Ajay Bhandari 4-8-2022

Patient Name : MR AJAY BHANDARI Bill Date : Apr 07, 2022, 06:16 p.m.
DOB/Age/Gender : 47 (Male) Sample Collected : Apr 07, 2022, 09:30 a.m.

Patient ID : 10717 Sample Received : Apr 07, 2022, 06:16 p.m.
Referred By : SELF Report Date : Apr 07, 2022, 08:08 p.m.
Sample Type : Edta Wb Barcode No : 2768609722
Client : -
Test Description Value(s) Unit(s) Reference Range
SWASTH BHARAT FULL BODY CHECKUP WITH VITAMIN SCREENING

Haemogram (CBC+ESR)
Hemoglobin 13.2 g/dL 13.0 - 17.0
Method : Spectrophotometry
RBC Count 4.75 Mill/mm3 4.5 - 5.5
Method : Electrical Impedance
PCV 40.7 % 40.0 - 50.0
Method : Calculated
MCV 79.9 fL 80.0 - 100.0
Method : Calculated
MCH 25.9 pg 27.0 - 32.0
Method : Calculated
MCHC 32.4 g/dL 32.0 - 35.0
Method : Calculated
RDW (CV) 16.8 % 11.5 - 14.5
Method : Calculated
RDW-SD 36.7 fL 35.1 - 43.9
TLC 7.7 10*3/uL 4.0 - 10.0
Method : Electrical impedance & microscopy
DIFFERENTIAL LEUCOCYTE COUNT

Neutrophils 66.0 % 40.0 - 80.0
Lymphocytes 24.9 % 20.0 - 40.0
Monocytes 7.6 % 2.0 - 10.0
Eosinophils 1.4 % 1.0 - 6.0
Basophils 0.10 % < 2.0
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Client : -
ABSOLUTE LEUCOCYTE COUNT

Neutrophils* 5.08 103/uL 2.0 - 7.0
3
Lymphocytes* 1.92 10 /uL 1.0 - 3.0
Monocytes* 0.59 103/uL 0.20 - 1.0
3
Eosinophils* 0.11 10 /uL 0.02 - 0.50
3
Basophils* 0.01 10 /uL 0.01 - 0.10
Platelet Count 153 10*3/uL 150.0 - 450.0
Method : Electrical impedance and microscopy
Mean Platelet Volume (MPV) 13.5 fL 9.3 - 12.1
Method : Electric Impedence
PCT 0.16 % 0.17 - 0.32
Method : Electric Impedence
PDW 29.3 fL 8.3 - 25.0
Mentzer Index 16.82 % -
ESR - Erythrocyte Sedimentation Rate 18 mm/hr ? 15
Method : Modified Westergren
Interpretation
CBC provides information about red cells, white cells and platelets. Results are useful in the diagnosis of anemia, infections,
leukemias, clotting disorders and many other medical conditions.
**END OF REPORT**
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Client : -

HbA1C (Glycosylated Hemoglobin)
GLYCOSYLATED HEMOGLOBIN (HbA1c) 5.6 % < 6.5
Method : HPLC
ESTIMATED AVERAGE GLUCOSE 114.02 mg/dL -
Interpretation For HbA1c% As per American Diabetes Association (ADA)
Reference Group HbA1c in %
Non diabetic adults >=18 years <5.7
At risk (Prediabetes) 5.7 - 6.4
Diagnosing Diabetes >= 6.5
Age > 19 years
Goal of therapy: < 7.0

Therapeutic goals for glycemic control
Age < 19 years
Goal of therapy: <7.5
Note:
1. Since HbA1c reflects long term fluctuations in the blood glucose concentration, a diabetic patient who is recently under good control may still have a high concentration of HbA1c. Converse is true
for a diabetic previously under good control but now poorly controlled. 2. Target goals of < 7.0 % may be beneficial in patients with short duration of diabetes, long life expectancy and no significant
cardiovascular disease. In patients with significant complications of diabetes, limited life expectancy or extensive co-morbid conditions, targeting a goal of < 7.0 % may not be appropriate.
Comments :
HbA1c provides an index of average blood glucose levels over the past 8 - 12 weeks and is a much better indicator of long term glycemic control as compared to blood and urinary glucose
determinations ADA criteria for correlation between HbA1c & Mean plasma glucose levels
HbA1c(%) Mean Plasma Glucose (mg/dL) HbA1c(%) Mean Plasma Glucose (mg/dL)
6 126 12 298
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Client : -
8 183 14 355
10 240 16 413
**END OF REPORT**
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Sample Type : Fluoride F Barcode No : 2768709722
Client : -

Glucose-Fasting
GLUCOSE FASTING 77 mg/dL Normal: 70-99
Method : Hexokinase Impaired Tolerance: 100-125
Diabetes mellitus: >= 126
(on more than one occassion)
(American diabetes association
guidelines 2018)
Comment :
**END OF REPORT**
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Sample Type : Serum Barcode No : 2768809722
Client : -

Liver Function Test
BILIRUBIN TOTAL 1.3 mg/dL 0.2 - 1.2
Method : Diazo with Sulphanilic acid
BILIRUBIN DIRECT 0.4 mg/dL 0.0 - 0.5
Method : Diazonium
BILIRUBIN INDIRECT 0.90 mg/dL 0.1 - 1.0
Method : Calculation (T Bil - D Bil)
SGOT/AST 28 U/L 5 - 35
Method : IFCC without P5P
SGPT/ALT 38 U/L 5 - 45
Method : IFCC without P5P
SGOT/SGPT Ratio 0.74 -
ALKALINE PHOSPHATASE 94 U/L 30 - 120
Method : PNPP-AMP Buffer/Kinetic
TOTAL PROTEIN 8.0 g/dL 6.0 – 8.2
Method : Biuret
ALBUMIN 4.0 g/dL 3.8 – 5.0
Method : BCG
GLOBULIN 4.0 g/dL 2.3 - 3.5
Method : Calculation (T.P - Albumin)
ALBUMIN : GLOBULIN RATIO 1.0 1.0 - 2.1
Method : Calculation (Albumin/Globulin)
GAMMA GLUTAMYL TRANSFERASE (GGT) 39 U/L 5 - 40
Method : ENZYMATIC
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Client : -
Interpretation
The liver filters and processes blood as it circulates through the body. It metabolizes nutrients, detoxifies harmful substances, makes blood clotting proteins, and performs
many other vital functions. The cells in the liver contain proteins called enzymes that drive these chemical reactions. When liver cells are damaged or destroyed, the enzymes
in the cells leak out into the blood, where they can be measured by blood tests Liver tests check the blood for two main liver enzymes. Aspartate aminotransferase
(AST),SGOT: The AST enzyme is also found in muscles and many other tissues besides the liver. Alanine aminotransferase (ALT), SGPT: ALT is almost exclusively found in
the liver. If ALT and AST are found together in elevated amounts in the blood, liver damage is most likely present. Alkaline Phosphatase and GGT: Another of the liver's key
functions is the production of bile, which helps digest fat. Bile flows through the liver in a system of small tubes (ducts), and is eventually stored in the gallbladder, under the
liver. When bile flow is slow or blocked, blood levels of certain liver enzymes rise: Alkaline phosphatase Gamma-utamyl transpeptidase (GGT) Liver tests may check for any or
all of these enzymes in the blood. Alkaline phosphatase is by far the most commonly tested of the three. If alkaline phosphatase and GGT are elevated, a problem with bile
flow is most likely present. Bile flow problems can be due to a problem in the liver, the gallbladder, or the tubes connecting them. Proteins are important building blocks of all
cells and tissues. Proteins are necessary for your body's growth, development, and health. Blood contains two classes of protein, albumin and globulin. Albumin proteins keep
fluid from leaking out of blood vessels. Globulin proteins play an important role in your immune system. Low total protein may indicate: 1.bleeding 2.liver disorder 3.malnutrition
4.agammaglobulinemia High Protein levels 'Hyperproteinemia: May be seen in dehydration due to inadequate water intake or to excessive water loss (eg, severe vomiting,
diarrhea, Addison's disease and diabetic acidosis) or as a result of increased production of proteins Low albumin levels may be caused by: 1.A poor diet (malnutrition).
2.Kidney disease. 3.Liver disease. High albumin levels may be caused by: Severe dehydration.
**END OF REPORT**
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Client : -

Kidney Function Test
Kidney Function Test

BLOOD UREA 17.12 mg/dL 15.4 - 48.0
Method : Urea GLDH
CREATININE 0.87 mg/dL 0.6 - 1.2
Method : Enzymatic-Creatinine Amidohydrolase
URIC ACID 7.2 mg/dL 4.0 – 8.5
Method : Uricase/peroxidase (colorimetric)
BUN 8
Method : Calculated
BUN/CREATININE RATIO 9.20
Method : Calculated
CALCIUM 9.2 mg/dL 8.9 - 10.7
Method : O-Cresolphthalein Complex
PHOSPHORUS 4.3 mg/dL 2.3 - 4.7
Method : Colorimetric - Phosphomolybdate
Formation
SODIUM 144 mmol/L 135.0 - 145.0
Method : ISE
POTASSIUM 4.2 mmol/L 3.7 - 5.6
Method : ISE
CHLORIDE 104 mmol/L 95 - 107
Method : ISE
Interpretation
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Client : -
SUMMARY:-Kidney function tests is a collective term for a variety of individual tests and proceduresthat can be done toevaluate how well the kidneys are functioning.Many conditions can affect the
ability of the kidneys to carryout their vital functions. Somelead to a rapid (acute) decline in kidney functionothers lead to a gradual (chronic) declineinfunction. Both result in a buildup of toxic waste
subst done on urine samples, as well as on blood samples.A number of symptoms may indicate a problem with your kidneys. These include : high blood pressure,blood in urine frequent urges to
urinate,difficulty beginning urination,painful urination,swelling in the hands and feet due to a buildup of fluids in the body. A single symptom may not mean something serious. However, when
occurring simultaneously, these symptoms suggest that your kidneys are not working properly. Kidney function tests can help determine the reason. Electrolytes (sodium,potassium,and chloride)
are present in the human body and the balancing act of the electrolytes in our bodies is essential for normal function of our cells and organs. There has to be a balance.Ionized calcium this test if
you have signs of kidney or parathyroid disease. The test may also be done to monitor progress and treatment of these diseases.
**END OF REPORT**
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Client : -

Lipid Screen
TOTAL CHOLESTEROL 164 mg/dL Desirable : <200
Method : Enzymatic - Cholesterol Oxidase Borderline : 200-239
High : >240
TRIGLYCERIDES 200 mg/dL Normal : <150
Method : Colorimetric - Lip/Glycerol Kinase Borderline : 150-199
High : 200-499
Very high : >500
HDL CHOLESTEROL 34 mg/dL 35 - 60
Method : Phosphotungstic acid- Enzymatic
NON HDL CHOLESTEROL 130 mg/dL <130
Method : Calculated
LDL CHOLESTEROL 90 mg/dL Desirable : <100
Near optimal : 100-129
Borderline : 130-159
High : >160
V.L.D.L CHOLESTEROL 40 mg/dL < 30
Method : Calculation
CHOL/HDL Ratio 4.82 3.5 - 5.0
Method : Calculated
HDL/ LDL RATIO 0.38 Desirable : 0.5 - 3.0
Method : Calculated Borderline : 3.1 - 6.0
High : > 6.0
LDL/HDL Ratio 2.65 -
Method : Calculated
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Client : -
Interpretation
Lipid level assessments must be made folloeing 9 to 12 hours of fasting,otherwise assay results might lead to erroneos interpretatio
NCEP recmmends of 3 different samples drawn at intervals of 1 week for harmonizing biological variables that might be
encountered in single assays.
NATIONAL LIPID
ASSOCIATION TOTAL CHOLESTEROL in LDL CHOLESTEROL in NON HDL CHOLESTEROL
TRIGLYCERIDE in mg/dL
RECOMMENDATIONS mg/dL mg/dL in mg/dL
(NLA-2014)
Optimal <200 <150 <100 <130
Above Optimal 100-129 130 - 159
Borderline High 200-239 150-199 130-159 160 - 189
High >=240 200-499 160-189 190 - 219
Very High - >=500 >=190 >=220
**END OF REPORT**
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Client : -

Iron Studies (Iron, TIBC, UIBC, % Saturation)
IRON 48 µg/dL 33 - 193
Method : Pyridyl azo dye
TIBC 292 µg/dL 250 - 450
Method : Method :Spectrophotometric Assay
UIBC 244 µg/dL 125 - 345
TRANSFERRIN SATURATION 16.44 % 14 - 50
Method : Method :Derived from IRON and TIBC
values
Interpretation
Increased levels due to iron ingestion or ineffective erythropoiesis.Decreased levels due to infection, inflammation, malignancy,
menstruation and Fe deficiency.Needs to be taken into consideration with TIBC. Transferrin Saturation:- Low level Transferrin
Saturation can indicate iron deficiency, erythropoiesis, infection, or inflammation. High level Transferrin Saturation can indicate
recent ingestion of dietary iron,ineffective erythropoiesis,haemochromatosis or liver disease.High TIBC, UIBC, or transferrin usually
indicates iron deficiency, but they are also increased in pregnancy and with the use of oral contraceptives. Low TIBC, UIBC, or
transferrin may occur if someone has:Hemochromatosis, Certain types of anemia due to accumulated iron,Malnutrition,kidney
disease that causes a loss of protein in urine.
**END OF REPORT**
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Client : -

Vitamin D 25 - Hydroxy
25-Hydroxy Vitamin D Total 18.1 ng/mL Deficiency : < 10 ng/mL
Method : ECLIA Insufficient : 10-30 ng/mL
Sufficient : 30-100 ng/mL
Hypervitaminosis : > 100 ng/mL
Interpretation:
25-Hydroxy vitamin D represents the main body reservoir and transport form. Mild to moderate deficiency is associated with
Osteoporosis / Secondary Hyperparathyroidism while severe deficiency causes Rickets in children and Osteomalacia in adults.
Prevalence of Vitamin D deficiency is approximately >50% specially in the elderly. This assay is useful for diagnosis of vitamin D
deficiency and Hypervitaminosis D. It is also used for differential diagnosis of causes of Rickets & Osteomalacia and for monitoring
Vitamin D replacement therapy.
"Patients on Biotin supplement may have interference in some immunoassays. Ref: Arch Pathol Lab Med—Vol 141, November
2017. With individuals taking high dose Biotin (more than 5 mg per day) supplements, at least 8-hour wait time before blood draw is
recommended."
**END OF REPORT**
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Client : -

Vitamin B12
Vitamin - B12 357 pg/mL 187 - 883
Method : ECLIA
Interpretation :
Low Values are a sign of a vitamin B12 deficiency. People with this deficiency are likely to have or develop symptoms.
Causes of vitamin B12 deficiency include:Not enough vitamin B12 in diet (rare except with a strict vegetarian diet), Diseases that
cause malabsorption (for example, celiac disease and Crohn's disease), Lack of intrinsic factor, Above normal heat production (for
example, with hyperthyroidism), Pregnancy. Increased vitamin B12 levels are uncommon. Usually excess vitamin B12 is removed
in the urine. Conditions that can increase B12 levels include: Liver disease (such as cirrhosis or hepatitis), Myeloproliferative
disorders (for example, polycythemia vera and chronic myelocytic leukemia).
Vitamin B12: Low Levels can cause malabsorption, Lack of intrinsic factor, Above normal heat production (for example, with
hyperthyroidism), Pregnancy.High Level Liver disease, Myeloproliferative disorders (for example, polycythemia vera and chronic
myelocytic leukemia).
1. Out of 140 healthy indian population, 91% of Vitamin B 12 concentrations was at lower level: 59.00 pg/ml and upper level:
700.00 pg/ml
"Patients on Biotin supplement may have interference in some immunoassays. Ref: Arch Pathol Lab Med—Vol 141, November
2017. With individuals taking high dose Biotin (more than 5 mg per day) supplements, at least 8-hour wait time before blood draw is
recommended."
**END OF REPORT**
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Sample Type : Urine Barcode No : 2768909722
Client : -

Urine Routine & Microscopic Examination
Physical Examination
Volume 15 ml
Colour* Pale Yellow Pale Yellow
Transparency (Appearance)* Clear Clear
Deposit* Absent Absent
Reaction (pH)* 6.5 4.5 - 8
Specific Gravity* 1.005 1.010 - 1.030
Chemical Examination (Automated Dipstick Method)

Urine Glucose (sugar)* Negative Negative
Urine Protein (Albumin)* Negative Negative
Urine Ketones (Acetone)* Negative Negative
Blood* Negative Negative
Leucocyte esterase Negative Negative
Nitrite* Negative Negative
Urobilinogen* Normal Normal
Microscopic Examination
Pus Cells (WBCs)* 5-7 /hpf 0-5
Epithelial Cells* 0-1 /hpf 0-4
Red blood Cells* Absent /hpf Absent
Crystals* Absent Absent
Cast* Absent Absent
Yeast Cells* Absent Absent
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Sample Type : Urine Barcode No : 2768909722
Client : -
Amorphous deposits* Absent Absent

Bacteria* Absent Absent
**END OF REPORT**
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Client : -

Thyroid Profile Total
TRIIODOTHYRONINE ( T3 ) 89.30 ng/dL 70 - 204
Method : ECLIA
TOTAL THYROXINE ( T4 ) 7.73 µg/dL 5.0 - 12.5
Method : ECLIA
TSH 1.1311 mlU/L 0.54 - 5.3
Method : ECLIA
Interpretation :
Primary malfunction of the thyroid gland may result in excessive (hyper) or below normal (hypo) release of T3 or T4. In addition as TSH directly affects thyroid function, malfunction of the pituitary or
the hypo - thalamus influences the thyroid gland activity. Disease in any portion of the thyroid-pitutary-hypothala- mus system may influence the levels of T3 and T4 in the blood. In primary
hypothyroidism, TSH levels are significantly elevated, while in secondary and tertiary hypothyroidism, TSH levels may be low. In addition, in the Euthyroid Sick Syndrome, multiple alterations in
serum thyroid function test findings have been recognized in patients with a wide variety of non-thyroidal illnesses (NTI) without evidence of preexisting thyroid or hypothalami c-pitutary diseases.
Thyroid Binding Globulin (TBG) concentrations remain relatively constant in healthy individuals. However, pregnancy, excess estrogen's, androgen's, antibiotic steroids and glucocorticoids are
known to alter TBG levels and may cause false thyroid values for Total T3 and T4 tests.
TSH T4 T3 INTERPRETATION
High Normal Normal Mild (subclinical) hypothyroidism
High Low Low or normal Hypothyroidism
Low Normal Normal Mild (subclinical) hyperthyroidism
Low High or normal High or normal Hyperthyroidism
Nonthyroidal illness; pituitary (secondary)

Low Low or normal Low or normal
hypothyroidism
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Client : -
Thyroid hormone resistance syndrome (a
Normal High High mutation in the thyroid hormone receptor
decreases thyroid hormone function)
**END OF REPORT**
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Ajay Bhandari 4-8-2022

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Patient Name : MR AJAY BHANDARI Bill Date : Apr 07, 2022, 06:16 p.m.

DOB/Age/Gender : 47 (Male) Sample Collected : Apr 07, 2022, 09:30 a.m.

Test Description Value(s) Unit(s) Reference Range

SWASTH BHARAT FULL BODY CHECKUP WITH VITAMIN SCREENING

DIFFERENTIAL LEUCOCYTE COUNT

Test Description Value(s) Unit(s) Reference Range

ABSOLUTE LEUCOCYTE COUNT

Test Description Value(s) Unit(s) Reference Range

SWASTH BHARAT FULL BODY CHECKUP WITH VITAMIN SCREENING

Interpretation For HbA1c% As per American Diabetes Association (ADA)

Reference Group HbA1c in %

Non diabetic adults >=18 years <5.7

At risk (Prediabetes) 5.7 - 6.4

Diagnosing Diabetes >= 6.5

Age > 19 years

Goal of therapy: < 7.0

Goal of therapy: <7.5

Test Description Value(s) Unit(s) Reference Range

Test Description Value(s) Unit(s) Reference Range

SWASTH BHARAT FULL BODY CHECKUP WITH VITAMIN SCREENING

Test Description Value(s) Unit(s) Reference Range

SWASTH BHARAT FULL BODY CHECKUP WITH VITAMIN SCREENING

Test Description Value(s) Unit(s) Reference Range

Test Description Value(s) Unit(s) Reference Range

SWASTH BHARAT FULL BODY CHECKUP WITH VITAMIN SCREENING

Kidney Function Test

Test Description Value(s) Unit(s) Reference Range

Test Description Value(s) Unit(s) Reference Range

SWASTH BHARAT FULL BODY CHECKUP WITH VITAMIN SCREENING

Test Description Value(s) Unit(s) Reference Range

Optimal <200 <150 <100 <130

Above Optimal 100-129 130 - 159

Borderline High 200-239 150-199 130-159 160 - 189

High >=240 200-499 160-189 190 - 219

Very High - >=500 >=190 >=220

Test Description Value(s) Unit(s) Reference Range

SWASTH BHARAT FULL BODY CHECKUP WITH VITAMIN SCREENING

Test Description Value(s) Unit(s) Reference Range

SWASTH BHARAT FULL BODY CHECKUP WITH VITAMIN SCREENING

Test Description Value(s) Unit(s) Reference Range

SWASTH BHARAT FULL BODY CHECKUP WITH VITAMIN SCREENING

Test Description Value(s) Unit(s) Reference Range

SWASTH BHARAT FULL BODY CHECKUP WITH VITAMIN SCREENING

Chemical Examination (Automated Dipstick Method)

Test Description Value(s) Unit(s) Reference Range

Amorphous deposits* Absent Absent

Test Description Value(s) Unit(s) Reference Range

SWASTH BHARAT FULL BODY CHECKUP WITH VITAMIN SCREENING

High Normal Normal Mild (subclinical) hypothyroidism

High Low Low or normal Hypothyroidism

Low Normal Normal Mild (subclinical) hyperthyroidism

Low High or normal High or normal Hyperthyroidism

Nonthyroidal illness; pituitary (secondary)

Test Description Value(s) Unit(s) Reference Range

Thyroid hormone resistance syndrome (a

Normal High High mutation in the thyroid hormone receptor

decreases thyroid hormone function)

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