Visit ID : RDDPL324116 Registration : 17-Aug-2024

UHID/MR No : 324595 Collected : 17-Aug-2024

Patient Name : Mrs. SWARN KOUR Received : 17-Aug-2024
Age/Gender : 50Y 0M 0D/Female Reported : 17-Aug-2024
Ref Doctor : Dr. GAURAV KAUR Status : Final report
E-MIDAS Infosystem Pvt. Ltd.

Client Name : JK Client Code : RDJK006

Ref.Lab : LIFE SECURE LAB Barcode No : R869815

DEPARTMENT OF HEMATOLOGY

RD HEALTHCARE 1.2
Test Name Result Unit Bio.Ref.Range Method Name

GLYCOSYLATED HEMOGLOBIN (HbA1c)

Sample Type : WB EDTA
Hemoglobin A1C(Glycohemoglobin)
HbA1c (Glycosylated Hemoglobin) 9.90 H % Non-Diabetic < 6.0 High-performance liquid
Good Control 6.0-7.0 chromatography(HPLC)
Weak Control 7.0-8.0
Poor control > 8.0
Estimated Average Glucose 237.43 H mg/dL 68-125
IMPORTANT NOTE: Numerous factors may falsely elevate or lower HbA1c, including anaemia,iron deficiency,renal failure and pregnancy.HbA1c does not take into
account glucose variability and two individuals with the same HbA1c may exhibits vastly different glucose profile. other factors such as certain medication (like steroids) or
sickness can temporarily increase your blood sugar levels. Anemia and other condition can cause a falsely high HbA1c results,as well,There also couldve been an error in the
collection, transport or procesing of the test.
CLINICAL COMMENTS :
Monitoring HbA1c in people with diabetes is important. That's because the higher your HbA1c, the greater your risk of developing diabetes complications such as: diabetic retinopathy. diabetic
kidney disease.
In vitro quantitative determination of HbA1c in whole blood is utilized in long term monitoring of glycemia.The HbA1c level correlates with the mean glucose concentration prevailing in the
course of the patient's recent history (approx - 6-8 weeks) and therefore provides much more reliable information for glycemia monitoring than do determinations of blood glucose or urinary
glucose. It is recommended that the determination of HbA1c be performed at intervals of 4-6 weeks during Diabetes Mellitus therapy. Results of HbA1c should be assessed in conjunction with
the patient's medical history, clinical examinations and other findings.
1.Shortened RBC life span –HbA1c test will not be accurate when a person has a condition that affects the average lifespan of red blood cells (RBCs), such as hemolytic anemia or blood loss.
When the lifespan of RBCs in circulation is shortened, the A1c result is falsely low and is an unreliable measurement of a person's average glucose over time.
2.Abnormal forms of hemoglobin – The presence of some hemoglobin variants, such as hemoglobin S in sickle cell anemia, may affect certain methods for measuring A1c. In these
cases, fructosamine can be used to monitor glucose control.
Advised:
1.To follow patient for glycemic control test like fructosamine or glycated albumin may be performed instead.
2.Hemoglobin HPLC screen to analyze abnormal hemoglobin variant.
estimated Average Glucose (eAG) : estimated Average Glucose (eAG) based on value calculated according to National Glycohemoglobin Standardization Program (NGSP) criteria.
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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

Result Enter By: HIMANSHU NEGI

1 of 11
 Visit ID : RDDPL324116 Registration : 17-Aug-2024
UHID/MR No : 324595 Collected : 17-Aug-2024
Patient Name : Mrs. SWARN KOUR Received : 17-Aug-2024
Age/Gender : 50Y 0M 0D/Female Reported : 17-Aug-2024
Ref Doctor : Dr. GAURAV KAUR Status : Final report
E-MIDAS Infosystem Pvt. Ltd.

Client Name : JK Client Code : RDJK006

Ref.Lab : LIFE SECURE LAB Barcode No : R869815

DEPARTMENT OF HEMATOLOGY

RD HEALTHCARE 1.2
Test Name Result Unit Bio.Ref.Range Method Name

CBC-COMPLETE BLOOD COUNT WITH ESR

Sample Type : WB EDTA
BLOOD CELLS PARAMETER DONE BY BC 6000 (Flow Cytometer)
Haemoglobin (Hb) 11.6 g/dL 11.5-15.5 Photometric/Non
Cyanmethemoglobin
Method
RBC Count(Red Blood Count) 4.2 10^6/ul 3.8-4.8 Optical Flowcytometry
Packed Cell Volume (PCV)-Hematocrit 38.8 % 30.0-55.0 RBC Pulse Height
Detection
Mean Corpuscular Volume (MCV) 92.8 fL 80 - 96 Automated/Calculated
Mean Corpuscular Hemoglobin (MCH) 27.8 L pg/cell 28 - 33 Automated/Calculated
Mean Corpuscular Hb concentration (MCHC) 29.90 L g/dL 31 - 36 Automated/Calculated
Red Blood Cell Distribution Width Cofficient 18.3 H % 11.7 - 14.4 Automated/Calculated
of Variation (RDW-CV)
Red Blood Cell Distribution Width Standard 62.6 H fL 35.0- 46.0 Automated/Calculated
Deviation (RDW-SD)
White Blood Count (WBC) PARAMETERS
Total Leukocyte Count (TLC/WBC COUNT) 8.01 10^3/µL 4.00-10.0 Automated optical Flow
cytometry/Manual
DIFFERENTIAL LEUKOCYTE COUNT(DLC) BY FLOW CYTOMETERY/MICROSCOPIC
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Neutrophils 57.0 % 40.0-80.0 Impedance Flow

cytometry/Microscopy
Lymphocytes 33.0 % 20.0-40.0 Impedance Flow
cytometry/Microscopy
Monocytes 6.0 % 2 .0- 10 .0 Impedance Flow
cytometry/Microscopy
Eosinophils 4.0 % 1.0 - 6.0 Impedance Flow
cytometry/Microscopy
Basophils 0.0 % 0.00 - 2.00 Impedance Flow
cytometry/Microscopy
ABSOLUTE LEUKOCYTE COUNTS
Absolute Neutrophil Count 4.57 10^3/µL 2.00-7.00 Automated Calculated
Absolute Lymphocyte Count 2.64 10^3/µL 1.00-3.00 Automated Calculated
Absolute Monocyte Count 0.48 10^3ul 0.20 - 1.00 Automated Calculated

Result Enter By: HIMANSHU NEGI

2 of 11
 Visit ID : RDDPL324116 Registration : 17-Aug-2024
UHID/MR No : 324595 Collected : 17-Aug-2024
Patient Name : Mrs. SWARN KOUR Received : 17-Aug-2024
Age/Gender : 50Y 0M 0D/Female Reported : 17-Aug-2024
Ref Doctor : Dr. GAURAV KAUR Status : Final report
Client Name : JK Client Code : RDJK006
Ref.Lab : LIFE SECURE LAB Barcode No : R869815

DEPARTMENT OF HEMATOLOGY

RD HEALTHCARE 1.2
Test Name Result Unit Bio.Ref.Range Method Name
Absolute Eosinophils Count 0.32 10^3/ul 0.02-0.50 Automated Calculated
Absolute Basophil Count 00 10^3/µL 0.00-0.10 Automated Calculated
PLATELET PARAMETERS
Platelet Count 163 10^3/µL 150-410 Automated Optical
Flowcytometer
Plateletcrit (PCT) 0.27 % 0.18 - 0.39 Automated Optical
Flowcytometer
Platelet Distribution Width(PDW) 15.9 fL 8.30-18.0 Calculated
Mean Platelet Volume (MPV) 16.6 H fL 7.10-12.50 Automated Calculated
Platelet-Large Cell Count (P-LCC) 119.00 H 10^3/µL 45.0-95.0 Automated Calculated
Mentzer Index 22.20 Ratio Calculated
Neutrophil to Lymphocyte Ratio 1.73 Calculated
Lymphocyte to Monocyte Ratio 5.5 Calculated
SED RATE
Erythrocyte Sedimentation Rate (ESR) 13 mm/1st 0 - 20 Modified /Advance
hr. Westergren Method
INTERPRETATION: A complete blood count (CBC) is a blood test used to evaluate your overall health and detect a wide range of disorders, including anemia, infection and leukemia. A complete blood count test measures several
components and features of your blood, including: Red blood cells, which carry oxygen.Some of the most common diseases a CBC detects include anemia, autoimmune disorders, bone marrow disorders, dehydration, infections,
inflammation, leukemia, lymphoma, myeloproliferative neoplasms, myelodysplastic syndrome, sickle cell disease, thalassemia, nutritional deficiencies. WBC They are important for fighting infections. A lower than normal WBC count
may be due to: Bone marrow deficiency or failure (for example, due to infection, tumor, or abnormal scarring) Cancer treating drugs, or other medicines.DLC The differential count measures the percentages of each type of leukocyte
present. WBC's are composed of granulocytes (neutrophils, eosinophils, and basophils) and non-granulocytes (lymphocytes and monocytes). White blood cells are a major component of the body's immune system.When the MCV is
high, they are called macrocytic. When the MCV is low, they are termed microcytic. Erythrocytes containing the normal amount of hemoglobin (normal MCHC) are called normochromic. When the MCHC is abnormally low they are
called hypochromic, and when the MCHC is abnormally high, hyperchromic.Sed rate, or erythrocyte sedimentation rate (ESR), is a blood test that can reveal inflammatory activity in your body. A sed rate test isn't a stand-alone
diagnostic tool, but it can help your doctor diagnose or monitor the progress of an inflammatory disease.A PCV (Packed Cell Volume) Test is done to diagnose anemia or polycythemia in patients. It is generally done along with a full
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blood count test that is conducted to estimate the need for any blood transfusions and monitor the response to the blood transfusion treatment. Blood is a mix of plasma as well as cells.The RDW test is commonly used to help diagnose
anemia, a condition in which your red blood cells can't carry enough oxygen to the rest of your body. PCT A high platelet count can occur when something causes the bone marrow to make too many platelets. When the reason is
unknown, it is called primary or essential thrombocytosis. When excess platelets are due to an infection or other condition, it is called secondary thrombocytosis. An erythrocyte sedimentation rate (ESR) is a blood test that that can show
if you have inflammation in your body. Inflammation is your immune system's response to injury, infection, and many types of conditions, including immune system disorders, certain cancers, and blood disorders. Erythrocytes are
red blood cells.Neutrophil to lymphocyte Ratio (NLR) in a grey zone between 2.3-3.0 may serve as early warning of pathological state or process such like cancer, atherosclerosis, infection, inflammation, psychiatric disorders and
stress. Lymphocyte to Neutrophil Ratio used as a marker of subclinical inflammation. It is calculated by dividing the number of neutrophils by number of lymphocytes, usually from peripheral blood sample, but sometimes also
from cells that infiltrate tissue, such as tumor. Mentzer index is differentiating iron deficiency anemia from beta thalassemia. The index is calculated from the results of a complete blood count. If the quotient of the mean corpuscular
volume (MCV, in fL) divided by the red blood cell count (RBC, in Millions per microLiter) is less than 13, thalassemia is said to be more likely. If the result is greater than 13, then iron-deficiency anemia is said to be more likely.
ADVISE;- PBF(PERIPHERIAL BLOOD FILM) WITH CBCs

Result Enter By: HIMANSHU NEGI

3 of 11
 Visit ID : RDDPL324116 Registration : 17-Aug-2024
UHID/MR No : 324595 Collected : 17-Aug-2024
Patient Name : Mrs. SWARN KOUR Received : 17-Aug-2024
Age/Gender : 50Y 0M 0D/Female Reported : 17-Aug-2024
Ref Doctor : Dr. GAURAV KAUR Status : Final report
E-MIDAS Infosystem Pvt. Ltd.

Client Name : JK Client Code : RDJK006

Ref.Lab : LIFE SECURE LAB Barcode No : R869816

DEPARTMENT OF CLINICAL BIOCHEMISTRY

RD HEALTHCARE 1.2
Test Name Result Unit Bio.Ref.Range Method Name

EGFR -(ESTIMATED GLOMERULAR FILTRATION RATE)

Sample Type : SERUM
Serum Creatinine 0.80 mg/dL 0.40-1.50 Jaffes Reaction
Estimated gfr By ckd 85.94 mL/min/1.73m2 Calculated
Estimated gfr By Mdrd 80.70 mL/min/1.73m2 Calculated
INTENEDE USE
e GFR can be estimated from prediction equations that take into account the serum creatinine concentration and some or all variables like age, gender, race and body
size. GFR estimation is the best overall index of kidney function.
INTERPRETATION OF RESULTS
CKD STAGE DESCRIPTION GFR ( mL/min/1.73m2 ) ASSOCIATED FINDINGS
0 Normal kidney function >90 No proteinuria
1 Kidney damage with normal or high GFR >90 Presence of Protein, albumin, cells or casts in urine
2 Mild decrease in GFR 60-89 -
3 Moderate decrease in GFR 30-59 -
4 Severe decrease in GFR 15-29 -
5 END STAGE RENAL DISEASE <15 -
COMMENTS
Modification of diet in renal disease, (MDRD) equation is most thoroughly validated and superior to all the other methods for estimation of GFR. It does not require
weight as a variable and yields an estimated GFR normalized to 1.73m2 body surface area. Using serum creatinine alone gives a poor inference of GFR because they are
inversely related and effects of age, sex and race on creatinine production complicate interpretation.
NOTE
1.National Kidney Disease Education program recommends the use of MDRD equation to estimate or predict GFR in adults (>=20 years) with Chronic Kidney Disease
(CKD)
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2. MDRD equation is most accurate for GFR <=60 mL/min/1.73m2 .

3.Recalculation of estimated GFR is required for African American race.

Result Enter By: HIMANSHU NEGI

4 of 11
 Visit ID : RDDPL324116 Registration : 17-Aug-2024
UHID/MR No : 324595 Collected : 17-Aug-2024
Patient Name : Mrs. SWARN KOUR Received : 17-Aug-2024
Age/Gender : 50Y 0M 0D/Female Reported : 17-Aug-2024
Ref Doctor : Dr. GAURAV KAUR Status : Final report
E-MIDAS Infosystem Pvt. Ltd.

Client Name : JK Client Code : RDJK006

Ref.Lab : LIFE SECURE LAB Barcode No : R869816

DEPARTMENT OF CLINICAL BIOCHEMISTRY

RD HEALTHCARE 1.2
Test Name Result Unit Bio.Ref.Range Method Name

LIVER FUNCTION TEST (LFT)

Sample Type : SERUM
JAUNDICE PROFILE
Bilirubin Total 0.90 mg/dL 0.20 -1.20 DSA
Bilirubin Direct 0.20 mg/dL 0.00 - 0.30 DSA
Bilirubin Indirect 0.70 mg/dL 0.00 - 1.10 Calculated
HEPATIC ENZYME
Aspartate Transaminase (AST/SGOT) 87.07 H U/L 0.00 - 40.0 UV without P5P
Alanine Amino Transferase (ALT/SGPT) 96.56 H U/L 5.00-45.0 UV without P5P
Alkaline Phosphatase (ALP) 223.86 H IU/L 44-147 IFCC
SGOT/SGPT Ratio 0.90 g/dL 0.00 - 3.50 Calculated
LIVER PLASMA PROTEIN
Total Protein 7.88 g/dL 6.4-8.3 Biuret
Serum Albumin 4.02 g/dL 3.5 - 5.2 Bromocresol Green
Serum Globulin 3.86 g/dL 2.3-4.5 Calculated
Albumin/Globulin Ratio (A/G) 1.04 g/dL 1.00-2.50 Calculated
CLINICAL COMMENTS:Liver function tests can be suggested in case of hepatitis, liver cirrhosis and monitor possible side effects of medications. A variety of diseases and infections can cause acute or chronic damage to the liver,
causing inflammation (hepatitis), scarring (cirrhosis), bile duct obstructions, liver tumors, and liver dysfunction. Alcohol, drugs, some herbal supplements, and toxins can also inure the liver. A significant amount of liver damage may
occur before symptoms such as jaundice, dark urine, light-colored stools, itching (pruritus), nausea, fatigue, diarrhea, and unexplained weight loss or gain appear. Early detection of liver injury is essential in order to minimize damage
and preserve liver function.Alanine aminotransferase (ALT) A very high level of ALT is frequently seen with acute hepatitis. Moderate increases may be seen with chronic hepatitis. People with blocked bile ducts, cirrhosis, and liver
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cancer may have ALT concentrations that are only moderately elevated or close to normal. Aspartate aminotransferase (AST) A very high level of AST is frequently seen with acute hepatitis. AST may be normal to moderately
increased with chronic hepatitis. In people with blocked bile ducts, cirrhosis, and liver cancer, AST concentrations may be moderately increased or close to normal. When liver damage is due to alcohol, AST often increases much more
than ALT (this is a pattern seen with few other liver diseases). AST is also increased after heart attacks and with muscle injury.AST is a less sensitive and less specific marker of liver injury than ALT. AST is more elevated than ALT in
alcohol-induced liver injury. AST could elevated more than ALT like: (i) alcoholic liver disease results in mitochondrial toxicity and pyridoxal phosphate, which is a co-factor for AST; (ii) Wilson disease results in subclinical haemolysis
and release of AST; (iii) the presence of liver cirrhosis; once liver cirrhosis is established, AST remains higher than ALT because of destroyed sinusoidal architecture, which results in impaired clearance of AST.Alkaline phosphatase
(ALP) may be significantly increased with obstructed bile ducts, cirrhosis, liver cancer, and also with bone disease. Bilirubin is increased in the blood when too much is being produced, less is being removed, due to bile duct obstructions,
or to problems with bilirubin processing. It is not uncommon to see high bilirubin levels in newborns, typically 1 to 3 days old. Albumin is often normal in liver disease but may be low due to decreased production, especially in liver
cirrhosis. Total protein (TP) is typically normal with liver disease. Gamma-glutamyl transferase (GGT) test may be used to help determine the cause of an elevated ALP. Both ALP and GGT are elevated in bile duct and liver disease,
but only ALP will be elevated in bone disease. Increased GGT levels are also seen with alcohol consumption and with conditions, such as congestive heart failure.

Result Enter By: HIMANSHU NEGI

5 of 11
 Visit ID : RDDPL324116 Registration : 17-Aug-2024
UHID/MR No : 324595 Collected : 17-Aug-2024
Patient Name : Mrs. SWARN KOUR Received : 17-Aug-2024
Age/Gender : 50Y 0M 0D/Female Reported : 17-Aug-2024
Ref Doctor : Dr. GAURAV KAUR Status : Final report
E-MIDAS Infosystem Pvt. Ltd.

Client Name : JK Client Code : RDJK006

Ref.Lab : LIFE SECURE LAB Barcode No : R869816

DEPARTMENT OF CLINICAL BIOCHEMISTRY

RD HEALTHCARE 1.2
Test Name Result Unit Bio.Ref.Range Method Name

KIDNEY FUNCTION TEST (KFT) WITH CALCIUM

Sample Type : SERUM
RENAL PARAMETER
Blood Urea 30.38 mg/dL 15 - 40 Urease – UV
Serum Creatinine 0.80 mg/dL 0.40-1.50 Jaffes Reaction
Blood Urea Nitrogen (BUN) 14.20 mg/dL 6.0 - 20.0 Calculated
Urea / Creatinine Ratio 37.97 Ratio 10.7-42.8 Calculated
Bun/ Creatinine Ratio 17.75 Ratio 10.0-20.0 Calculated
PURINE COMPOUND (Break Down Product)
Uric Acid (UA) 3.90 mg/dL 2.40 - 6.00 Uricase
CHEMICAL ELEMENTS (MINERALS)
Total Calcium 8.58 mg/dL 8.5 - 10.5 Arsenazo III Method
ELECTROLYTE PROFILE (* )
*Sodium (Na+) 141.00 mmol/L 135 - 150 Indirect Potentiometery
ISE
*Potassium (K+) 4.23 mmol/L 3.5 - 5.5 Indirect Potentiometery
ISE
*Serum Chloride (Cl-) 96.60 mmol/L 94 - 110 Indirect Potentiometery
ISE
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Note: *Electrolyte profile(Profile is not a scope of nabl)

COMMENTS- Urea is a non-proteinous nitrogen compound formed in the liver from ammonia as an end product of protein metabolism. Increased levels are found in acute renal failure, chronic
glomerulonephritis, congestive heart failure, decreased renal perfusion, diabetes, excessive protein ingestion, gastrointestinal (GI) bleeding, hyperalimentation, hypovolemia, ketoacidosis, muscle
wasting from starvation, neoplasms, pyelonephritis, shock, urinary tract obstruction, nephrotoxic drugs. Decreased levels are seen in inadequate dietary protein, low-protein/high-carbohydrate
diet, malabsorption syndromes, pregnancy, severe liver disease and certain drugs.Creatinine is catabolic product of creatinine phosphate, which is excreted by filtration through the glomerulus and
by tubular secretion. Creatinine clearance is an acceptable clinical measure of glomerular filtration rate (GFR). Increased levels are seen in acute/chronic renal failure, urinary tract obstruction,
hypothyroidism, nephrotoxic drugs, shock, dehydration, congestive heart failure, diabetes. Decreased levels are found in muscular dystrophy. BUN is directly related to protein intake and
nitrogen metabolism and inversely related to the rate of excretion of urea. Blood urea nitrogen (BUN) levels reflect the balance between the production and excretion of urea. Increased levels are
seen in renal failure (acute or chronic), urinary tract obstruction, dehydration, shock, burns, CHF, GI bleeding, nephrotoxic drugs. Decreased levels are seen in hepatic failure, nephrotic syndrome,
cachexia (low-protein and high-carbohydrate diets). BUN/Creatinineratio is decreased in acute tubular necrosis, advanced liver disease, low protein intake and following hemodialysis.
BUN/Creatinine ratio is increased in dehydration, GI bleeding, and increased catabolism. Uric acid levels show diurnal variation. The level is usually higher in the morning and lower in the
evening. Increased levels are seen in starvation, strenuous exercise, malnutrition, or lead poisoning, gout, renal disorders, increased breakdown of body cells in some cancers (including leukemia,
lymphoma, and multiple myeloma) or cancer treatments, hemolytic anemia, sickle cell anemia, or heart failure, pre-eclampsia, liver disease (cirrhosis), obesity, psoriasis, hypothyroidism, low
blood levels of parathyroid hormone (PTH), certain drugs, foods that are very high in purines - such as organ meats, red meats, some seafood and beer. Decreased levels are seen in liver disease,
Wilson's disease, Syndrome of inappropriate ant diuretic hormone (SIADH), certain drugs.Electrolyte profile(* profile is not a scope of nabl) disturbance showing Extreme fatigue. A prolonged
bout of diarrhea or vomiting. Signs of dehydration. Unexplained confusion, muscle cramps, numbness or tingling.certain electrolyte is too high, the kidney might try to release more of it in your
urine. Electrolyte imbalances can cause problems with many different bodily systems, which may even be life-threatening Symptoms of severe electrolyte disorders can include Dizziness,Brain
swelling,Shock, A fast or abnormal heart rate,Confusion,Irritability,Nausea and vomiting,Lethargy.

Result Enter By: HIMANSHU NEGI

6 of 11
 Visit ID : RDDPL324116 Registration : 17-Aug-2024
UHID/MR No : 324595 Collected : 17-Aug-2024
Patient Name : Mrs. SWARN KOUR Received : 17-Aug-2024
Age/Gender : 50Y 0M 0D/Female Reported : 17-Aug-2024
Ref Doctor : Dr. GAURAV KAUR Status : Final report
E-MIDAS Infosystem Pvt. Ltd.

Client Name : JK Client Code : RDJK006

Ref.Lab : LIFE SECURE LAB Barcode No : R869816

DEPARTMENT OF CLINICAL BIOCHEMISTRY

RD HEALTHCARE 1.2
Test Name Result Unit Bio.Ref.Range Method Name

LIPID PROFILE (CIRCULATING LIPOPROTEIN)

Total Cholesterol 185.50 mg/dL Desirable <200 Cholesterol
Moderate Risk 200-239 Oxidase,Esterase,Peroxidase
High >240
BODY FAT STUDY (COMMON)
Triglycerides (TG) 387.95 H mg/dL Optimal <150 Enzymatic End Point
Border line 150-199
High 200-499
Very High >500
GOOD CHOLESTEROL
HDL Cholesterol 45.50 mg/dL 40 - 60 Direct measure
BAD CHOLESTEROL
LDL Cholesterol 62.41 mg/dL Optimal 100 CALCULATED
Near Optimal 100-129
Border Line High 130-159
High 160-189
very High >190
VLDL - Cholesterol 77.59 H mg/dL Less than 33.0 mg/dL Calculated
Cholestrol/HDL-Cholestro Ratio 4.08 H mg/dL Less than 4.0 mg/dL Calculated
LDL / HDL Cholestrol Ratio 1.37 L Ratio 1.5-3.5 Calculated
HDL / LDL Cholestrol Ratio 0.73 Ratio <3.50 Calculated
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CLINICAL COMMENTS: Lipid Profile is the blood test useful in screening the abnormalities associated with lipids. The results of this test can assess approximate risks for cardiovascular disease (Heart attack, Heart Failure, stroke,
coronary artery disease), certain forms of pancreatitis, Hypertriglyceridemia (indicative of insulin resistance) and certain genetic disorders. Total cholesterol is an estimate of all the cholesterol in the blood. Thus, higher total cholesterol
may be due to high levels of HDL or high levels of LDL. So knowing the breakdown is important. High-density lipoprotein (HDL) is good cholesterol. HDL helps carry bad cholesterol out of the bloodstream and arteries. It plays a very
important role in preventing clogged arteries. So, the higher the HDL number, the better. Low-density lipoprotein (LDL) is bad cholesterol. High LDL levels increase the risk of heart disease. Your actual LDL goal depends on whether or
not you have existing risk factors for heart disease, such as diabetes or high blood pressure. Very Low-density lipoprotein (VLDL) is a type of bad cholesterol that contains the highest amount of triglycerides. The higher your VLDL
level, the more likely you are to have a heart attack or stroke. Triglycerides are a type of blood fat that has been linked to heart disease and diabetes. If you have high triglycerides, your total cholesterol and LDL levels may be high, as
well. Lifestyle plays a large role in your triglyceride level. Smoking, excessive drinking, uncontrolled diabetes, and medications such as estrogen, steroids, and some acne treatments can contribute to high triglyceride levels. Total
cholesterol to HDL ratio is useful in predicting the risk of developing atherosclerosis (plaque build-up inside the arteries).
NOTE: 10-12 hours fasting is mandatory for lipid profile.In case of the lipemic or highly turbid due to lipoproteins mainly chylomicrons,the test cannot be performed on the specimen but the patient can request for this test again
after consuming a fat free diet for at least a weak.

Result Enter By: HIMANSHU NEGI

7 of 11
 Visit ID : RDDPL324116 Registration : 17-Aug-2024
UHID/MR No : 324595 Collected : 17-Aug-2024
Patient Name : Mrs. SWARN KOUR Received : 17-Aug-2024
Age/Gender : 50Y 0M 0D/Female Reported : 17-Aug-2024
Ref Doctor : Dr. GAURAV KAUR Status : Final report
E-MIDAS Infosystem Pvt. Ltd.

Client Name : JK Client Code : RDJK006

Ref.Lab : LIFE SECURE LAB Barcode No : R869816

DEPARTMENT OF CLINICAL BIOCHEMISTRY

RD HEALTHCARE 1.2
Test Name Result Unit Bio.Ref.Range Method Name

BASIC IRON PROFILE

Iron 78.80 ug/dL 37.0-145.0 Ferrozine-no
Deproteinization
Unsaturated Iron Binding Capacity (UIBC) 263.60 µg/dL 120.0-347.0 NiTRO-PSAP
Total Iron Binding Capacity-(TIBC) 342.40 µg/dL 240.0-450.0 Spectrophotometry
Transferrin Saturation 23.01 % 13.0-45.0 Calculated
CLINICAL COMMENTS:
Iron is an essential nutrient that, among other functions, is needed in small quantities to help form normal red blood cells (RBCs). It is a critical part of hemoglobin, the protein in RBCs that binds oxygen in the lungs and releases it as blood
circulates to other parts of the body. The body cannot produce iron and must absorb it from the foods we eat or from supplements.
Serum iron test: measures the level of iron in the liquid portion of the blood.
Transferrin test: directly measures the level of transferrin in the blood. Transferrin is the protein that transports iron around in the body. Under normal conditions, transferrin is typically one-third saturated with iron. This means that
about two-thirds of its capacity is held in reserve.
TIBC (total iron-binding capacity): measures the total amount of iron that can be bound by proteins in the blood. Since transferrin is the primary iron-binding protein, the TIBC test is a good indirect measurement of transferrin
availability.
UIBC (unsaturated iron-binding capacity): The UIBC test determines the reserve capacity of transferrin, i.e., the portion of transferrin that has not yet been saturated with iron. UIBC also reflects transferrin levels.
Transferrin saturation: a calculation that reflects the percentage of transferrin that is saturated with iron (100 x serum iron/TIBC).
Serum ferritin: reflects the amount of stored iron in the body.
INCREASED IN:

Hemosiderosis of excessive iron intake (e.g. repeated blood transfusion, iron therapy, iron containing vitamins).

Decreased formation of RBCs (thalassemia, pyridoxal deficiency anaemia).

Increased destruction of RBCs (hemolytic anaemia).

Acute liver damage

Progesteronal birth control pills & pregnancy

Premenstrual elevation

cute iron toxicity

DECREASED IN:
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Iron deficiency anaemia

Normochromic anaemia of infections & chronic diseases

Nephrosis -Menstruation

Diurnal variation: Normal in mid morning, low values in mid afternoon, and very low values near midnight.

Result Enter By: HIMANSHU NEGI

8 of 11
 Visit ID : RDDPL324116 Registration : 17-Aug-2024
UHID/MR No : 324595 Collected : 17-Aug-2024
Patient Name : Mrs. SWARN KOUR Received : 17-Aug-2024
Age/Gender : 50Y 0M 0D/Female Reported : 17-Aug-2024
Ref Doctor : Dr. GAURAV KAUR Status : Final report
E-MIDAS Infosystem Pvt. Ltd.

Client Name : JK Client Code : RDJK006

Ref.Lab : LIFE SECURE LAB Barcode No : R869816

DEPARTMENT OF IMMUNOLOGY

RD HEALTHCARE 1.2
Test Name Result Unit Bio.Ref.Range Method Name

THYROID PROFILE - T3, T4 & TSH (TFT)

Sample Type : SERUM
Triiodothyronine (T3) 1.02 ng/mL 0.58-1.62 Chemiluminescent
immunoassay (CLIA)
Thyroxine (T4) 8.50 µg/dl 5.0-14.5 Chemiluminescent
immunoassay (CLIA)
Thyroid Stimulating Hormone 1.780 µIU/ml 0.35-5.1 Chemiluminescent
immunoassay (CLIA)
Comments:
Thyroid tests to check how well your thyroid is working and to find the cause of problems such as hyperthyroidism or hypothyroidism. The thyroid is a small, butterfly-
shaped gland in the front of your neck that makes two thyroid hormones: thyroxine (T4 ) and triiodothyronine (T3 ).Having more thyroid hormones than you need
speeds up your body functions and causes symptoms that include: Weight loss, even though you may be eating more than usual. Rapid or irregular heartbeat. Feeling
nervous or irritable.thyroid function test, looks at levels of thyroid-stimulating hormone (TSH) and thyroxine (T4) in the blood. Doctors may refer to this as "free" T4
(FT4). A high level of TSH and a low level of T4 in the blood could mean you have an underactive thyroid. If you have a thyroid problem that is not treated properly,
serious health complications can result. An overactive thyroid (hyperthyroidism) can lead to a number of problems including: eye problems, such as bulging eyes, blurred
or double vision or even vision loss.T3 is physiologically more active than T4 & plays an important role in maintaining euthyroidism.T3 circulates in free form (0.3 %)
and in bound form (99.7%). T4 is predominantly bound to carrier protein - thyroid binding globulin (TBG-99.9%). T4 assay aids in diagnosis of hyperthyroidism -
primary or secondary hypothyroidism & thyroid hormone resistances. T4 tre must also be associated with the other tre of the thyroid assessment, such as TSH & T3 as
well as with the clinical examina on to the patient TSH levels are subject to circadian varia on, reaching peak levels between 2am to 4am and at a minimum between 6pm
to 10pm. The varia on is of the order of 50%; hence time of the day has influence on the measured serum TSH concentrations. Significant numbers of parents
particularly those above 55 years of age have a serum TSH level between 4.68 & 10 µIU/ml. This borderline eleva on may be due to presence of SUBCLINICAL
HYPOTHYROIDISM. Thyroid profile and an ‐thyroid (an TPO & TG) an bodies es ma on is suggested in all such cases. Very low serum TSH values are observed in
patients who are being treated for hypothyroidism. In such pa ents Serum Free T3 & Free T4 estimation may also be performed.
In Pregancy as per American Thyroid Association Reference range for TSH is as follows:-
Level Total T3(ng/ml) Total T4(ug/dl) TSH(uIU/ml) Free T3(pmol/L) Free T4(ng/dl)
E-MIDAS Infosystem Pvt. Ltd.

1 s t Trimester 1.25-2.93 4.60-10.50 0.10-2.5 3.2-6.8 0.7-2.0

2n d Trimester 1.54-4.00 6.92-12.38 0.20-3.0 3.1-5.9 0.5-1.60

3 rd Trimester 1.54-4.00 5.98-12.98 0.30-3.0 3.1-5.9 0.6-1.60

All reports must be interpreted by treating physician only.

Result Enter By: HIMANSHU NEGI

9 of 11
 Visit ID : RDDPL324116 Registration : 17-Aug-2024
UHID/MR No : 324595 Collected : 17-Aug-2024
Patient Name : Mrs. SWARN KOUR Received : 17-Aug-2024
Age/Gender : 50Y 0M 0D/Female Reported : 17-Aug-2024
Ref Doctor : Dr. GAURAV KAUR Status : Final report
E-MIDAS Infosystem Pvt. Ltd.

Client Name : JK Client Code : RDJK006

Ref.Lab : LIFE SECURE LAB Barcode No : R869817

DEPARTMENT OF CLINICAL PATHOLOGY

RD HEALTHCARE 1.2
Test Name Result Unit Bio.Ref.Range Method Name

URINE EXAMINATION ROUTINE/MICROSCOPIC CUE

Sample Type : URINE
URINALYSIS DONE BY uRI QUIC pro Analyzer
PHYSICAL EXAMINATION
Volume 15 ml ml 800-2000 Millilitre/day Visual
Color Pale Yellow visual Pale Yellow Visual
Appearance Clear visual Clear/Slightly Turbid Visual
pH (Reaction) 5.00 Scale 5.0 - 8.5 pH Indicator scale
/Reagent strip
Specific Gravity 1.010 sg 1.005 - 1.030 Refractometric Strip
Test
BIOCHEMICAL EXAMINATION
Urinary Sugar (Glucose) + Grade Negative Reagent strip/Benedicts
Test
Urinary Protein (Albumin) Negative Grade Negative Reagent Strip/Advance
Biuret Method
Urinary Ketone Bodies Negative Grade Negative Reagent strip /Rotheras
Method
Bilirubin in Urine Negative Grade Negative Reagent strips/
Fouchets Test
E-MIDAS Infosystem Pvt. Ltd.

UroBilinogen in Urine Negative Grade Negative Reagent Strips /Ehrlichs

aldehyde Test
Blood/Hemoglobin in Urine Negative Grade Negative Reagent Hema stix/
Occult tablet test
Urinary Nitrite Negative Grade Negative Reagent strip/Diazonium
salt Method
Urinary Leucocytes Negative Grade Negative Reagent Strip /Esterase
Diazonium Method
MICROSCOPIC EXAMINATION
RBC (Red Blood Cells) Nill /HPF Nill High Power Field
Microscopy
Leucocytes or Pus Cells 3-4 /HPF 0-4 High Power Field
Microscopy
Epithelium or epithelial cells 4-5 /HPF 0-2 High Power Field
Microscopy

Result Enter By: AARTI GAUTAM

10 of 11
 Visit ID : RDDPL324116 Registration : 17-Aug-2024
UHID/MR No : 324595 Collected : 17-Aug-2024
Patient Name : Mrs. SWARN KOUR Received : 17-Aug-2024
Age/Gender : 50Y 0M 0D/Female Reported : 17-Aug-2024
Ref Doctor : Dr. GAURAV KAUR Status : Final report
Client Name : JK Client Code : RDJK006
Ref.Lab : LIFE SECURE LAB Barcode No : R869817

DEPARTMENT OF CLINICAL PATHOLOGY

RD HEALTHCARE 1.2
Test Name Result Unit Bio.Ref.Range Method Name
Bacteria (Motile/Non Motile) Nill /HPF Nill High Power Field
Microscopy
Urinary Casts Nill /HPF Nill High Power Field
Microscopy
Crystals in Urine Nill /HPF Nill High Power Field
Microscopy
Yeast Nill Microscopic
Others Nill /HPF Nil High Power Field
Microscopy

CLINICAL COMMENTS: Protein urine test: A protein urine test measures the presence of proteins, such as albumin, in your urine. Higher-than-normal urine
protein levels may indicate several different health conditions, such as heart failure, kidney issues and dehydration.Urine pH level test: A urine pH test measures the
acid-base (pH) level in your urine. A high urine pH may indicate conditions including kidney issues and a urinary tract infection (UTI). A low urine pH may indicate
conditions including diabetes-related ketoacidosis and diarrhea. Ketones urine test: Ketones build up when your body has to break down fats and fatty acids to use as
fuel for energy. This is most likely to happen if your body does not get enough sugar or carbohydrates as fuel. Healthcare providers most often use ketone urine tests to
check for diabetes-related ketoacidosis.Glucose urine test: A glucose urine test measures the amount of sugar (glucose) in your urine. Under regular circumstances,
there shouldn’t be glucose in your urine, so the presence of glucose could be a sign of diabetes or gestational diabetes. Bilirubin urine test: Bilirubin is a yellowish
pigment found in bile, a fluid produced by your liver. If you have bilirubin in your urine, it may indicate liver or bile duct issues.Nitrite urine test: A positive nitrite test
result can indicate a urinary tract infection (UTI). However, not all bacteria are capable of converting nitrate (a substance that’s normally in your urine) to nitrite, so
you can still have a UTI despite a negative nitrite test.Leukocyte esterase urine test: Leukocyte esterase is an enzyme that’s present in most white blood cells. When
this test is positive, it may indicate that there’s inflammation in your urinary tract or kidneys. The most common cause for white blood cells in urine is a bacterial
urinary tract infection (UTI).Urine specific gravity test: A specific gravity test shows the concentration of all chemical particles in your urine. Abnormal results may
indicate several different health conditions.Red blood cell (RBC) urine test: An elevated number of RBCs indicates that there’s blood in your urine. However, this
test can’t identify where the blood is coming from. For example, contamination with blood from hemorrhoids or vaginal bleeding can’t be distinguished from a bleed
somewhere in your urinary system. In some cases, higher-than-normal levels of red blood cells in your urine may indicate bladder, kidney or urinary tract issues. White
blood cell (WBC) urine test: An increased number of WBCs and/or a positive test for leukocyte esterase may indicate an infection or inflammation somewhere in
E-MIDAS Infosystem Pvt. Ltd.

your urinary tract.Epithelial cells: Epithelial cells are cells that form the covering on all internal and external surfaces of your body and line body cavities and hollow
organs. Your urinary tract is lined with epithelial cells. It’s normal to have some epithelial cells in your urine, but elevated numbers of epithelial cells may indicate
infection, inflammation and/or cancer in your urinary tract. Bacteria, yeast and parasites: Sometimes, bacteria can enter your urethra and urinary tract, causing a
urinary tract infection (UTI). The urine sample can also become contaminated with bacteria, yeast and parasites, especially for people with a vagina. Yeast can
contaminate the sample for people who have a vaginal yeast infection. Trichomonas vaginalis is a parasite that may also be found in the urine of people who have a
vagina. It’s the cause of an STI called trichomoniasis.Urinary casts: Casts are tiny tube-like particles that can sometimes be in your urine. They’re formed from protein
released by your kidney cells. Certain types of casts may indicate kidney issues, while others are completely normal.

Disclaimer:The test results mentioned here should be interpreted in view of clinical situation of patient. In case of any suspicion regarding any
parameter, repeat test with fresh sample essential to conclude. As per company policy, Sample storage is only for 24hrs after that recheck will not be
possible.

* End of Report *

Result Enter By: AARTI GAUTAM

11 of 11