.

Name : Mr. DIGANTA SAIKIA

Lab No. : 186105358 Age : 53 Years
Ref By : DGEHS DISPANCERY Gender : Male
Collected : 5/11/2024 7:09:00AM Reported : 5/11/2024 2:11:36PM
A/c Status : P Report Status : Final
Collected at : LPL - TILAK NAGAR Processed at : LPL-NATIONAL REFERENCE LAB
4B/13, NEAR METRO PILLAR NO.494, TILAK National Reference laboratory, Block E,
NAGAR, NEW DELHI - 110018 Sector 18, Rohini, New Delhi -110085

Test Report

Test Name Results Units Bio. Ref. Interval

PROTHROMBIN TIME STUDIES

(Photo - Optical clot detection)
Mean Normal Prothrombin Time (PT) 11.50

Patient value 12.20 sec 10.20 - 12.80

Prothrombin Ratio (PR) 1.06

International Normalized Ratio (INR) 1.06 0.90 - 1.10

Note
1. INR is the parameter of choice in monitoring adequacy of oral anticoagulant therapy. Appropriate
therapeutic range varies with the disease and treatment intensity
2. Prolonged INR suggests potential bleeding disorder / bleeding complications
3. Results should be clinically correlated
4. Test conducted on Citrated plasma

Recommended Therapeutic range for Oral Anticoagulant therapy

INR 2.0-3.0 :
· Treatment of Venous thrombosis & Pulmonary embolism
· Prophylaxis of Venous thrombosis (High risk surgery)
· Prevention of systemic embolism in tissue heart valves, AMI, Valvular heart disease &
Atrial fibrillation
· Bileaflet mechanical valve in aortic position
INR 2.5-3.5:
§ Mechanical prosthetic valves
§ Systemic recurrent emboli

Comments
Prothrombin time measures the extrinsic coagulation pathway which consists of activated Factor VII (VIIa),
Tissue factor and Proteins of the common pathway (Factors X, V, II & Fibrinogen). This assay is used to
control long term oral anticoagulant therapy, evaluation of liver function & to evaluate coagulation disorders
specially factors involved in the extrinsic pathway like Factors V, VII, X, Prothrombin & Fibrinogen.

*186105358*
Page 1 of 8
.

Name : Mr. DIGANTA SAIKIA

Lab No. : 186105358 Age : 53 Years
Ref By : DGEHS DISPANCERY Gender : Male
Collected : 5/11/2024 7:09:00AM Reported : 5/11/2024 2:11:36PM
A/c Status : P Report Status : Final
Collected at : LPL - TILAK NAGAR Processed at : LPL-NATIONAL REFERENCE LAB
4B/13, NEAR METRO PILLAR NO.494, TILAK National Reference laboratory, Block E,
NAGAR, NEW DELHI - 110018 Sector 18, Rohini, New Delhi -110085

Test Report

Test Name Results Units Bio. Ref. Interval

LIVER PANEL 1; LFT,SERUM

AST (SGOT) 181.0 U/L 15.00 - 40.00

(IFCC without P5P)
ALT (SGPT) 873.0 U/L 10.00 - 49.00
(IFCC without P5P)
AST:ALT Ratio 0.21 <1.00
(Calculated)
GGTP 116.0 U/L 0 - 73
(IFCC)
Alkaline Phosphatase (ALP) 107.00 U/L 30.00 - 120.00
(IFCC-AMP)
Bilirubin Total 7.14 mg/dL 0.30 - 1.20
(Oxidation)
Bilirubin Direct 5.39 mg/dL <0.3
(Oxidation)
Bilirubin Indirect 1.75 mg/dL <1.10
(Calculated)
Total Protein 8.00 g/dL 5.70 - 8.20
(Biuret)
Albumin 3.50 g/dL 3.20 - 4.80
(BCG)
A : G Ratio 0.78 0.90 - 2.00
(Calculated)

Note
1. In an asymptomatic patient, Non alcoholic fatty liver disease (NAFLD) is the most common cause of
increased AST, ALT levels. NAFLD is considered as hepatic manifestation of metabolic syndrome.
2. In most type of liver disease, ALT activity is higher than that of AST; exception may be seen in Alcoholic
Hepatitis, Hepatic Cirrhosis, and Liver neoplasia. In a patient with Chronic liver disease, AST:ALT
ratio>1 is highly suggestive of advanced liver fibrosis.
3. In known cases of Chronic Liver disease due to Viral Hepatitis B & C, Alcoholic liver disease or NAFLD,
Enhanced liver fibrosis (ELF) test may be used to evaluate liver fibrosis.
4. In a patient with Chronic Liver disease, AFP and Des-gamma carboxyprothrombin (DCP)/PIVKA II can
be used to assess risk for development of Hepatocellular Carcinoma.

KIDNEY PANEL; KFT,SERUM

*186105358* Page 2 of 8
.

Name : Mr. DIGANTA SAIKIA

Lab No. : 186105358 Age : 53 Years
Ref By : DGEHS DISPANCERY Gender : Male
Collected : 5/11/2024 7:09:00AM Reported : 5/11/2024 2:11:36PM
A/c Status : P Report Status : Final
Collected at : LPL - TILAK NAGAR Processed at : LPL-NATIONAL REFERENCE LAB
4B/13, NEAR METRO PILLAR NO.494, TILAK National Reference laboratory, Block E,
NAGAR, NEW DELHI - 110018 Sector 18, Rohini, New Delhi -110085

Test Report

Test Name Results Units Bio. Ref. Interval

Creatinine 0.96 mg/dL 0.70 - 1.30
(Modified Jaffe,Kinetic)
GFR Estimated 94 mL/min/1.73m2 >59
(CKD EPI Equation 2021)
GFR Category G1
(KDIGO Guideline 2012)
Urea 19.50 mg/dL 13.00 - 43.00
(Urease UV)
Urea Nitrogen Blood 9.11 mg/dL 6.00 - 20.00
(Calculated)
BUN/Creatinine Ratio 9
(Calculated)
Uric Acid 4.20 mg/dL 3.50 - 7.20
(Uricase)
Total Protein 8.00 g/dL 5.70 - 8.20
(Biuret)
Albumin 3.50 g/dL 3.20 - 4.80
(BCG)
A : G Ratio 0.78 0.90 - 2.00
(Calculated)
Calcium, Total 8.70 mg/dL 8.70 - 10.40
(Arsenazo III)
Phosphorus 3.45 mg/dL 2.40 - 5.10
(Molybdate UV)
Sodium 138.00 mEq/L 136.00 - 145.00
(Indirect ISE)
Potassium 4.86 mEq/L 3.50 - 5.10
(Indirect ISE)
Chloride 105.00 mEq/L 98.00 - 107.00
(Indirect ISE)

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

*186105358* Page 3 of 8
.

Name : Mr. DIGANTA SAIKIA

Lab No. : 186105358 Age : 53 Years
Ref By : DGEHS DISPANCERY Gender : Male
Collected : 5/11/2024 7:09:00AM Reported : 5/11/2024 2:11:36PM
A/c Status : P Report Status : Final
Collected at : LPL - TILAK NAGAR Processed at : LPL-NATIONAL REFERENCE LAB
4B/13, NEAR METRO PILLAR NO.494, TILAK National Reference laboratory, Block E,
NAGAR, NEW DELHI - 110018 Sector 18, Rohini, New Delhi -110085

Test Report

Test Name Results Units Bio. Ref. Interval

COMPLETE BLOOD COUNT;CBC

Hemoglobin 12.40 g/dL 13.00 - 17.00

(Photometry)
Packed Cell Volume (PCV) 37.10 % 40.00 - 50.00
(Calculated)
RBC Count 4.92 mill/mm3 4.50 - 5.50
(Electrical impedence)
MCV 75.50 fL 83.00 - 101.00
(Electrical impedence)
Mentzer Index 15.3
(Calculated)
MCH 25.20 pg 27.00 - 32.00
(Calculated)
MCHC 33.40 g/dL 31.50 - 34.50
(Calculated)
Red Cell Distribution Width (RDW) 15.90 % 11.60 - 14.00
(Electrical Impedence)
Total Leukocyte Count (TLC) 7.70 thou/mm3 4.00 - 10.00
(Electrical Impedence)
Differential Leucocyte Count (DLC)
Segmented Neutrophils 48.40 % 40.00 - 80.00
(VCS Technology)
Lymphocytes 40.00 % 20.00 - 40.00
(VCS Technology)
Monocytes 9.50 % 2.00 - 10.00
(VCS Technology)
Eosinophils 1.30 % 1.00 - 6.00
(VCS Technology)
Basophils 0.80 % <2.00
(VCS Technology)
Absolute Leucocyte Count
Neutrophils 3.73 thou/mm3 2.00 - 7.00
(Calculated)
Lymphocytes 3.08 thou/mm3 1.00 - 3.00
(Calculated)
Monocytes 0.73 thou/mm3 0.20 - 1.00
(Calculated)
Eosinophils 0.10 thou/mm3 0.02 - 0.50
(Calculated)

*186105358* Page 4 of 8
.

Name : Mr. DIGANTA SAIKIA

Lab No. : 186105358 Age : 53 Years
Ref By : DGEHS DISPANCERY Gender : Male
Collected : 5/11/2024 7:09:00AM Reported : 5/11/2024 2:11:36PM
A/c Status : P Report Status : Final
Collected at : LPL - TILAK NAGAR Processed at : LPL-NATIONAL REFERENCE LAB
4B/13, NEAR METRO PILLAR NO.494, TILAK National Reference laboratory, Block E,
NAGAR, NEW DELHI - 110018 Sector 18, Rohini, New Delhi -110085

Test Report

Test Name Results Units Bio. Ref. Interval

Basophils 0.06 thou/mm3 0.02 - 0.10
(Calculated)
Platelet Count 468 thou/mm3 150.00 - 410.00
(Electrical impedence)
Mean Platelet Volume 9.8 fL 6.5 - 12.0
(Electrical impedence)
Comment
In anaemic conditions Mentzer index is used to differentiate Iron Deficiency Anaemia from Beta- Thalassemia
trait. If Mentzer Index value is >13, there is probability of Iron Deficiency Anaemia. A value <13 indicates likelihood
of Beta- Thalassemia trait and Hb HPLC is advised to rule out the Thalassemia trait.

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

*186105358* Page 5 of 8
.

Name : Mr. DIGANTA SAIKIA

Lab No. : 186105358 Age : 53 Years
Ref By : DGEHS DISPANCERY Gender : Male
Collected : 5/11/2024 7:09:00AM Reported : 5/11/2024 2:11:36PM
A/c Status : P Report Status : Final
Collected at : LPL - TILAK NAGAR Processed at : LPL-NATIONAL REFERENCE LAB
4B/13, NEAR METRO PILLAR NO.494, TILAK National Reference laboratory, Block E,
NAGAR, NEW DELHI - 110018 Sector 18, Rohini, New Delhi -110085

Test Report

Test Name Results Units Bio. Ref. Interval

URINE EXAMINATION, ROUTINE; URINE, R/E

Gross Examination

Colour Deep Yellow Pale yellow

(Visual Examination)
Specific Gravity 1.015 1.001 - 1.030
(Pre-treated polymeric Ion Exchange resin)
pH 5 5.0 - 8.0
(Double Indicator)
Proteins Negative Negative
(Tetra Bromophenol)
Glucose Negative Negative
(Glucose oxidase peroxidase chromogen reaction)
Ketones Negative Negative
(Sodium Nitroprusside)
Bilirubin 1+(0.5 mg/dL) Negative
(Diazonium salt)
Urobilinogen Normal Normal
(Diazonium salt)
Blood Trace Negative
(Tetramethyl benzidine)
Leucocyte Esterase Negative Negative
(Carboxylic acid ester diazonium salt)
Nitrite Negative Negative
(Sulfananic acid Tetrahydro benzol)

Microscopy

R.B.C. 0-1 RBC/HPF 0-2 RBC/hpf

(Light microscopy)
Pus Cells 2-3 WBC/HPF 0-5 WBC / hpf
(Light microscopy)
Epithelial Cells 0-1 Epi Cells/hpf 0-5 Epi cells/hpf
(Light microscopy)
Casts None seen None seen/Lpf
(Light microscopy)
Crystals None seen None seen
(Light microscopy)
Others None seen None seen
(Light microscopy)

*186105358*
Page 6 of 8
.

Name : Mr. DIGANTA SAIKIA

Lab No. : 186105358 Age : 53 Years
Ref By : DGEHS DISPANCERY Gender : Male
Collected : 5/11/2024 7:09:00AM Reported : 5/11/2024 2:11:36PM
A/c Status : P Report Status : Final
Collected at : LPL - TILAK NAGAR Processed at : LPL-NATIONAL REFERENCE LAB
4B/13, NEAR METRO PILLAR NO.494, TILAK National Reference laboratory, Block E,
NAGAR, NEW DELHI - 110018 Sector 18, Rohini, New Delhi -110085

Test Report

Test Name Results Units Bio. Ref. Interval

Result Rechecked

Dr Ajay Gupta Dr.Anirudh Bharat Kumar Gupta Dr Anjalika Goyal Dr Himangshu Mazumdar
MD, Pathology MD, Microbiology MD,Biochemistry MD, Biochemistry
Technical Director - Hematology & Senior Consultant Microbiologist Consultant Biochemist Sr. Consultant Biochemist
Immunology NRL - Dr Lal PathLabs Ltd NRL - Dr Lal PathLabs Ltd NRL - Dr Lal PathLabs Ltd
NRL - Dr Lal PathLabs Ltd

Dr Jatin Munjal Dr Nimmi Kansal Dr Sarita Kumari Lal Dr Shalabh Malik

MD,Pathology MD, Biochemistry MD, Pathology MD, Microbiology
Sr. Consultant Pathologist - Technical Director - Clinical Chemistry Consultant Pathologist Technical Director - Microbiology,
Hematology & Immunology & Biochemical Genetics Dr Lal PathLabs Ltd Infectious Disease Molecular &
NRL - Dr Lal PathLabs Ltd NRL - Dr Lal PathLabs Ltd Serology, Clinical Pathology
NRL - Dr Lal PathLabs Ltd

Dr Sunanda
MD, Pathology
Sr. Consultant Pathologist -
Hematology & Immunology
NRL - Dr Lal PathLabs Ltd

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

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*186105358*
Page 7 of 8
.

Name : Mr. DIGANTA SAIKIA

Lab No. : 186105358 Age : 53 Years
Ref By : DGEHS DISPANCERY Gender : Male
Collected : 5/11/2024 7:09:00AM Reported : 5/11/2024 2:11:36PM
A/c Status : P Report Status : Final
Collected at : LPL - TILAK NAGAR Processed at : LPL-NATIONAL REFERENCE LAB
4B/13, NEAR METRO PILLAR NO.494, TILAK National Reference laboratory, Block E,
NAGAR, NEW DELHI - 110018 Sector 18, Rohini, New Delhi -110085

Test Report

Test Name Results Units Bio. Ref. Interval

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]
National Reference lab, Delhi, a CAP (7171001) Accredited, ISO 9001:2015 (FS60411) & ISO 27001:2013 (616691) Certified laboratory.

*186105358*
Page 8 of 8