Report-11a02-1732858626460

A UNIT OF ORCHARD HEALTHCARE PVT LTD
Name : M SHEELA AYYAPPA Age/Sex : 45 Year(s)/Female Collected On : 27/11/2024 08:11 AM

Patient ID : OHPPWSMI1100358 Ref. Doctor :- Received On : 27/11/2024 10:22 AM
Visit ID : BL112140101 Partner : Getvisit TPA Reported On : 27/11/2024 11:12 AM
Test Results Units Biological Reference

BIOCHEMISTRY
Blood Urea Nitrogen (BUN)

Serum
Blood Urea Nitrogen (BUN) 4.2 mg/dL 6 - 20

MC-6367
Calculated
Urea 9 mg/dL 15 - 36
MC-6367
Urease
Creatinine
MC-6367
Serum,Twopoint-Rate-Creatinine 0.5 mg/dL 0.52 - 1.04
Aminohydrolase
Lipid Profile
Serum
Cholesterol, Total
MC-6367
Cholesterol Esterase/Cholesterol 155 mg/dL < 200
Oxidase/Peroxidase
Triglycerides 122 mg/dL < 150

MC-6367
Cholesterol Oxidase
High-Density Lipoprotein (HDL)

Cholesterol 40 mg/dL > 50
MC-6367
Cholesterol Esterase/Cholesterol
Oxidase/Peroxidase
Non-High Density Lipoprotein

(Non-HDL) Cholesterol 115 mg/dL < 130
Calculated
Low-Density Lipoprotein (LDL)

MC-6367
Cholesterol 91 mg/dL < 100
Calculated
Very Low-Density Lipoprotein

(VLDL) Cholesterol 24 mg/dL < 30
Calculated
Cholesterol/High Density
Lipoprotein (HDL) Ratio 3.8 3.3 - 4.4
Calculated
Low-Density Lipoprotein/High-
Density Lipoprotein (LDL/HDL) 2.3 0.5 - 3
Ratio
Calculated
Page 1 of 7
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High-Density Lipoprotein/Low-
Density Lipoprotein (HDL/LDL) 0.4 > 0.4
Ratio
Calculated
Remarks Total Cholesterol (mg/dL) Triglycerides (mg/dL) LDL Cholesterol (mg/dL)
Optimal <200 <150 <100
Above Optimal - - 100-129
Borderline 200-239 150-199 130-159
High ≥ 240 200-499 160-189
Very High - ≥ 500 ≥ 190
Lipid profile is a group test consisting of various lipids. Lipid profiles are generally collected with overnight fasting. However,
recent guidelines have recommended non fasting samples for lipid profile for assessment of cardiovascular risk. The details for
the study can be checked at https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2733560
In certain instances measurements in the same patient can show physiological and analytical variations. In such cases three
serial samples at an interval of 1 week each are recommended for Total cholesterol, TG, HDL and LDL.
Cholesterol levels are increased in primary hypercholesterolemia; secondary hyperlipoproteinemia, including nephrotic
syndrome; primary biliary cirrhosis; hypothyroidism; and in some cases, diabetes mellitus. Low cholesterol levels may be found in
malnutrition, malabsorption, advanced malignancy, and hyperthyroidism.
Triglyceride levels are used in the diagnosis and treatment of patients with diabetes mellitus, nephrosis, liver obstruction, other
diseases involving lipid metabolism, or various endocrine disorders.
High Density Lipoprotein (HDL) cholesterol levels is used to evaluate the risk of developing coronary heart disease (CHD). The risk
of CHD increases with lower HDL cholesterol concentrations.
LDL (low-density lipoprotein) cholesterol level, sometimes called "bad" cholesterol, makes up most of our body’s cholesterol.
High levels of LDL cholesterol raise your risk for heart disease and stroke.
Very-low-density lipoprotein (VLDL) cholesterol is produced in the liver and released into the bloodstream to supply body tissues
with triglycerides. High levels of VLDL cholesterol have been associated with the development of plaque deposits on artery walls,
which narrow the passage and restrict blood flow.
Uric Acid 3.6 mg/dL 2.5 - 6.2

MC-6367
Serum,Uricase
Glycated Hemoglobin (HbA1C)

Whole Blood
Glycated Hemoglobin (HbA1C) Normal: < 5.7

MC-6367
High-Performance Liquid 5.6 % Pre-Diabetes: 5.7-6.4
Chromatography (HPLC) Diabetes: => 6.5
Mean Blood Glucose 114 mg/dL < 117

MC-6367
Calculated
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HbA1C is used to monitor fluctuations in blood glucose concentration in the past 8 to 12 week's period.
The reference interval defined as per American Diabetes Association guidelines 2016:
Less than 5.7%: Non Diabetic

5.7 to 6.4%: at increased risk of developing diabetes in the future
More than 6.5%: Diabetic
Therapeutic glycemic target
Adults: less than 7%
Children with Type 1 diabetes: less than 7%
Pregnant diabetic patients: less than 6.5%
Note: Targets may be individualized based on: Age/life expectancy, Comorbid conditions, Diabetes duration, Hypoglycemia status,
Individual patient considerations
Reference: American Diabetes Association. Standards of medical care in diabetes - 2021.
Mean Blood Glucose is average Blood glucose which directly correlates with A1C, reported in the same units as blood sugar levels
(mg/dl). Thus it reflects the average glucose concentration in the past 8 to 12 weeks period. This should not be compared with
Fasting or Post prandial or random blood sugar which measures glucose concentration at that point of time of testing.
Glucose, Fasting
MC-6367
Fluoride Plasma,Glucose Oxidase- 86 mg/dL 70 - 99
Peroxidase (GOD-POD)
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HAEMATOLOGY
Complete Blood Count (CBC)

Whole Blood
Red Blood Cells (RBC) Count 5.23 mill/mm³ 3.8 - 4.8

MC-6367
DC Impedance Method
Hemoglobin (Hb) 12.8 g/dL 12 - 15

MC-6367
Cyanide-free SLS method
Hematocrit (HCT) | Packed Cell

MC-6367
Volume (PCV) 40.6 % 36 - 46
Calculated
Mean Corpuscular Volume

MC-6367
(MCV) 77.6 fL 83 - 101
Calculated
Mean Corpuscular Hemoglobin

MC-6367
(MCH) 24.4 pg 27 - 32
Calculated
Mean Corpuscular Hemoglobin

MC-6367
Concentration (MCHC) 31.5 g/dL 31.5 - 34.5
Calculated
Red Cell Distribution Width

(RDW) CV 15.0 % 11.6 - 14
Calculated
Mentzer Index 14.8

Beta Thalassemia trait: < 14
Calculated Iron deficiency anaemia: >= 14
Sehgal Index 1151.4

Beta Thalassemia trait: < 972
Calculated Iron deficiency anaemia: => 972
Total White Blood Cell Count

MC-6367
(TC) 5990 cells/mm³ 4000 - 10000
Flow Cytometry
Differential Count
Neutrophils 64.2 % 40 - 80
MC-6367
Flow Cytometry
Lymphocytes 26.7 % 20 - 40
MC-6367
Flow Cytometry
Monocytes 6.7 % 2 - 10
MC-6367
Flow Cytometry
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Eosinophils 1.8 % 1-6
MC-6367
Flow Cytometry
Basophils 0.6 % 0-2

MC-6367
Flow Cytometry
Absolute Neutrophil Count

MC-6367
(ANC) 3846 /mm³ 2000 - 7000
Calculated
Absolute Lymphocyte Count

MC-6367
(ALC) 1599 /mm³ 1000 - 3000
Calculated
Absolute Monocyte Count

MC-6367
(AMC) 401 /mm³ 200 - 1000
Calculated
Absolute Eosinophil Count

MC-6367
(AEC) 108 /mm³ 20 - 500
Calculated
Absolute Basophil Count (ABC) 36 /mm³ 0 - 100

MC-6367
Calculated
Neutrophil Lymphocyte Ratio

(NLR) 2.4 1-3
Calculated
Platelet Count 311 10^3/µL 150 - 450

MC-6367
DC Impedance Method
Platelet Hematocrit 0.293 % 0.2 - 0.5

MC-6367
Calculated
Mean Platelet Volume (MPV) 9.4 fL 7 - 13

Calculated
Reference Ranges are in accordance with Dacie & Lewis Practical Hematology International Edition (12th).
As per International Council for Standardization in Hematology's recommendations Differential Leucocyte counts are
additionally reported in Absolute numbers in each cell per unit volume of blood.
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Visit ID : BL112140101 Partner : Getvisit TPA Reported On : 27/11/2024 12:12 PM

IMMUNOLOGY
Thyroid Function Test (TFT)

Serum
Triiodothyronine (T3), Total 1.48 ng/mL 0.97 - 1.69

MC-6367
Chemiluminescent Immunoassay
Thyroxine (T4), Total 12.7 µg/dL 5.53 - 11

MC-6367
Thyroid Stimulating Hormone

MC-6367
(TSH) 1.148 µIU/mL 0.4 - 4.049
Thyroid Stimulating Hormone (TSH), also called Thyrotropin is a hormone secreted into the blood by the Pituitary gland (a gland
present in the brain). It signals the thyroid gland to make and release the thyroid hormones (T3 & T4) into the blood.
High TSH level indicates that the thyroid gland is not making enough thyroid hormone (primary hypothyroidism). Low TSH level
usually indicates that the thyroid is producing too much thyroid hormone (hyperthyroidism).
Factors influencing TSH levels
TSH level shows a significant decline after meal intake in comparison to fasting values. If the patient is taking any thyroid
medication different times each day, they may sometimes be taking the thyroid hormone on an empty stomach, and
sometimes with or after having food. This may have clinical implications in the diagnosis and management of
hypothyroidism, especially Subclinical hypothyroidism.
Circadian Rhythm: TSH levels follow a circadian variation, reaching peak levels between Morning 2 - 4 am and at a minimum
between Evening 6-10 pm. The variation is of the order of 50%. There are studies which quote variations up to 70 % depending
on when the sample is drawn during which time of the day. Hence time of sample collection during a day can significantly
influence on the measured serum TSH concentrations.
Other Factors: It is important to recognize that TSH is a labile hormone and is subject to non-thyroidal pituitary influences
(glucocorticoids, somatostatin, dopamine etc.), stress, activity, that can disrupt the TSH/FT4 relationship. Genetics, Poisonous
substances and radiation exposure, Inflammation of the thyroid gland, Deficiency or excess of iodine in the diet, Pregnancy,
Certain medications – antidepressants, cholesterol lowering drugs, chemotherapy drugs, steroids, Thyroid cancer.
In pregnant females the reference range of TSH differs. Please refer the table below for the same:-
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Visit ID : BL112140101 Partner : Getvisit TPA Reported On : 27/11/2024 12:12 PM

Pregnancy TSH Reference Range (µIU/mL)
1st Trimester 0.100-2.500
2nd Trimester 0.200-3.00
3rd Trimester 0.300-3.00
References:
Indian Journal of Endocrinology and Metabolism 18(5):p 705-707, Sep-Oct 2014.

http://www.pnei-it.com/1/upload/thyrotropin_secretion_patterns_in_health_and_disease.pdf
Dr. Srishti Govind Miraj Dr. Anushree R Dr. Akshay Prashantkumar Vadavadgi
MBBS, MD (Pathology) MBBS, MD (Pathology) MBBS, MD (Pathology)
Pathologist Pathologist Pathologist
Dr. Sanchit Singhal

MBBS, MD (Pathology)
Pathologist
CONDITIONS OF LABORATORY TESTING & REPORTING
Tests marked with NABL symbol are accredited by NABL vide certificate no MC-6367
It is presumed that the test sample belongs to the patient named or identified in the test requisition form. Test results released
pertain to the specimen submitted.
Laboratory investigations are only a tool to facilitate arriving at a diagnosis and should be clinically correlated by the Referring
Physician.
All tests are performed and reported as per the turnaround time stated in the Orange Health Labs Directory of Services (DOS).
Orange Health Labs confirms that all tests have been performed or assayed with the highest quality standards, clinical safety &
technical integrity.
All test results are dependent on the quality of the sample received by the Laboratory and the assay technology.
Report delivery may be delayed due to unforeseen circumstances. Inconvenience is regretted.
A requested test might not be performed if:
The specimen received is insufficient or inappropriate, or the specimen quality is unsatisfactory
Incorrect specimen type
Request for testing is withdrawn by the ordering doctor or patient
There is a discrepancy between the label on the specimen container and the name on the test requisition form
Test results may show interlaboratory variations.
Test results are not valid for medico-legal purposes.
This is a computer-generated medical diagnostic report that has been validated by an Authorized Medical Practitioner/Doctor.
The report does not need a physical signature.
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A UNIT OF ORCHARD HEALTHCARE PVT LTD

Name : M SHEELA AYYAPPA Age/Sex : 45 Year(s)/Female Collected On : 27/11/2024 08:11 AM

Test Results Units Biological Reference

Blood Urea Nitrogen (BUN)

Blood Urea Nitrogen (BUN) 4.2 mg/dL 6 - 20

Triglycerides 122 mg/dL < 150

High-Density Lipoprotein (HDL)

Non-High Density Lipoprotein

Low-Density Lipoprotein (LDL)

Very Low-Density Lipoprotein

Orchard Healthcare Pvt. Ltd. Get your reports

Live In 6 cities : Bengaluru | Delhi | Gurgaon | Noida | Hyderabad | Mumbai

Name : M SHEELA AYYAPPA Age/Sex : 45 Year(s)/Female Collected On : 27/11/2024 08:11 AM

Test Results Units Biological Reference

Remarks Total Cholesterol (mg/dL) Triglycerides (mg/dL) LDL Cholesterol (mg/dL)

Optimal <200 <150 <100

Above Optimal - - 100-129

Borderline 200-239 150-199 130-159

High ≥ 240 200-499 160-189

Very High - ≥ 500 ≥ 190

Uric Acid 3.6 mg/dL 2.5 - 6.2

Glycated Hemoglobin (HbA1C)

Glycated Hemoglobin (HbA1C) Normal: < 5.7

Mean Blood Glucose 114 mg/dL < 117

Orchard Healthcare Pvt. Ltd. Get your reports

Live In 6 cities : Bengaluru | Delhi | Gurgaon | Noida | Hyderabad | Mumbai

Name : M SHEELA AYYAPPA Age/Sex : 45 Year(s)/Female Collected On : 27/11/2024 08:11 AM

Test Results Units Biological Reference

Less than 5.7%: Non Diabetic

Reference: American Diabetes Association. Standards of medical care in diabetes - 2021.

Orchard Healthcare Pvt. Ltd. Get your reports

Live In 6 cities : Bengaluru | Delhi | Gurgaon | Noida | Hyderabad | Mumbai

Name : M SHEELA AYYAPPA Age/Sex : 45 Year(s)/Female Collected On : 27/11/2024 08:11 AM

Test Results Units Biological Reference

Complete Blood Count (CBC)

Red Blood Cells (RBC) Count 5.23 mill/mm³ 3.8 - 4.8

Hemoglobin (Hb) 12.8 g/dL 12 - 15

Hematocrit (HCT) | Packed Cell

Mean Corpuscular Volume

Mean Corpuscular Hemoglobin

Mean Corpuscular Hemoglobin

Red Cell Distribution Width

Mentzer Index 14.8

Sehgal Index 1151.4

Total White Blood Cell Count

Orchard Healthcare Pvt. Ltd. Get your reports

Live In 6 cities : Bengaluru | Delhi | Gurgaon | Noida | Hyderabad | Mumbai

Name : M SHEELA AYYAPPA Age/Sex : 45 Year(s)/Female Collected On : 27/11/2024 08:11 AM

Test Results Units Biological Reference

Basophils 0.6 % 0-2

Absolute Neutrophil Count

Absolute Lymphocyte Count

Absolute Monocyte Count

Absolute Eosinophil Count

Absolute Basophil Count (ABC) 36 /mm³ 0 - 100

Neutrophil Lymphocyte Ratio

Platelet Count 311 10^3/µL 150 - 450

Platelet Hematocrit 0.293 % 0.2 - 0.5

Mean Platelet Volume (MPV) 9.4 fL 7 - 13

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