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Name : MR.NITISH PALA 744646 TID/SID : TD0019592/ 9000007051

Age / Gender : 23 Years / Male Registered on : 10-Sep-2024 / 16:41 PM
Ref.By : - Collected on : 10-Sep-2024 / 16:38 PM

10240020733 Reported on : 11-Sep-2024 / 17:42 PM

Req.No : D.E.Shaw
Reference
10240020733 TEST REPORT

DEPARTMENT OF CLINICAL CHEMISTRY I

25 - Hydroxy Vitamin D, Serum
Investigation Observed Value Biological Reference Interval

25 Hydroxy Vitamin D 11.85 Deficiency : < 20

Method:CLIA
Insufficiency : 20±29
Sufficiency : 30±100
Toxicity : > 100 ng/mL

Interpretation: Two forms of vitamin D can be measured in the blood, 25-hydroxyvitamin D and 1,25-dihydroxyvitamin D. The 25-
hydroxyvitamin D is the major form found in the blood and is the relatively inactive precursor to the active hormone, 1,25-
dihydroxyvitamin D. Because of its long half-life and higher concentration, 25-hydroxyvitamin D is commonly measured to assess
and monitor vitamin D status in individuals.

The main role of vitamin D is to help regulate blood levels of calcium, phosphorus, and (to a lesser extent) magnesium.

Reference: VITROS Immunodiagnostic tVitD Kit literature.

Sample processed at Elbit Medical Diagnostics, Banjarahills, Hyderabad.

Blood Urea Nitrogen (BUN), Serum

Investigation Observed Value Biological Reference Interval

Urea 34 19.26-42.8 mg/dL

Method:Urease/GLDH

Blood Urea Nitrogen 16 8-20 mg/dL

Method:Calculation

Interpretation: The Blood urea nitrogen (BUN) evaluates kidney function in a wide range of circumstances, to diagnose kidney
disease, and to monitor people with acute or chronic kidney dysfunction or failure. It also may be used to evaluate a person's
general health status as well.

Reference: Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics

Sample processed at Elbit Medical Diagnostics, Banjarahills, Hyderabad.

Creatinine, Serum
Investigation Observed Value Biological Reference Interval

Creatinine 1.0 0.7-1.2 mg/dL

Method:Enzymatic

Interpretation: Creatinine is elevated in Kidney disease, damage, infection, urinary tract obstruction, reduced blood flow to the
kidneys in case of shock, congestive heart failure, complication of diabetes.

Reference : VITROS Chemistery Kit literature.

Sample processed at Elbit Medical Diagnostics, Banjarahills, Hyderabad.

Electrolytes, Serum
Investigation Observed Value Biological Reference Interval Page 1 of 7
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Name : MR.NITISH PALA 744646 TID/SID : TD0019592/ 9000007051

Age / Gender : 23 Years / Male Registered on : 10-Sep-2024 / 16:41 PM
Ref.By : - Collected on : 10-Sep-2024 / 16:38 PM

10240020733 Reported on : 11-Sep-2024 / 17:42 PM

Req.No : D.E.Shaw
Reference
10240020733 TEST REPORT

Investigation Observed Value Biological Reference Interval

Sodium 140 136-145 mmol/L

Method:Direct ISE

Potassium 4.5 3.5-5.1 mmol/L

Method:Direct ISE

Chlorides 106 101-109 mmol/L

Method:Direct ISE

Interpretation: Electrolyte profile is the determination of body fluid concentrations of the four major electrolytes (sodium, potassium,
chloride and bicarbonate). Serum electrolytes have a role in water homeostasis, acid ±base balance, muscle function, etc. Abnormal
electrolyte concentrations may be the cause or consequence of several medical disorders and require clinical correlation.

Disclaimer: Test results released pertain to the specimen submitted. All test result are dependent on the quality of the sample
received by the laboratory. Test result may show interlaboratory variations.Laboratory investigation are only a tool to faciliate in
arriving at a diagnosis and should be clinically correlated by the Referring Physician.

Reference : VITROS Chemistry kit literature.

Sample processed at Elbit Medical Diagnostics, Banjarahills, Hyderabad.

Glycosylated Hemoglobin (HbA1C), EDTA Whole Blood

Investigation Observed Value Biological Reference Interval

Glycosylated Haemoglobin 5.3 Non Diabetic : <5.6

Method:High-performance liquid chromatography (HPLC)
Pre - Diabetic Range : 5.7 - 6.4
Diabetic Range : > 6.5 %
Estimated Average Glucose (eAG) 105
Method:Calculated

Interpretation: It is an index of long-term blood glucose concentrations and a measure of the risk for developing microvascular
complications in patients with diabetes. Absolute risks of retinopathy and nephropathy are directly proportional to the mean HbA1c
concentration. In persons without diabetes, HbA1c is directly related to risk of cardiovascular disease.Low glycated haemoglobin
(below 4%) in a non-diabetic individual are often associated with systemic inflammatory diseases, chronic anaemia (especially
severe iron deficiency & haemolytic), chronic renal failure and liver diseases. Clinical correlation suggested.

In known diabetic patients, HbA1c can be considered as a tool for monitoring the glycemic control.

Excellent Control - 6 to 7 %,

Fair to Good Control - 7 to 8 %,

Unsatisfactory Control - 8 to 10 %

and Poor Control - More than 10 %.

Reference: American Diabetes Association. Standards of Medical Care in Diabetes-2022.

Sample processed at Elbit Medical Diagnostics, Banjarahills, Hyderabad.

Lipid Profile, Serum

Investigation Observed Value Biological Reference Interval
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Name : MR.NITISH PALA 744646 TID/SID : TD0019592/ 9000007051

Age / Gender : 23 Years / Male Registered on : 10-Sep-2024 / 16:41 PM
Ref.By : - Collected on : 10-Sep-2024 / 16:38 PM

10240020733 Reported on : 11-Sep-2024 / 17:42 PM

Req.No : D.E.Shaw
Reference
10240020733 TEST REPORT
Investigation Observed Value Biological Reference Interval

Total Cholesterol 192.1 Desirable : < 200

Method:CHOD-POD
Borderline High : 200 - 239
High : > 239 mg/dL
Triglycerides 256 Desirable Level : < 150
Method:Glycerol Phosphate Oxidase (GPO), Peroxidase
Borderline : 150±199
(POD) High : 200 - 499
Very High : > 500 mg/dL
HDL Cholesterol 43 Desirable Level : > 60
Method:Enzymatic Immunoinhibition
Optimal : 40±59
Undesirable : < 40 mg/dL
LDL Cholesterol 98 Optimal : < 100
Method:Calculated
Near Optimal : 100±129
Borderline High : 130-159
High : 160±189
Very Highy : > 190 mg/dL
VLDL 51 <30 mg/dL
Method:Calculated

LDL Cholesterol / HDL Cholesterol Ratio 2.3 Desirable Level : 0.5 - 3.0
Method:Calculated
Borderline Risk : 3.0 - 6.0
High Risk : >6.0

Interpretation: Lipids are fats and fat-like substances which are important constituents of cells and are rich sources of energy. A lipid
profile typically includes total cholesterol, high density lipoproteins (HDL), low density lipoprotein (LDL), chylomicrons, triglycerides,
very low density lipoproteins (VLDL), Cholesterol/HDL ratio .The lipid profile is used to assess the risk of developing a heart disease
and to monitor its treatment. The results of the lipid profile are evaluated along with other known risk factors associated with heart
disease to plan and monitor treatment. Treatment options require clinical correlation.

Reference: Third Report of the National Cholesterol Education program (NCEP) Expert Panel on Detection, Evaluation, and
Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III), JAMA 2001.

*Sample processed at Elbit Medical Diagnostics, Banjarahills, Hyderabad.

Liver Function Test (LFT), Serum

Investigation Observed Value Biological Reference Interval

Total Bilirubin 0.44 0.3-1.2 mg/dL

Method:Diazo

Direct Bilirubin 0.1 Neonate: 0.0-0.6

Adult: 0-0.3 mg/dL
Method:Calculated

Indirect Bilirubin 0.3 Adult: 0.0-1.1

Neonate: 0.6-10.5 mg/dL
Method:Dual wavelength

SGPT / ALT 23 0-50 U/L

Method:LDH, UV kinetic

SGOT/AST 22 0-50 U/L

Method:MDH, UV Kinetic

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Name : MR.NITISH PALA 744646 TID/SID : TD0019592/ 9000007051

Age / Gender : 23 Years / Male Registered on : 10-Sep-2024 / 16:41 PM
Ref.By : - Collected on : 10-Sep-2024 / 16:38 PM

10240020733 Reported on : 11-Sep-2024 / 17:42 PM

Req.No : D.E.Shaw
Reference
10240020733 TEST REPORT

Alkaline Phosphatase 87 30-120 U/L

Method:PNPP, AMP Buffer

Gamma-Glutamyl Transferase (GGT) 33 0-55 U/L

Method:SZAZ Carboxylated Substrate

Total Protein (TP) 7.69 6.3 - 8.2 g/dL

Method:Biuret

Albumin 4.9 3.5-5.2 g/dL

Method:BCG

Globulin 2.8 1.8-3.6 g/dL

Method:Calculated

A/G Ratio 2 0.8 - 2.0 Ratio

Method:Calculated

Interpretation:LFT helps in evaluating severity, monitoring therapy and assessing prognosis of liver disease and dysfunction.

Reference: VITROS Chemistery Kit literature.

Sample processed at Elbit Medical Diagnostics, Banjarahills, Hyderabad.

Thyroid Profile (T3,T4,TSH), Serum

Investigation Observed Value Biological Reference Interval

Total T3 1.2 0.8-2.0 ng/mL

Method:CLIA

Total T4 12.3 5.1-14.1 µg/dL

Method:CLIA

TSH 1.58 0.46-4.68 µIU/mL

Method:CLIA

Interpretation: A thyroid profile is used to evaluate thyroid function and/or help diagnose hypothyroidism and hyperthyroidism due to
various thyroid disorders. T4 and T3 are hormones produced by the thyroid gland. They help control the rate at which the body uses
energy, and are regulated by a feedback system. TSH from the pituitary gland stimulates the production and release of T4 (primarily)
and T3 by the thyroid. Most of the T4 and T3 circulate in the blood bound to protein. A small percentage is free (not bound) and is
the biologically active form of the hormones.

Reference: Tietz textbook of Clinial Chemistry and Molecular Diagnostics, Nader Rifia, Andrea Ritas Horvath, Carl T. Wittwer.

Sample processed at Elbit Medical Diagnostics, Banjarahills, Hyderabad.

Uric Acid, Serum

Investigation Observed Value Biological Reference Interval

Uric Acid 5.42 3.5-8.5 mg/dL

Method:Uricase-Peroxidase

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Name : MR.NITISH PALA 744646 TID/SID : TD0019592/ 9000007051

Age / Gender : 23 Years / Male Registered on : 10-Sep-2024 / 16:41 PM
Ref.By : - Collected on : 10-Sep-2024 / 16:38 PM

10240020733 Reported on : 11-Sep-2024 / 17:42 PM

Req.No : D.E.Shaw
Reference
10240020733 TEST REPORT

Interpretation: It is the major product of purine catabolism. Hyperuricemia can result due to increased formation or decreased
excretion of uric acid which can be due to several causes like metabolic disorders, psoriasis, tissue hypoxia, pre-eclampsia, alcohol,
lead poisoning, acute or chronic kidney disease, etc. Hypouricemia may be seen in severe hepato cellular disease and defective
renal tubular reabsorption of uric acid.

Reference: VITROS Chemistry Uric Acid kit literature

Sample processed at Elbit Medical Diagnostics, Banjarahills, Hyderabad.

Vitamin B12 (Cyanocobalamin), Serum

Investigation Observed Value Biological Reference Interval

Vitamin - B12 130.98 Deficient : <211

Method:CLIA
Normal : 211-911 pg/mL

Interpretation: Vitamin B12 is essential in DNA synthesis,haematopoiesis and CNS integrity.Measurement of vitamin B12 is intended
to identify and monitor vitamin B12 deficiency. This can arise from the following; (1) defect in the secretion of Intrinsic Factor,
resulting in inadequate absorption from food (pernicious anemia); (2) gastrectomy and malabsorption due to surgical resection; and
(3) a variety of bacterial or inflammatory diseases affecting the small intestine.(4) Decreased dietary intake.Reduced concentrations
of vitamin B12 may indicate the presence of vitamin dependent anemia. Elevated concentrations of vitamin B12 have been
associated with pregnancy, the use of oral contraceptives and multivitamins and in myeloproliferative diseases, such as chronic
granulocytic leukemia and myelomonocytic leukemia. An elevated concentration of vitamin B12 is not known to cause clinical
problems.

Reference : VITROS® Immunodiagnostic Vitamin B12 Kit literature.

Sample processed at Elbit Medical Diagnostics, Banjarahills, Hyderabad.

--- End Of Report ---

Dr.S.Shameem Begum
Consultant Pathologist

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Name : MR.NITISH PALA 744646 TID/SID : TD0019592/ 9000007051

Age / Gender : 23 Years / Male Registered on : 10-Sep-2024 / 16:41 PM
Ref.By : - Collected on : 10-Sep-2024 / 16:38 PM

10240020733 Reported on : 11-Sep-2024 / 11:16 AM

Req.No : D.E.Shaw
Reference
10240020733 TEST REPORT

DEPARTMENT OF HEMATOLOGY
Complete Blood Pictrure ( CBP ) with ESR
Investigation Observed Value Biological Reference Interval

Hemoglobin 16.5 13.0-17.0 gm/dL

Method:Colorimetric

PCV / HCT 51.6 40.0-50.0. Vol%

Method:Calculated

RBC Count 5.55 4.5-5.5 millions/cumm

Method:Electrical Impedance

MCV 92.9 83.0-101.0 fl

Method:Calculated

MCH 29.8 27.0-32.0 pg

Method:Calculated

MCHC 32.1 31.5-34.5 gm/dL

Method:Calculated

RDW 12.5 11.6-14.0 %

Method:Calculated

MPV 10.0 7.0-10.0 fl

Method:Calculated

Total WBC Count 7520 4000-10000 Cells/cumm

Method:Flow Cytometry

Platelet Count 2.71 1.50-4.10 Lakhs/cmm

Method:Electrical Impedance

Differential count
Neutrophils 53.5 40-80 %
Lymphocytes 35.8 20-40 %
Eosinophils 3.3 1-6 %
Monocytes 6.7 2-10 %
Basophils 0.7 0-2 %
Method:Flow Cytometry

Absolute Lecuocyte Count

Absolute Neutrophil Count 4023 2000-7000 Cells/cumm
Absolute Lymphocyte Count 2692 1000-3000 Cells/cumm
Absolute Eosinophil Count 248 20-500 Cells/cumm
Absolute Monocyte Count 504 200-1000 Cells/cumm
Absolute Basophils 53
Method:Calculated

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Name : MR.NITISH PALA 744646 TID/SID : TD0019592/ 9000007051

Age / Gender : 23 Years / Male Registered on : 10-Sep-2024 / 16:41 PM
Ref.By : - Collected on : 10-Sep-2024 / 16:38 PM

10240020733 Reported on : 11-Sep-2024 / 11:16 AM

Req.No : D.E.Shaw
Reference
10240020733 TEST REPORT

Neutrophil - Lymphocyte Ratio(NLR) 1

Method:Calculated

Peripheral Blood Smear Examination

RBC Morphology Normocytic Normochromic
Method:Microscopy :Leishman stain/ Modified Geimsa Stain

WBC Normal in morphology,maturity and distribution

Platelets Adequate
Erythrocyte Sedimentation Rate (ESR)
Erythrocyte Sedimentation Rate (ESR) 04 0-15 mm/1st hr
Method:Westergren Method

Method: Automated Hematology Analyzer, Microscopy.

Reference: Dacie and Lewis Practical Hematology,12th Edition

Interpretation: A Complete Blood Picture (CBP) is a screening test which can aid in the diagnosis of a variety of
conditions and diseases such as anemia, leukemia, bleeding disorders and infections. This test is also useful in
monitoring a person's reaction to treatment when a condition which affects blood cells has been diagnosed. All the
abnormal results are to be correlated clinically.

Note: These results are generated by a fully automated hematology analyzer and the differential count is computed
from a total of several thousands of cells. Therefore the differential count appears in decimalised numbers and may not
add upto exactly 100. It may fall between 99 and 101.

Sample processed at Elbit Medical Diagnostics, Banjarahills, Hyderabad.

--- End Of Report ---

Dr.S.Shameem Begum
Consultant Pathologist

Page 7 of 7