principle
Protein Absent Absent
Method : Error of pH indicator/SSA
Glucose Absent Absent
Method : GOD-POD / Benedict's
Acetone Absent Absent
Method : Sodium Nitroprusside reaction
Bile Pigments Absent Absent
Method : Diazo Reaction / Fouchet's test
Urobilinogen Not significant Not Significant
Method : Azo coupling / Modified Ehrlich
Microscopy
R.B.Cs Absent 0 - 2 per hpf
Pus cells 1-2 0 - 5 per hpf
Epithelial cells 1-2 0 - 5 per hpf
Casts Not detected -
Crystals Not detected -

- ***/

Page 21 of 22
F8BBB8F04AE71B7D69FF303D10F8BBB8F RUBA QURESHI Ref.:Dr.RAHUL P KENDRE
E2AAA2E0AC7CE1A5A1FC2D3560E2AAA2E
D7D385A41FEB6DB068B85F38F446902F7 Sample Collected At: SID: 323123032
1FD4D6A8B74BC4F6D3DDEB892ADA1A436
E43A0AADA685C0C85F00FF099CF510276 PRIVATE WARD Collection Date:
2D2387A5D96913ABB77D1D41F3EF0E2FF Dr. D. Y. Patil Medical College,
B22A2AB0C5A87499BB188B22F8A8F4A0F 04-09-2023 02:46 PM
F0EEE0F0AFAF6DC9A7700B44AA98FC696 Hospital & Research Centre, Registration Date:
888888808800088888000808888088088
PID: 3655530 04-09-2023 02:46 pm
Sant Tukaram Nagar, Pimpri Colony, Pune, Zone
PRN: PRN-1-01399483 IPOP:IPD-1-23-059810 Report Date:
Age:19.07 Years Sex:FEMALE 04-09-2023 08:03 PM

Interpretation of urine chemistry result


Positive urine chemistry results are re-confirmed by manual method. The results are
qualitative / semi-quantitative. The semi-quantitative results give an approximate value to quantify
the amount of analyte present in urine. Kindly correlate the results with clinical signs and
symptoms of patient. Approximate reference values for interpretation of these results
are as follows:

Parameter Trace 1+ 2+ 3+ 4+ Unit


Protein 15 30 100 300 1000 mg/dL

Glucose 50 100 250 500 2000 mg/dL

Ketone 10 30 80 - - mg/dL

Reference:
1 Sysmex UC3500 Meditape UC-9A kit insert.
2 Fundamentals of Urine and Body Fluid Analysis, 5th Edition. Nancy Brunzel

Page 22 of 22

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