SL Report

.
Name : Mr. NILANK SHARMA

Lab No. : 442283051 Age : 23 Years
Ref By : Dr. SANJEEV GUPTA Gender : Male
Collected : 22/4/2023 12:49:00PM Reported : 22/4/2023 3:44:37PM
A/c Status : P Report Status : Final
Collected at : FPSC KASHIPUR (SPECTRUM MALL) Processed at : Dr. Lal Path labs Ltd
SPECTRUM MALL, L. G.-35, CHEEMA CHAURAHA GMD Road ,Moradabad - 244001
RAMNAGAR ROAD,KASHIPUR,UK 9927610008
KASHIPUR 244713
Test Report
Test Name Results Units Bio. Ref. Interval
SwasthFit Super 4
COMPLETE BLOOD COUNT;CBC

(Impedence, Photometry, Calculated, DHSS, Flow Cytometry & Cytochemistry)
Hemoglobin 11.70 g/dL 13.00 - 17.00
Packed Cell Volume (PCV) 34.40 % 40.00 - 50.00
RBC Count 2.98 mill/mm3 4.50 - 5.50
MCV 115.20 fL 83.00 - 101.00
MCH 39.40 pg 27.00 - 32.00
MCHC 34.20 g/dL 31.50 - 34.50
Red Cell Distribution Width (RDW) 14.80 % 11.60 - 14.00
Total Leukocyte Count (TLC) 7.70 thou/mm3 4.00 - 10.00
Differential Leucocyte Count (DLC)

Segmented Neutrophils 48.40 % 40.00 - 80.00
Lymphocytes 41.70 % 20.00 - 40.00
Monocytes 6.80 % 2.00 - 10.00
Eosinophils 2.60 % 1.00 - 6.00
Basophils 0.50 % <2.00
Absolute Leucocyte Count
Neutrophils 3.73 thou/mm3 2.00 - 7.00
Lymphocytes 3.21 thou/mm3 1.00 - 3.00
Monocytes 0.52 thou/mm3 0.20 - 1.00
Eosinophils 0.20 thou/mm3 0.02 - 0.50
Basophils 0.04 thou/mm3 0.02 - 0.10
Platelet Count 178 thou/mm3 150.00 - 410.00
Mean Platelet Volume 9.0 fL 6.5 - 12.0
Note
*442283051* Page 1 of 10
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Lab No. : 442283051 Age : 23 Years
KASHIPUR 244713
Test Report
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
*442283051* Page 2 of 10
.

Lab No. : 442283051 Age : 23 Years
KASHIPUR 244713
Test Report
LIVER & KIDNEY PANEL, SERUM

(Spectrophotometry, Indirect ISE)
Creatinine 0.77 mg/dL 0.67 - 1.17
GFR Estimated 129 mL/min/1.73m2 >59
GFR Category G1
Urea 11.10 mg/dL 17.00 - 43.00
Urea Nitrogen Blood 5.18 mg/dL 6.00 - 20.00
BUN/Creatinine Ratio 7
Uric Acid 6.70 mg/dL 3.50 - 7.20
AST (SGOT) 22.0 U/L <50
ALT (SGPT) 19.0 U/L <50
GGTP 21.5 U/L <55
Alkaline Phosphatase (ALP) 61.60 U/L 30 - 120
Bilirubin Total 1.81 mg/dL 0.30 - 1.20
Bilirubin Direct 0.27 mg/dL <0.20
Bilirubin Indirect 1.54 mg/dL <1.10
Total Protein 8.16 g/dL 6.40 - 8.30
Albumin 4.18 g/dL 3.50 - 5.20
A : G Ratio 1.05 0.90 - 2.00
Globulin(Calculated) 3.98 gm/dL 2.0 - 3.5
Calcium, Total 9.43 mg/dL 8.80 - 10.60
*442283051* Page 3 of 10
.

Lab No. : 442283051 Age : 23 Years
KASHIPUR 244713
Test Report

Phosphorus 3.93 mg/dL 2.40 - 4.40
Sodium 137.00 mEq/L 136.00 - 146.00
Potassium 4.18 mEq/L 3.50 - 5.10
Chloride 102.30 mEq/L 101.00 - 109.00
Note
1. Estimated GFR (eGFR) calculated using the 2021 CKD-EPI creatinine equation and GFR Category
reported as per KDIGO guideline 2012.
2. eGFR category G1 or G2 does not fulfil the criteria for CKD, in the absence of evidence of kidney
damage
3. The BUN-to-creatinine ratio is used to differentiate prerenal and postrenal azotemia from renal
azotemia. Because of considerable variability, it should be used only as a rough guide. Normally, the
BUN/creatinine ratio is about 10:1
LIPID SCREEN, SERUM

(Spectrophotometry)
Cholesterol, Total 143.00 mg/dL <200.00
Triglycerides 76.90 mg/dL <150.00
HDL Cholesterol 27.80 mg/dL >40.00
LDL Cholesterol, Calculated 99.82 mg/dL <100.00
VLDL Cholesterol,Calculated 15.38 mg/dL <30.00
Non-HDL Cholesterol 115 mg/dL <130
Interpretation
------------------------------------------------------------------------------------------------
| REMARKS | TOTAL CHOLESTEROL | TRIGLYCERIDE | LDL CHOLESTEROL | NON HDL CHOLESTEROL |
| | in mg/dL | in mg/dL | in mg/dL | in mg/dL |
|-------------------|--------------------|---------------|-----------------|---------------------|
| Optimal | <200 | <150 | <100 | <130 |
|-------------------|--------------------|---------------|-----------------|---------------------|
| Above Optimal | - | - | 100-129 | 130 - 159 |
|-------------------|--------------------|---------------|-----------------|---------------------|
| Borderline High | 200-239 | 150-199 | 130-159 | 160 - 189 |
*442283051* Page 4 of 10
.

Lab No. : 442283051 Age : 23 Years
KASHIPUR 244713
Test Report

|-------------------|--------------------|---------------|-----------------|---------------------|
| High | >=240 | 200-499 | 160-189 | 190 - 219 |
|-------------------|--------------------|---------------|-----------------|---------------------|
| Very High | - | >=500 | >=190 | >=220 |
------------------------------------------------------------------------------------------------
Note
1. Measurements in the same patient can show physiological & analytical variations. Three serial
samples 1 week apart are recommended for Total Cholesterol, Triglycerides, HDL& LDL Cholesterol.
2. NLA-2014 recommends a complete lipoprotein profile as the initial test for evaluating cholesterol.
3. Friedewald equation to calculate LDL cholesterol is most accurate when Triglyceride level is < 400
mg/dL. Measurement of Direct LDL cholesterol is recommended when Triglyceride level is > 400
mg/dL
4. NLA-2014 identifies Non HDL Cholesterol(an indicator of all atherogeniclipoproteins such as LDL ,
VLDL, IDL, Lpa, Chylomicron remnants)along with LDL-cholesterol as co- primary target for
cholesterol lowering therapy. Note that major risk factors can modify treatment goals for LDL &Non
HDL.
5. Apolipoprotein B is an optional, secondary lipid target for treatment once LDL & Non HDL goals have
been achieved
6. Additional testing for Apolipoprotein B, hsCRP,Lp(a ) & LP-PLA2 should be considered among patients
with moderate risk for ASCVD for risk refinement
Treatment Goals as per Lipid Association of India 2016

----------------------------------------------------------------------------------------------
| RISK | TREATMENT GOAL | CONSIDER THERAPY |
| CATEGORY |-----------------------------------------|-----------------------------------------|
| | LDL CHOLESTEROL | NON HDL CHLOESTEROL | LDL CHOLESTEROL | NON HDL CHLOESTEROL |
| | (LDL-C)(mg/dL) | (NON HDL-C) (mg/dL) | (LDL-C)(mg/dL) | (NON HDL-C) (mg/dL) |
|----------|------------------|----------------------|------------------|----------------------|
| Very | <50 | <80 | >=50 | >=80 |
| High | | | | |
|----------|------------------|----------------------|------------------|----------------------|
| High | <70 | <100 | >=70 | >=100 |
|----------|------------------|----------------------|------------------|----------------------|
| Moderate | <100 | <130 | >=100 | >=130 |
|----------|------------------|----------------------|------------------|----------------------|
| Low | <100 | <130 | >=130* | >=160* |
----------------------------------------------------------------------------------------------
*In low risk patient, consider therapy after an initial non-pharmacological intervention for at least 3 months
*442283051* Page 5 of 10
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Lab No. : 442283051 Age : 23 Years
SPECTRUM MALL, L. G.-35, CHEEMA GMD Road ,Moradabad - 244001
CHAURAHA RAMNAGAR ROAD,KASHIPUR,UK
9927610008
KASHIPUR 244713
Test Report

HbA1c (GLYCOSYLATED HEMOGLOBIN), BLOOD
(HPLC, NGSP certified)
HbA1c 5.4 % 4.00 - 5.60
Estimated average glucose (eAG) 108 mg/dL
Interpretation
HbA1c result is suggestive of non diabetic adults (>=18 years)/ well controlled Diabetes in a known Diabetic
Interpretation as per American Diabetes Association (ADA) Guidelines
------------------------------------------------------------------------------------------
| Reference Group | Non diabetic | At risk | Diagnosing | Therapeutic goals |
| | adults >=18 years | (Prediabetes) | Diabetes | for glycemic control |
| ----------------|-------------------|---------------|-------------|----------------------|
| HbA1c in % | 4.0-5.6 | 5.7-6.4 | >= 6.5 | <7.0 |
------------------------------------------------------------------------------------------
Note: Presence of Hemoglobin variants and/or conditions that affect red cell turnover must be considered,
particularly when the HbA1C result does not correlate with the patient’s blood glucose levels.
---------------------------------------------------------------------------------
| FACTORS THAT INTERFERE WITH HbA1C | FACTORS THAT AFFECT INTERPRETATION |
| MEASUREMENT | OF HBA1C RESULTS |
|--------------------------------------|------------------------------------------|
| Hemoglobin variants,elevated fetal | Any condition that shortens erythrocyte |
| hemoglobin (HbF) and chemically | survival or decreases mean erythrocyte |
| modified derivatives of hemoglobin | age (e.g.,recovery from acute blood loss,|
| (e.g. carbamylated Hb in patients | hemolytic anemia, HbSS, HbCC, and HbSC) |
| with renal failure) can affect the | will falsely lower HbA1c test results |
| accuracy of HbA1c measurements | regardless of the assay method used.Iron |
| | deficiency anemia is associated with |
| | higher HbA1c |
---------------------------------------------------------------------------------
*442283051* Page 6 of 10
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Lab No. : 442283051 Age : 23 Years
KASHIPUR 244713
Test Report
GLUCOSE, FASTING (F), PLASMA

(Hexokinase)
Glucose Fasting 83.30 mg/dL 70.00 - 100.00
THYROID PROFILE,TOTAL, SERUM

(CLIA)
T3, Total 0.36 ng/mL 0.60 - 1.81
T4, Total 1.50 µg/dL 4.50 - 11.60
TSH 1.20 µIU/mL 0.35 - 5.50
Note
1. TSH levels are subject to circadian variation, reaching peak levels between 2 - 4.a.m. and at a
minimum between 6-10 pm . The variation is of the order of 50% . hence time of the day has
influence on the measured serum TSH concentrations.
2. Alteration in concentration of Thyroid hormone binding protein can profoundly affect Total T3 and/or
Total T4 levels especially in pregnancy and in patients on steroid therapy.
3. Unbound fraction ( Free,T4 /Free,T3) of thyroid hormone is biologically active form and correlate
more closely with clinical status of the patient than total T4/T3 concentration
4. Values <0.03 uIU/mL need to be clinically correlated due to presence of a rare TSH variant in
some individuals
*442283051*
Page 7 of 10
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Lab No. : 442283051 Age : 23 Years
KASHIPUR 244713
Test Report
VITAMIN B12; CYANOCOBALAMIN, SERUM 222.00 pg/mL 211.00 - 911.00

(CLIA)
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
VITAMIN D, 25 - HYDROXY, SERUM 31.70 nmol/L 75.00 - 250.00
Interpretation
-------------------------------------------------------------
| LEVEL | REFERENCE RANGE | COMMENTS |
| | IN nmol/L | |
|---------------|-----------------|---------------------------|
| Deficient | < 50 | High risk for developing |
| | | bone disease |
|---------------|-----------------|---------------------------|
| Insufficient | 50-74 | Vitamin D concentration |
| | | which normalizes |
| | | Parathyroid hormone |
| | | concentration |
|---------------|-----------------|---------------------------|
| Sufficient | 75-250 | Optimal concentration |
| | | for maximal health benefit|
|---------------|-----------------|---------------------------|
| Potential | >250 | High risk for toxic |
| intoxication | | effects |
-------------------------------------------------------------
Note
· The assay measures both D2 (Ergocalciferol) and D3 (Cholecalciferol) metabolites of vitamin D.
· 25 (OH)D is influenced by sunlight, latitude, skin pigmentation, sunscreen use and hepatic function.
· Optimal calcium absorption requires vitamin D 25 (OH) levels exceeding 75 nmol/L.
PatientReportSCSuperPanel.SP_GENERAL_TEMPLATE01_SC (Version: 7)
*442283051*
Page 8 of 10
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Lab No. : 442283051 Age : 23 Years
KASHIPUR 244713
Test Report

· It shows seasonal variation, with values being 40-50% lower in winter than in summer.
· Levels vary with age and are increased in pregnancy.
· A new test Vitamin D, Ultrasensitive by LC-MS/MS is also available
Comments
Vitamin D promotes absorption of calcium and phosphorus and mineralization of bones and teeth. Deficiency
in children causes Rickets and in adults leads to Osteomalacia. It can also lead to Hypocalcemia and
Tetany. Vitamin D status is best determined by measurement of 25 hydroxy vitamin D, as it is the major
circulating form and has longer half life (2-3 weeks) than 1,25 Dihydroxy vitamin D (5-8 hrs).
Decreased Levels
· Inadequate exposure to sunlight
· Dietary deficiency
· Vitamin D malabsorption
· Severe Hepatocellular disease
· Drugs like Anticonvulsants
· Nephrotic syndrome
Increased levels
Vitamin D intoxication
Dr Vikram Kumar
MD, Pathology
Consultant Pathologist
Dr Lal PathLabs Ltd
-------------------------------End of report --------------------------------
*442283051*
Page 9 of 10
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Lab No. : 442283051 Age : 23 Years
KASHIPUR 244713
Test Report

AHEEEHAPMKHJEOHNLGHICPPCBILLJCECCIKCIKPKNKEDFEFAPPAHEEEHA
BNFFFNBPAPBHEOEGFGEDNOAPAOAHFHAKAGJOBCJKFLELNOJGMPBNFFFNB
GMDAGGFNLMNODDGNHFIAAJHFJAFEHEDHLKPHENFLMKLMOEFLBLHDEHANP
DJFAKGFNBOIIELEOCINELEPFAFHLBKAFJIFEOBPAKKNJPDNLILNBKEMEL
IAIKJLFIONFFDIANHANGMHBJBENLKNCHKKMBAKEIPLKGKPNGKFFFOOOJH
BDCBBEFCOECAMKEKIEBOJIPBADHFOFAINCFCBKDKBLIKOMNALNEJOOECD
PFIMIJFBMLOMAKHIEOIBHGHHIHAFJBALPNGPBLMIKJCHKNFMIJNBMDILD
BNFNAMFNBINNFIGMAANHDFJILKBMFMBBKFCCAMNNIJKDKPNGBNFNBHILL
NKAGPKFPEFGGFEIJEMMIHNBKHEOFEKFBJFFLAKPFOEBIOCNKDJPHNEKLJ
OPCMHLFCELAJJDCHPFHOIDJIIDFKPNJHKEPDGLHLNKCKIGEOCJCKHJGNK
BJIKNMFLGKKKNOBMPAILMJEEINMJFNIBJNEEBFOFPNDMKPFKEPCIGCIMO
IGICGJFMMLDNKKIMHPCAHOAEIEOPPFOEBCNPBLNOOLJAIANIPKONHDICL
MNNNNNEPCFCFHOEAGCFLHCKHJBAHFHABPKPFCMNLMKJIPFNIAHFHAHIKL
APBBBPAPBOJAEBFDLNBKCMAFAEGCHHCAONFFPLPGOLMHNLNNEDFGHBKHH
HHHHHHHPHHHPHPPHHHPPPHPPHHPPPPPPPPPHHHHPPHHHPHPHHHHHPHPHP
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: [email protected]
*442283051*
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Name : Mr. NILANK SHARMA

COMPLETE BLOOD COUNT;CBC

Hemoglobin 11.70 g/dL 13.00 - 17.00

Packed Cell Volume (PCV) 34.40 % 40.00 - 50.00

RBC Count 2.98 mill/mm3 4.50 - 5.50

MCV 115.20 fL 83.00 - 101.00

MCH 39.40 pg 27.00 - 32.00

MCHC 34.20 g/dL 31.50 - 34.50

Red Cell Distribution Width (RDW) 14.80 % 11.60 - 14.00

Total Leukocyte Count (TLC) 7.70 thou/mm3 4.00 - 10.00

Differential Leucocyte Count (DLC)

Mean Platelet Volume 9.0 fL 6.5 - 12.0

Name : Mr. NILANK SHARMA

2. Test conducted on EDTA whole blood

Name : Mr. NILANK SHARMA

Test Name Results Units Bio. Ref. Interval

LIVER & KIDNEY PANEL, SERUM

Creatinine 0.77 mg/dL 0.67 - 1.17

GFR Estimated 129 mL/min/1.73m2 >59

Urea 11.10 mg/dL 17.00 - 43.00

Urea Nitrogen Blood 5.18 mg/dL 6.00 - 20.00

Uric Acid 6.70 mg/dL 3.50 - 7.20

AST (SGOT) 22.0 U/L <50

ALT (SGPT) 19.0 U/L <50

GGTP 21.5 U/L <55

Alkaline Phosphatase (ALP) 61.60 U/L 30 - 120

Bilirubin Total 1.81 mg/dL 0.30 - 1.20

Bilirubin Direct 0.27 mg/dL <0.20

Bilirubin Indirect 1.54 mg/dL <1.10

Total Protein 8.16 g/dL 6.40 - 8.30

Albumin 4.18 g/dL 3.50 - 5.20

A : G Ratio 1.05 0.90 - 2.00

Globulin(Calculated) 3.98 gm/dL 2.0 - 3.5

Calcium, Total 9.43 mg/dL 8.80 - 10.60

Name : Mr. NILANK SHARMA

Test Name Results Units Bio. Ref. Interval

Sodium 137.00 mEq/L 136.00 - 146.00

Potassium 4.18 mEq/L 3.50 - 5.10

Chloride 102.30 mEq/L 101.00 - 109.00

LIPID SCREEN, SERUM

Cholesterol, Total 143.00 mg/dL <200.00

Triglycerides 76.90 mg/dL <150.00

HDL Cholesterol 27.80 mg/dL >40.00

LDL Cholesterol, Calculated 99.82 mg/dL <100.00

VLDL Cholesterol,Calculated 15.38 mg/dL <30.00

Non-HDL Cholesterol 115 mg/dL <130

Name : Mr. NILANK SHARMA

Test Name Results Units Bio. Ref. Interval

Treatment Goals as per Lipid Association of India 2016

Name : Mr. NILANK SHARMA

Test Name Results Units Bio. Ref. Interval

HbA1c 5.4 % 4.00 - 5.60

Estimated average glucose (eAG) 108 mg/dL

Name : Mr. NILANK SHARMA

Test Name Results Units Bio. Ref. Interval

GLUCOSE, FASTING (F), PLASMA

Glucose Fasting 83.30 mg/dL 70.00 - 100.00

THYROID PROFILE,TOTAL, SERUM