18 East Avenue, Cor. V.

Luna Diliman, Quezon City

Name : DE VEYRA, ERNESTO LICITO Lab. Number : 2301016992

PID : E0167169 Birthdate : 11-08-1940
Age : 82 Sex :MALE Dispatch : PICK-UP
Source : DOCTORS REFERRAL (WI-SENIOR) Page : 1 of 2 2
Clinician : FLOREN, KAREN GAIL ARCANO M.D.
Date Requested : 05-03-2023 08:05 AM Received : 05-03-2023 08:28Received
AM : 05-03-2023 08:28 AM

Result (SI Unit) Result (Conv. Unit)

TEST Reference Interval Reference Interval

HEMATOLOGY
CBC and Platelet
White Blood Cells 7.76 X10^9/L 7.76 X10^3/mm^3
4.23~9.07 4.23~9.07
Red Blood Cells 4.60 X10^12/L 4.60 X10^6/mm^3
4.63~6.08 4.63~6.08
Hemoglobin 139.00 g/L 13.90 g/dL
137.00~175.00 13.70~17.50
Hematocrit 0.41 Vol.Fraction 41.00 %
0.400~0.510 40.00~51.00
Mean Corpuscular Volume 88.90 fL 88.90 u^3
79.00~92.20 79.00~92.20
Mean Corpuscular Hb 30.20 pg 30.20 pg
25.70~32.20 25.70~32.20
Mean Corpuscular Hb Conc. 34.00 % 34.00 g/dL
32.30~36.50 32.30~36.50
RBC Distribution Width 13.00 % 13.00 %
11.60~14.60 11.60~14.60
Platelet Count 200.00 X10^9/L 200.00 X10^3/mm^3
150.00~450.00 150.00~450.00
Mean Platelet Volume 9.60 fL 9.60 fL
6.50~12.00 6.50~12.00
Differential Count
Neutrophils 69.30 % 69.30 %
34.00~68.00 34.00~68.00
Lymphocytes 17.90 % 17.90 %
22.00~53.00 22.00~53.00
Monocyte 7.00 % 7.00 %
5.00~12.00 5.00~12.00
Eosinophil 5.20 % 5.20 %
1.00~7.00 1.00~7.00
Basophil 0.60 % 0.60 %
0.00~1.00 0.00~1.00

LEGEND: - High - Alert Value High - Low - Alert Value Low

HM:

REGISTERED MEDICAL TECHNOLOGIST QUALITY CONTROL PATHOLOGIST

** Report Electronically Signed Out **
HPD
 18 East Avenue, Cor. V.Luna Diliman, Quezon City

Name : DE VEYRA, ERNESTO LICITO Lab. Number : 2301016992

PID : E0167169 Birthdate : 11-08-1940
Age : 82 Sex :MALE Dispatch : PICK-UP
Source : DOCTORS REFERRAL (WI-SENIOR) Page : 2 of 2 2
Clinician : FLOREN, KAREN GAIL ARCANO M.D.
Date Requested : 05-03-2023 08:05 AM Received : 05-03-2023 08:28Received
AM : 05-03-2023 08:28 AM

Test Results Unit Reference Interval

CLINICAL MICROSCOPY
Complete Urinalysis
Date of Collection 05-03-23
Time of Collection 8:22 AM
Physical / Macroscopic
Color YELLOW
Transparency CLEAR
Urine Chemical
Sp. Gravity 1.015 1.005~1.025
pH 5.00 5.00~7.00
Protein NEGATIVE NEGATIVE
Glucose ++++ NEGATIVE
Bilirubin NEGATIVE NEGATIVE
Blood (ERY/Hb) NEGATIVE NEGATIVE
Leukocytes NEGATIVE NEGATIVE
Nitrite NEGATIVE NEGATIVE
Urobilinogen NEGATIVE NEGATIVE
Ketone NEGATIVE NEGATIVE
Microscopic
RBC 0 /hpf 0~3
WBC 1-2 /hpf 0~5
Epithelial Cells FEW
Bacteria FEW
NOTE : *PAB Accredited test/s.
The results are best interpreted by a healthcare professional and are not intended to be used as the sole means
for diagnosis or management.
Specimen rechecked, result/s verified.

CM:

REGISTERED MEDICAL TECHNOLOGIST QUALITY CONTROL PATHOLOGIST

** Report Electronically Signed Out **
HPD
Name : DE VEYRA, ERNESTO LICITO Lab. Number : 2301016992
PID : E0167169 Birthdate : 11-08-1940
Age : 82 Sex :MALE Dispatch : PICK-UP
Source : DOCTORS REFERRAL (WI-SENIOR) Page : 1 of 3 3
Clinician : FLOREN, KAREN GAIL ARCANO M.D.
Date Requested : 05-03-2023 08:05 AM Received : 05-03-2023 08:28Received
AM : 05-03-2023 08:28 AM

Result (SI Unit) Result (Conv. Unit)

TEST Reference Interval Reference Interval

CHEMISTRY
25-OH Vitamin D (CMIA) 79.90 nmol/L 31.96 ng/mL
75.00~100.00 30.00~40.00
FBS (HEXOKINASE)* 6.21 mmol/L 111.90 mg/dL
3.89~5.49 70.10~98.93
Comment/s:
ADA Recommendations 2015:
Pre-Diabetics: 5.55 - 6.94 mmol/L(100.01 - 125.06 mg/dL)
Diabetics : >/= 7.00 mmol/L(>/= 126.14 mg/dL)

Lipid Profile
Cholesterol (CHOD-PAP)* 3.82 mmol/L 147.49 mg/dL
< 5.20 < 200.77
Comment/s:
NCEP Recommendations:
Desirable: <5.20 mmol/L (<200.00 mg/dL)
Borderline High: 5.20-6.20 mmol/L (200.00-239.38 mg/dL)
High: >/= 6.20 mmol/L (>/= 239.38 mg/dL)

Triglycerides (ENZYMATIC)* 1.85 mmol/L 163.73 mg/dL

< 1.69 < 149.57
Comment/s:
NCEP Recommendations:
Borderline High: 1.69-2.25 mmol/L(149.57-199.12 mg/dL)
High: 2.26-5.64 mmol/L (200.01-499.14 mg/dL)
Very High: >/= 5.65 mmol/L (>/= 500.02 mg/dL)

HDL (DIRECT MEASURE- PEG)* 0.96 mmol/L 37.07 mg/dL

> 0.90 > 34.75
Comment/s:
*>1.45:No risk for CHD,based on HDL value
0.90-1.45:Moderate risk for CHD
<0.90:High risk for CHD

LDL 2.01 mmol/L 77.61 mg/dL

1.27~4.47 49.03~172.59
VLDL 0.85 mmol/L 32.69 mg/dL
< 0.78 < 30.00
CHOL/HDL Ratio 3.98
< 5.70
Creatinine (ENZYMATIC)* 120.00 umol/L 1.36 mg/dL
59.00~104.00 0.67~1.18

LEGEND: - High - Alert Value High - Low - Alert Value Low

CH:

REGISTERED MEDICAL TECHNOLOGIST QUALITY CONTROL PATHOLOGIST

** Report Electronically Signed Out **
HPD
Name : DE VEYRA, ERNESTO LICITO Lab. Number : 2301016992
PID : E0167169 Birthdate : 11-08-1940
Age : 82 Sex :MALE Dispatch : PICK-UP
Source : DOCTORS REFERRAL (WI-SENIOR) Page : 2 of 3 3
Clinician : FLOREN, KAREN GAIL ARCANO M.D.
Date Requested : 05-03-2023 08:05 AM Received : 05-03-2023 08:28Received
AM : 05-03-2023 08:28 AM

Result (SI Unit) Result (Conv. Unit)

TEST Reference Interval Reference Interval

Uric Acid (ENZYMATIC)* 292.37 umol/L 4.94 mg/dL

202.30~416.50 3.42~7.04
SGPT / ALT (KINETIC)* 13.74 U/L 13.74 U/L
10.00~50.00 10.00~50.00
Sodium (ISE)* 145.80 mmol/L 145.80 meq/L
135.00~148.00 135.00~148.00
Potassium (ISE)* 4.39 mmol/L 4.39 meq/L
3.50~5.30 3.50~5.30
^^^Ionized Calcium (ISE)* 1.32 mmol/L 5.28 mg/dL
1.10~1.35 4.40~5.40

LEGEND: - High - Alert Value High - Low - Alert Value Low

CH:

REGISTERED MEDICAL TECHNOLOGIST QUALITY CONTROL PATHOLOGIST

** Report Electronically Signed Out **
HPD
Name : DE VEYRA, ERNESTO LICITO Lab. Number : 2301016992
PID : E0167169 Birthdate : 11-08-1940
Age : 82 Sex :MALE Dispatch : PICK-UP
Source : DOCTORS REFERRAL (WI-SENIOR) Page : 3 of 3 3
Clinician : FLOREN, KAREN GAIL ARCANO M.D.
Date Requested : 05-03-2023 08:05 AM Received : 05-03-2023 08:28Received
AM : 05-03-2023 08:28 AM

Result (SI Unit) Result (Conv. Unit)

TEST Reference Interval Reference Interval

HEMATOLOGY
Glycosylated Hb (HbA1C)* 6.30 % 6.30 %
< 5.70 < 5.70
Comment/s:
ADA Recommendation 2015:
Pre-Diabetes: 5.70 - 6.40%
Diabetes : >/= 6.50%

NOTE : *PAB Accredited test/s.

The results are best interpreted by a healthcare professional and are not intended to be used as the sole means
for diagnosis or management.
Specimen rechecked, result/s verified.

LEGEND: - High - Alert Value High - Low - Alert Value Low

HM:

REGISTERED MEDICAL TECHNOLOGIST QUALITY CONTROL PATHOLOGIST

** Report Electronically Signed Out **
HPD
 PATIENT CUMULATIVE RESULTS

Name : DE VEYRA, ERNESTO LICITO Age : 82 Page : 1 of 2

PID : E0167169 Sex : Male

05-03-2023 12-21-2022 11-11-2022 05-07-2022 11-09-2021 04-21-2021

TEST SI UNIT 08:05 AM 10:55 AM 07:58 AM 08:00 AM 07:52 AM 07:32 AM
2301016992 2201047017 2201041521 2201014879 2101042520 2101016689

CHEMISTRY
25-OH Vitamin D (CMIA) nmol/L 79.90
FBS (HEXOKINASE) mmol/L 6.21 6.26 7.63 8.36 7.96
Lipid Profile
Cholesterol (CHOD-PAP) mmol/L 3.82 3.42 3.09 3.14 3.24
Triglycerides (ENZYMATIC) mmol/L 1.85 1.77 0.95 1.57 3.08
HDL (DIRECT MEASURE- mmol/L 0.96 0.83 1.12 0.94 0.89
PEG)
LDL mmol/L 2.01 1.78 1.53 1.48 0.93
VLDL mmol/L 0.85 0.81 0.44 0.72 1.42
CHOL/HDL Ratio 3.98 4.12 2.76 3.34 3.64
Creatinine (ENZYMATIC) umol/L 120.00 143.00 145.00 117.00 106.00 87.00
Uric Acid (ENZYMATIC) umol/L 292.37 396.10 286.76 211.00 490.00
SGPT / ALT (KINETIC) U/L 13.74 15.86 15.39 15.10 38.90
Sodium (ISE) mmol/L 145.80 140.00 141.90 141.00 139.00
Potassium (ISE) mmol/L 4.39 4.29 4.23 4.36 4.83
^^^Ionized Calcium (ISE) mmol/L 1.32 1.29 1.22
CLINICAL MICROSCOPY
Complete Urinalysis
Date of Collection 05-03-23 11-11-22 05-07-22 11-09-21
Time of Collection 8:22 AM 9:14 AM 7:58 AM 9:44 AM
Physical / Macroscopic
Color YELLOW YELLOW YELLOW YELLOW YELLOW
Transparency CLEAR CLEAR CLEAR CLEAR CLEAR
Urine Chemical
Sp. Gravity 1.015 1.015 1.025 1.015 1.020
pH 5.00 6.00 5.00 5.00 5.00
Protein NEG NEG + + ++
Glucose ++++ ++++ NEG NEG NEG
Bilirubin NEG NEG NEG NEG NEG
Blood (ERY/Hb) NEG NEG NEG NEG +
Leukocytes NEG NEG NEG NEG NEG
Nitrite NEG NEG NEG NEG NEG
Urobilinogen NEG NEG NEG NEG NEG
Ketone NEG NEG NEG NEG NEG
Microscopic
RBC /hpf NONE. 1-3 1-3 NONE. 1-3
WBC /hpf 1-2. 1-2. 1-2. NONE. NONE.
Epithelial Cells FEW FEW FEW FEW FEW

LEGEND : PROC - PROCESSING PEN - PENDING SR - SCHEDULED RUNNING

** Report Electronically Signed Out **

 PATIENT CUMULATIVE RESULTS

Name : DE VEYRA, ERNESTO LICITO Age : 82 Page : 2 of 2

PID : E0167169 Sex : Male

05-03-2023 12-21-2022 11-11-2022 05-07-2022 11-09-2021 04-21-2021

TEST SI UNIT 08:05 AM 10:55 AM 07:58 AM 08:00 AM 07:52 AM 07:32 AM
2301016992 2201047017 2201041521 2201014879 2101042520 2101016689

Bacteria FEW FEW FEW FEW FEW

Mucus Threads FEW FEW FEW FEW
CAST
HEMATOLOGY
Glycosylated Hb (HbA1C) % 6.30 6.30 6.30 6.50 6.60
CBC and Platelet
White Blood Cells X10^9/L 7.76 5.40 5.51 5.76 6.10
Red Blood Cells X10^12/L 4.60 4.55 4.19 4.32 4.49
Hemoglobin g/L 139.00 142.00 128.00 129.00 137.00
Hematocrit Vol.Fraction 0.41 0.42 0.37 0.38 0.39
Mean Corpuscular Volume fL 88.90 91.90 89.30 88.20 87.30
Mean Corpuscular Hb pg 30.20 31.20 30.50 29.90 30.50
Mean Corpuscular Hb Conc. % 34.00 34.00 34.20 33.90 34.90
RBC Distribution Width % 13.00 12.60 12.40 12.20 12.00
Platelet Count X10^9/L 200.00 159.00 168.00 169.00 138.00
Mean Platelet Volume fL 9.60 10.10 9.70 9.90 10.70
Differential Count
Neutrophils % 69.30 56.80 66.70 71.80 68.00
Lymphocytes % 17.90 21.10 22.70 17.00 20.00
Monocyte % 7.00 7.80 7.60 6.90 7.70
Eosinophil % 5.20 13.70 2.50 3.80 3.60
Basophil % 0.60 0.60 0.50 0.50 0.70

END OF REPORT. PRINTED AT 05-04-2023 15:03

LEGEND : PROC - PROCESSING PEN - PENDING SR - SCHEDULED RUNNING

** Report Electronically Signed Out **