.

Name : Mr. DIVANSH GOYAL

Lab No. : 179017037 Age : 14 Years
Ref By : SELF Gender : Male
Collected : 29/4/2024 8:25:00AM Reported : 2/5/2024 10:16:11AM
A/c Status : P Report Status : Final
Collected at : PUBLIC COMPUTERISED LABORATORY. Processed at : Dr. Lal PathLabs Ltd.
Circular Road,Sirsa – 125055,Haryana

Test Report

Test Name Results Units Bio. Ref. Interval

VITAMIN B12; CYANOCOBALAMIN, SERUM 364.40 pg/mL 214.00 - 864.00

(ECLIA)
Notes
1. Interpretation of the result should be considered in relation to clinical circumstances.
2. It is recommended to consider supplementary testing with plasma Methylmalonic acid (MMA) or
plasma homocysteine levels to determine biochemical cobalamin deficiency in presence of clinical
suspicion of deficiency but indeterminate levels. Homocysteine levels are more sensitive but MMA is
more specific

3. False increase in Vitamin B12 levels may be observed in patients with intrinsic factor blocking
antibodies, MMA measurement should be considered in such patients

4. The concentration of Vitamin B12 obtained with different assay methods cannot be used
interchangeably due to differences in assay methods and reagent specificity

Dr Reema Mehta
DCP, Pathology
Chief of Laboratory
Dr Lal PathLabs Ltd

*179017037* Page 1 of 4
.

Name : Mr. DIVANSH GOYAL

Lab No. : 179017037 Age : 14 Years
Ref By : SELF Gender : Male
Collected : 29/4/2024 8:25:00AM Reported : 2/5/2024 10:16:11AM
A/c Status : P Report Status : Final
Collected at : L43 - PUBLIC COMPUTERISED LABORATORY. Processed at : LPL - LPL-NATIONAL REFERENCE LAB
National Reference laboratory, Block E, Sector
18, Rohini, New Delhi -110085

Test Report

Test Name Results Units Bio. Ref. Interval

VITAMIN D, ULTRASENSITIVE
(LC-MS/MS)

25-Hydroxy Vitamin D Total 12.00 nmol/L 75.00 - 250.00

25-Hydroxy Vitamin D2 1.00 nmol/L

25-Hydroxy Vitamin D3 11.00 nmol/L

Interpretation
-------------------------------------------------------------
| RESULT IN nmol/L | REMARKS |
|-------------------------|-----------------------------------|
| <50 | Severe Deficiency |
|-------------------------|-----------------------------------|
| 50-74 | Mild to Moderate Deficiency |
|-------------------------|-----------------------------------|
| 75-250 | Optimum level |
|-------------------------|-----------------------------------|
| >250 | Toxic level |
-------------------------------------------------------------

Note
1. Reference ranges represent clinical decision values and are established only for 25-Hydroxy Vitamin D,
Total.
2. Conventional Immunoassays may have sample-specific interferences that can lead to variable
performance. These interferences include other vitamin D metabolites (e.g. 24,25-dihydroxyvitamin D3,
3-epi 25 hydroxy vitamin D3) and certain lipid.
3. Physiologically inactive epimers of Vitamin D2 & D3 are separated chromatographically with Vitamin D
metabolites as they may result in overestimation of Total Active Vitamin D levels. This can create
therapeutic errors since patients who are deficient or insufficient may appear sufficient and toxicity may
be reported in patients with high normal levels.

Comments

Vitamin D Total levels are composed of two components namely 25-Hydroxy Vitamin D2 and 25-Hydroxy
Vitamin D3 both of which are converted into active forms. Vitamin D2 level corresponds with the exogenous
dietary intake of Vitamin D rich foods as well as supplements. Vitamin D3 level corresponds with endogenous
production as well as exogenous diet and supplements. This test is the preferred test for assessing vitamin D
status and most accurately reflects the body's vitamin D stores.

Decreased Levels
Page 2 of 4

*179017037*
.

Name : Mr. DIVANSH GOYAL

Lab No. : 179017037 Age : 14 Years
Ref By : SELF Gender : Male
Collected : 29/4/2024 8:25:00AM Reported : 2/5/2024 10:16:11AM
A/c Status : P Report Status : Final
Collected at : L43 - PUBLIC COMPUTERISED LABORATORY. Processed at : LPL - LPL-NATIONAL REFERENCE LAB
National Reference laboratory, Block E, Sector
18, Rohini, New Delhi -110085

Test Report

Test Name Results Units Bio. Ref. Interval

· Inadequate exposure to sunlight
· Dietary deficiency
· Vitamin D malabsorption
· Severe Hepatocellular disease
· Drugs like Anticonvulsants
· Nephrotic syndrome

Increased levels
Vitamin D intoxication

Page 3 of 4

*179017037*
.

Name : Mr. DIVANSH GOYAL

Lab No. : 179017037 Age : 14 Years
Ref By : SELF Gender : Male
Collected : 29/4/2024 8:25:00AM Reported : 2/5/2024 10:16:11AM
A/c Status : P Report Status : Final
Collected at : PUBLIC COMPUTERISED LABORATORY. Processed at : LPL-NATIONAL REFERENCE LAB
National Reference laboratory, Block E,
Sector 18, Rohini, New Delhi -110085

Test Report

Test Name Results Units Bio. Ref. Interval

CALCIUM, IONIZED, SERUM 1.14 mmol/L 1.16 - 1.32

(ISE)

Dr Himangshu Mazumdar Dr Nimmi Kansal

MD, Biochemistry MD, Biochemistry
Sr. Consultant Biochemist Technical Director - Clinical
NRL - Dr Lal PathLabs Ltd Chemistry & Biochemical Genetics
NRL - Dr Lal PathLabs Ltd

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

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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 .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.ŸThis is computer generated medical diagnostic report that has been validated by Authorized Medical Practitioner /Doctor.ŸThe report does
not need physical signature.
(#) Sample drawn from outside source.
If Test results are alarming or unexpected, client is advised to contact the Customer Care immediately for possible remedial action.
Tel: +91-11-49885050,Fax: - +91-11-2788-2134, E-mail: lalpathlabs@lalpathlabs.com
National Reference lab, Delhi, a CAP (7171001) Accredited, ISO 9001:2015 (FS60411) & ISO 27001:2013 (616691) Certified laboratory.

PatientReportSCSuperPanel.SP_GENERAL_TEMPLATE01_SC (Version: 7)

*179017037*
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