Booking ID : 10186386992

Sample Collection Date : 25/Feb/2024

81SU0O
Female, 35 Yrs

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 Smart Report 3.0

HEALTH ANALYSIS 81SU0O

Personalized Summary & Vital Parameters Booking ID : 10186386992 | Sample Collection Date : 25/Feb/2024

81SU0O,
Your Health Score
Congratulations, We have successfully completed your health diagnosis. This is a big
step towards staying on top of your health and identify potential to improve!

10 Vital Health Parameters of a Human Body Ecosystem

Below are the health parameters which require routine checkups for primary healthcare.
The view also includes personalised information depending on the tests you have taken.
75
Out of 100

*Calculated from test reports

Thyroid Function Vitamin B12

Thyroid Stimulating Hormone 412 pg/ml
(TSH)-Ultrasensitive : 1.94 Everything looks good
µIU/ml
Everything looks good

Cholesterol Total Liver Function

204.2 mg/dl Alanine Aminotransferase
Concern (ALT/SGPT) : 9 U/L
Everything looks good

Kidney Function Calcium Total

Serum Creatinine : 0.6 mg/dl 9.6 mg/dl
Everything looks good Everything looks good

Vitamin D Iron studies

23.75 ng/ml Serum Iron : 44.2 ug/dl
Concern Concern

HbA1c Complete
5.5 % Hemogram
Everything looks good Haemoglobin (HB) : 12.9 g/dL
Everything looks good
 Smart Report 3.0

HEALTH ANALYSIS 81SU0O

Critical Parameters Booking ID : 10186386992 | Sample Collection Date : 25/Feb/2024

We have observed that the below given critical parameters have shown out of range results, which
can have negative impact on your health.

Urea, Serum Your Result Value

15
Serum urea is the normal waste product, which is produced in the liver after breaking down
of proteins and is removed by kidneys. If the kidneys or liver are not functioning well, the
urea levels in blood rise. This test helps measure the urea levels in blood and assess kidney mg/dl
functioning.

Impact on overall health?

Concern
This test assesses your risk of kidney damage, liver damage, circulatory problems or dehydration. You
may also be advised this test to check for renal complications in diabetes.

How to improve health conditions? Normal Value

If your serum urea levels are high, consult your physician for treatment. If the fluctuations in urea
levels are due to dietary changes or medications, avoid those changes. 17-43 mg/dl
 Partner Name : CSIR IGIB
Barcode : E0333638
Participant Name : 81SU0O
Sample Collected On : 25/Feb/2024 08:44AM
Age/Gender : 35Y 0M 0D /Female
Sample Received On : 26/Feb/2024 10:52AM
Order Id : 10186386992
Report Generated On : 26/Feb/2024 12:28PM
Referred By : Self
Sample Temperature : Maintained
Customer Since : 26/Feb/2024
Report Status : Final Report
Sample Type : Whole Blood EDTA

DEPARTMENT OF BIOCHEMISTRY HBA1C

Test Name Value Unit Bio. Ref Interval

HbA1c - Glycosylated Hemoglobin

Hba1c (Glycosylated Hemoglobin) 5.50 % 4.2 - 5.7
Method: HPLC
Machine: BIORAD D100
Average Estimated Glucose - plasma 111.15 mg/dl
Method: Calculated
INTERPRETATION:
AS PER AMERICAN DIABETES ASSOCIATION (ADA):
REFERENCE GROUP GLYCOSYLATED HEMOGLOBIN (HBA1c) in %
Non diabetic <5.7
At Risk (Prediabetes) 5.7 – 6.4
Diagnosing Diabetes >= 6.5
Age > 19 Years
Goals of Therapy: < 7.0
Actions Suggested: >8.0
Therapeutic goals for glycemic control Age < 19 Years
Goal of therapy: <7.5

REMARKS
1. HbA1c is used for monitoring diabetic control. It reflects the mean plasma glucose over three months
2. HbA1c may be falsely low in diabetics with hemolytic disease. In these individuals a plasma fructosamine level may be used which evaluates diabetes over 15
days.
3. Inappropriately low HbA1c values may be reported due to hemolysis, recent blood transfusion, acute blood loss, hypertriglyceridemia, chronic liver disease. Drugs
like dapsone, ribavirin, antiretroviral drugs, trimethoprim, may also cause interference with estimation of HbA1c, causing falsely low values.
4. HbA1c may be increased in patients with polycythemia or post-splenectomy.
5. Inappropriately higher values of HbA1c may be caused due to iron deficiency, vitamin B12 deficiency, alcohol intake, uremia, hyperbilirubinemia and large doses of
aspirin.
6. Trends in HbA1c are a better indicator of diabetic control than a solitary test. 7. Any sample with >15% HbA1c should be suspected of having a hemoglobin
variant, especially in a non-diabetic patient. Similarly, below 4% should prompt additional studies to determine the possible presence of variant hemoglobin.
8. HbA1c target in pregnancy is to attain level <6 % .
9. HbA1c target in paediatric age group is to attain level < 7.5 %.
Method : Ion-exchange high-performance liquid chromatography (HPLC).
Reference : American Diabetes Associations. Standards of Medical Care in Diabetes 2023

Page 1 of 18
SIN No:E0333638
 Partner Name : CSIR IGIB
Barcode : E0333638
Participant Name : 81SU0O
Sample Collected On : 25/Feb/2024 08:44AM
Age/Gender : 35Y 0M 0D /Female
Sample Received On : 26/Feb/2024 01:25PM
Order Id : 10186386992
Report Generated On : 26/Feb/2024 06:39PM
Referred By : Self
Sample Temperature : Maintained
Customer Since : 26/Feb/2024
Report Status : Final Report
Sample Type : Flouride Plasma

DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval

Fasting Blood Sugar

Glucose, Fasting 88.6 mg/dl 70 - 100
Method: Hexokinase
Machine: BECKMAN COULTER AU 5800
American Diabetes Association Reference Range :

Normal : < 100 mg/dl

Impaired fasting glucose(Prediabetes) : 100 - 125 mg/dl
Diabetes : >= 126 mg/dl

Conditions that can result in an elevated blood glucose level include:

Diabetes mellitus ,Hemochromatosis ,Cushing syndrome ,Acromegaly and gigantism.

Increased circulating epinephrine such as in pheochromocytoma and adrenalin injections
Acute pancreatitis
Chronic pancreatitis

Conditions that cause low blood glucose level include :

Pancreatic disorders : Islet cell tumor , pancreatitis

Hepatic disease (diffuse severe disease )
Endocrine disorders : hypopituitarism, Addison’s disease ,hypothyroidism
Alcoholism
Malnutrition

Page 2 of 18

SIN No:E0333638
 Partner Name : CSIR IGIB
Barcode : E0333638
Participant Name : 81SU0O
Sample Collected On : 25/Feb/2024 08:44AM
Age/Gender : 35Y 0M 0D /Female
Sample Received On : 26/Feb/2024 01:23PM
Order Id : 10186386992
Report Generated On : 26/Feb/2024 06:39PM
Referred By : Self
Sample Temperature : Maintained
Customer Since : 26/Feb/2024
Report Status : Final Report
Sample Type : SERUM

DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval

Lipid Profile
Total Cholesterol 204.2 mg/dl Desirable : <200
Method: ABELL KENDALL Borderline: 200-239
Machine: BECKMAN COULTER AU 5800
High : >/=240
Serum Triglycerides 212.7 mg/dl Desirable : <150
Method: GPO-POD Borderline high : 150-199
Machine: BECKMAN COULTER AU 5800
High : 200-499
Very high : >= 500
Serum HDL Cholesterol 59.5 mg/dl 40 - 60
Method: ENZYMATIC IMMUNOINHIBITION
Machine: BECKMAN COULTER AU 5800
Serum LDL Cholesterol 118.8 mg/dl Optimal : <100
Method: ENZYMATIC SELECTIVE PROTECTION near /above Optimal:100 -
Machine: BECKMAN COULTER AU 5800
129
Borderline High:130 - 159
High : 160 - 189
Very High :>/=190
Serum VLDL Cholesterol 26.0 mg/dl <30
Method: Calculated
Machine: BECKMAN COULTER AU 5800
Total CHOL / HDL Cholesterol Ratio 3.43 Ratio 3.30 - 4.40
Method: Calculated
LDL / HDL Cholesterol Ratio 2.00 Ratio Desirable/Low Risk: 0.5-3.0
Method: Calculated Line/Moderate Risk: 3.0-6.0
Elevated/High Risk: >6.0
HDL / LDL Cholesterol Ratio 0.50 Ratio Optimal->0.4
Method: Calculated Moderate-0.4 to 0.3
High-<0.3
Non-HDL Cholesterol 144.7 mg/dl 0.0 - 160.0
Method: Calculated
Dyslipidemia is a disorder of fat or lipoprotein metabolism in the body and includes lipoprotein overproduction or deficiency.
Dyslipidemias means increase in the level of one or more of the following: Total Cholesterol, low density lipoprotein (LDL) and/or triglyceride
concentrations.

Page 3 of 18

SIN No:E0333638
 Partner Name : CSIR IGIB
Barcode : E0333638
Participant Name : 81SU0O
Sample Collected On : 25/Feb/2024 08:44AM
Age/Gender : 35Y 0M 0D /Female
Sample Received On : 26/Feb/2024 01:23PM
Order Id : 10186386992
Report Generated On : 26/Feb/2024 06:39PM
Referred By : Self
Sample Temperature : Maintained
Customer Since : 26/Feb/2024
Report Status : Final Report
Sample Type : SERUM

DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval

Dyslipidemia also includes a decrease in the “good" cholesterol or high-density lipoprotein (HDL) concentration in the blood.
Cholesterol is a steroid carried in the bloodstream as lipoprotein, necessary for cell membrane functioning and as a precursor to bile acids,
progesterone ,vitamin D ,estrogens ,glucocorticoids and mineralocorticoids.
HDL is termed “good cholesterol” because its levels are inversely related to the risk of Coronary heart disease.
LDL cholesterol is termed the “bad cholesterol” and their increased levels are associated with increased risk of atherosclerosis and coronary
heart disease.
Lipid level assessments must be made following 9 to 12 hours of fasting, otherwise assay results might lead to erroneous interpretation.
Healthians labs report biological reference intervals (normal ranges) in accordance with the recommendations of The National Cholesterol
Education Program (NCEP) & Adult Treatment Panel IV (ATP IV) guidelines providing the most desirable targets of various circulating lipid
fractions in the blood. NCEP recommends that all adults above 20 years of age must be screened for abnormal lipid levels.

Page 4 of 18

SIN No:E0333638
 Partner Name : CSIR IGIB
Barcode : E0333638
Participant Name : 81SU0O
Sample Collected On : 25/Feb/2024 08:44AM
Age/Gender : 35Y 0M 0D /Female
Sample Received On : 26/Feb/2024 01:23PM
Order Id : 10186386992
Report Generated On : 26/Feb/2024 06:39PM
Referred By : Self
Sample Temperature : Maintained
Customer Since : 26/Feb/2024
Report Status : Final Report
Sample Type : Serum

DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval

Liver Function Test (LFT)

Serum Bilirubin, (Total) 0.35 mg/dl 0.3 - 1.2
Method: DPD
Machine: BECKMAN COULTER AU 5800
Serum Bilirubin, (Direct) 0.06 mg/dl 0 - 0.2
Method: DPD
Machine: BECKMAN COULTER AU 5800
Serum Bilirubin, (Indirect) 0.29 mg/dl 0.0 - 0.8
Method: Calculated
Aspartate Aminotransferase (AST/SGOT) 18.80 U/L 3 - 35
Method: IFCC WITHOUT P5P
Machine: BECKMAN COULTER AU 5800
Alanine Aminotransferase (ALT/SGPT) 9.0 U/L 3 - 35
Method: IFCC WITHOUT P5P
Machine: BECKMAN COULTER AU 5800
Alkaline Phosphatase (ALP) 53.30 U/L 33-98
Method: IFCC AMP BUFFER
Machine: BECKMAN COULTER AU 5800
Gamma Glutamyl Transferase (GGT) 14.9 U/L 5- 38
Method: IFCC
Machine: BECKMAN COULTER AU 5800
Serum Total Protein 7.05 gm/dl 6.6 - 8.3
Method: BIURET
Machine: BECKMAN COULTER AU 5800
Serum Albumin 4.45 g/dl 3.5 - 5.2
Method: BROMOCRESOL GREEN
Machine: BECKMAN COULTER AU 5800
Serum Globulin 2.60 gm/dl 3.0 - 4.2
Method: Calculated
Albumin/Globulin Ratio 1.71 Ratio 1.2 - 2.5
Method: Calculated
SGOT/SGPT Ratio 2.09 Ratio 0.7 - 1.4
Method: Calculated
Bilirubin is a yellowish pigment found in bile and is a breakdown product of normal heme catabolism. Elevated levels are a result of increased
bilirubin production (e.g hemolysis and ineffective erythropoiesis), decreased bilirubin excretion (e.g.; obstruction and hepatitis) and abnormal

Page 5 of 18

SIN No:E0333638
 Partner Name : CSIR IGIB
Barcode : E0333638
Participant Name : 81SU0O
Sample Collected On : 25/Feb/2024 08:44AM
Age/Gender : 35Y 0M 0D /Female
Sample Received On : 26/Feb/2024 01:23PM
Order Id : 10186386992
Report Generated On : 26/Feb/2024 06:39PM
Referred By : Self
Sample Temperature : Maintained
Customer Since : 26/Feb/2024
Report Status : Final Report
Sample Type : Serum

DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval

bilirubin metabolism (e.g; hereditary and neonatal jaundice) .

Conjugated (direct) bilirubin is elevated in conditions like- Hereditary disorders( Dubin Johnson syndrome, Rotor syndrome),Hepatocellular
damage(e.g –viral ,toxic ,alcohol ,drugs) ,biliary duct obstruction (extrahepatic or intrahepatic), Infiltrations ,space occupying lesions(e.g
metastasis, abscess , granuloma , amyloidosis. Increased unconjugated (indirect) bilirubin may be a result of hemolytic or pernicious anemia,
transfusion reaction & a common metabolic condition termed Gilbert syndrome.
AST levels increase in viral hepatitis, blockage of the bile duct ,cirrhosis of the liver, liver cancer, kidney failure, hemolytic anemia, pancreatitis,
hemochromatosis. AST levels may also increase after a heart attack or strenuous activity.
ALT is a liver specific enzyme commonly measured as a part of a diagnostic evaluation of hepatocellular injury, to determine liver health.

Elevated ALP levels are seen in Biliary Obstruction, Osteoblastic Bone Tumors, Osteomalacia, Hepatitis, Hyperparathyroidism, Leukemia,
Lymphoma, Paget’s disease, Rickets, Sarcoidosis etc.
Elevated serum GGT activity can be found in diseases of the liver, Biliary system and pancreas. Obstructive liver disease, high alcohol
consumption and use of enzyme-inducing drugs lead to raised GGT levels .

Serum total protein measures the total amount of protein in serum. It is largely comprised of albumin and globulins. Increased levels may be
due to: Chronic inflammation or infection, including HIV and hepatitis B or C, multiple myeloma, Waldenstrom's disease. Decreased levels may
be due to: Agammaglobulinemia, Bleeding (hemorrhage), Burns, Glomerulonephritis, Liver disease, Malabsorption, Malnutrition, Nephrotic
Syndrome.

Albumin is the most abundant protein in the serum and is produced in the liver. Low serum albumin levels (hypoalbuminemia) can be caused by:
Liver diseases like liver cirrhosis, nephrotic syndrome, protein-losing enteropathy, burns, hemodilution, increased vascular permeability or
decreased lymphatic clearance, malnutrition and wasting .
Globulins are increased in most liver diseases , in chronic inflammatory diseases and neoplastic diseases

Page 6 of 18

SIN No:E0333638
 Partner Name : CSIR IGIB
Barcode : E0333638
Participant Name : 81SU0O
Sample Collected On : 25/Feb/2024 08:44AM
Age/Gender : 35Y 0M 0D /Female
Sample Received On : 26/Feb/2024 01:23PM
Order Id : 10186386992
Report Generated On : 26/Feb/2024 06:39PM
Referred By : Self
Sample Temperature : Maintained
Customer Since : 26/Feb/2024
Report Status : Final Report
Sample Type : SERUM

DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval

Kidney Function Test (KFT)

Serum Creatinine 0.60 mg/dl 0.3 - 1.0
Method: Modified Jaffe, Kinetic
Machine: BECKMAN COULTER AU 5800
GFR, ESTIMATED 119.97 mL/min/1.73m2
Method: Calculated
Serum Uric Acid 5.4 mg/dl 2.6-6.0
Method: Uricase PAP
Machine: BECKMAN COULTER AU 5800
Serum Calcium 9.6 mg/dl 8.8 - 10.6
Method: ARSENAZO III
Machine: BECKMAN COULTER AU 5800
Serum Phosphorus 3.3 mg/dl 2.5 - 4.5
Method: PHOSPHOMOLYBDATE COMPLEX
Machine: BECKMAN COULTER AU 5800
Serum Sodium 140 mmol/L 136 - 146
Method: ISE (Indirect)
Machine: BECKMAN COULTER AU 5800
Serum Potassium 4.64 mmol/L 3.5 - 5.5
Method: ISE (Indirect)
Machine: BECKMAN COULTER AU 5800
Serum Chloride 105 mmol/L 101 - 109
Method: ISE (Indirect)
Machine: BECKMAN COULTER AU 5800
Blood Urea 15 mg/dl 17 - 43
Method: GLDH,Kinetic assay
Machine: BECKMAN COULTER AU 5800
Blood Urea Nitrogen (BUN) 7.0 mg/dl 8-20
Method: Calculated
Bun/Creatinine Ratio 11.68 Ratio
Method: Calculated
Urea/Creatinine Ratio 25.00
The kidneys play a vital role in the excretion of waste products and toxins such as urea, creatinine and uric acid, regulation of extracellular fluid
volume, serum osmolality and electrolyte concentrations, as well as the production of hormones like erythropoietin and 1,25 dihydroxy vitamin D
and renin. Assessment of renal function is important in the management of patients with kidney disease or pathologies affecting renal function.

Page 7 of 18

SIN No:E0333638
 Partner Name : CSIR IGIB
Barcode : E0333638
Participant Name : 81SU0O
Sample Collected On : 25/Feb/2024 08:44AM
Age/Gender : 35Y 0M 0D /Female
Sample Received On : 26/Feb/2024 01:23PM
Order Id : 10186386992
Report Generated On : 26/Feb/2024 06:39PM
Referred By : Self
Sample Temperature : Maintained
Customer Since : 26/Feb/2024
Report Status : Final Report
Sample Type : SERUM

DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval

Tests of renal function have utility in identifying the presence of renal disease, monitoring the response of kidneys to treatment, and determining
the progression of renal disease.

Urea is synthesized in the liver as the final product of protein and amino acid metabolism. Urea synthesis is therefore dependent on daily protein
intake and endogenous protein metabolism.

Creatinine is a metabolic product of creatine and phosphocreatine, which are both found almost exclusively in muscle.

Uric Acid is the major product of purine catabolism in humans. Uric acid levels are used to monitor the treatment of gout.

Measurement of calcium is used in the diagnosis and treatment of parathyroid disease, a variety of bone diseases, chronic renal disease,
urolithiasis and tetany. Phosphorus levels are increased in acute or chronic renal failure with decreased GFR .

Sodium is an electrolyte, and it helps regulate the amount of water in and around the cells & the balance of chemicals in the body called acids
and bases. Potassium is a primary intracellular ion, only 2 % is extracellular, high intracellular concentration is maintained by a Na- K ATPase
pump, which continuously transports potassium into the cell against a concentration gradient. Chloride is a negatively charged ion that works
with other electrolytes such as potassium, sodium, and bicarbonate, to help regulate the amount of fluid in the body and maintain the acid-base
balance.

Page 8 of 18

SIN No:E0333638
 Partner Name : CSIR IGIB
Barcode : E0333638
Participant Name : 81SU0O
Sample Collected On : 25/Feb/2024 08:44AM
Age/Gender : 35Y 0M 0D /Female
Sample Received On : 26/Feb/2024 01:23PM
Order Id : 10186386992
Report Generated On : 26/Feb/2024 06:39PM
Referred By : Self
Sample Temperature : Maintained
Customer Since : 26/Feb/2024
Report Status : Final Report
Sample Type : SERUM

DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval

Iron study
Serum Iron 44.2 ug/dl 60 - 180
Method: TPTZ
Machine: BECKMAN COULTER AU 5800
UIBC 356.40 ug/dl 155 - 355
Method: Nitroso-PSAP
Machine: BECKMAN COULTER AU 5800
Serum Total Iron Binding Capicity (TIBC) 400.6 µg/dl 250 - 400
Method: FE+UIBC (saturation with iron)
Transferrin Saturation % 11.03 % 15 - 50
Method: Calculated
Iron participates in a variety of vital processes in the body varying from cellular oxidative mechanisms to the transport and delivery of oxygen to body cells. It is a
constituent of the oxygen-carrying chromoproteins, haemoglobin and myoglobin, as well as various enzymes, such as cytochrome oxidase and peroxidases.

Serum iron may be increased in hemolytic, megaloblastic and aplastic anemias, and in hemochromatosis acute leukemia, lead poisoning, pyridoxine
deficiency, thalassemia, excessive iron therapy, and after repeated transfusions. Drugs causing increased serum iron include chloramphenicol, cisplatin,
estrogens (including oral contraceptives), ethanol, iron dextran, and methotrexate. Iron can be decreased in iron-deficiency anemia, acute and chronic infections,
carcinoma, nephrotic syndrome hypothyroidism, in protein- calorie malnutrition and after surgery.Diurnal variation is seen in serum iron levels with normal
values obtained in the midmorning, low values in midafternoon and very low values near midnight.

TIBC measures the blood’s capacity to bind iron with transferrin (TRF). Estrogens and oral contraceptives increase TIBC levels. Asparaginase, chloramphenicol,
corticotropin, cortisone, and testosterone decrease the TIBC levels.

Transferrin is the primary plasma iron transport protein, which binds iron strongly at physiological pH. Transferrin is generally only 25% to 30% saturated with
iron. The additional amount of iron that can be bound is the unsaturated iron-binding capacity (UIBC). Transferrin saturation represents the number of iron-
binding sites that are occupied. It is a better index of iron stores than serum iron alone. Transferrin saturation is decreased in iron deficiency anemia (usually
<10% in established deficiency).

Page 9 of 18

SIN No:E0333638
 Partner Name : CSIR IGIB
Barcode : E0333638
Participant Name : 81SU0O
Sample Collected On : 25/Feb/2024 08:44AM
Age/Gender : 35Y 0M 0D /Female
Sample Received On : 26/Feb/2024 01:23PM
Order Id : 10186386992
Report Generated On : 26/Feb/2024 06:39PM
Referred By : Self
Sample Temperature : Maintained
Customer Since : 26/Feb/2024
Report Status : Final Report
Sample Type : SERUM

DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval

Serum Apoliprotein -A1

APO-A1 160.8 mg/dl 105 - 205
Method: Immunoturbidimetry
Machine: BECKMAN COULTER AU 5800

Apolipoprotein B (Apo-B)
APO-B 104.1 mg/dl 55 - 130
Method: Immunoturbidimetry
Machine: BECKMAN COULTER AU 5800
Lipids are transported throughout the body by complex structures called lipoproteins. Lipoproteins are classified into five (5) major density classes: chylomicrons,
very low density lipoprotein (VLDL), intermediate density lipoprotein (IDL), low density lipoprotein (LDL) and high density lipoprotein (HDL). Over the past several
decades, decreased serum levels of high density lipoprotein (HDL) and increased levels of low density lipoprotein (LDL) have been associated with increased risk
of coronary artery disease. Associated with these lipoproteins, at least five major apolipoproteins have been described and have been labelled A through E. The
principle apolipoproteins of HDL are the A apolipoproteins, constituting nearly 90% of the protein mass. Apo A1 has a role in the removal of excess cholesterol from
the tissues and reduced levels of Apo A1 have been observed in patients with coronary heart disease. Apo A1 measurements are frequently used in characterising
patients with genetic disorders that lead to low HDL cholesterol concentrations. Apo B plays an essential role in the delivery of cholesterol to the tissues, the most
abundant form of Apo B, Apo B100 is present in all atherogenic lipoprotein fractions VLDL, IDL and LDL. Elevated levels of Apo B100 are associated with an
increased risk of coronary artery disease.

Page 10 of 18

SIN No:E0333638
 Partner Name : CSIR IGIB
Barcode : E0333638
Participant Name : 81SU0O
Sample Collected On : 25/Feb/2024 08:44AM
Age/Gender : 35Y 0M 0D /Female
Sample Received On : 26/Feb/2024 10:52AM
Order Id : 10186386992
Report Generated On : 26/Feb/2024 11:59AM
Referred By : Self
Sample Temperature : Maintained
Customer Since : 26/Feb/2024
Report Status : Final Report
Sample Type : Whole Blood EDTA

DEPARTMENT OF HAEMATOLOGY
Test Name Value Unit Bio. Ref Interval

Complete Haemogram
Haemoglobin (HB) 12.9 g/dL 12.0-15.0
Method: Photometry
Machine: BECKMAN COULTER DxH900
Total Leucocyte Count (TLC) 5.4 10^3/uL 4.0-10.0
Method: Impedance
Machine: BECKMAN COULTER DxH900
Hematocrit (PCV) 39.6 % 36.0-46.0
Method: Calculated
Machine: BECKMAN COULTER DxH900
Red Blood Cell Count (RBC) 4.80 10^6/µl 3.80-4.80
Method: Impedance
Machine: BECKMAN COULTER DxH900
Mean Corp Volume (MCV) 82.6 fL 83.0-101.0
Method: Derived from RBC Histogram
Machine: BECKMAN COULTER DxH900
Mean Corp Hb (MCH) 26.8 pg 27.0-32.0
Method: Calculated
Machine: BECKMAN COULTER DxH900
Mean Corp Hb Conc (MCHC) 32.4 g/dL 31.5-34.5
Method: Calculated
Machine: BECKMAN COULTER DxH900
RDW - CV 16.3 % 11.6-14.0
Method: Derived from RBC Histogram
Machine: BECKMAN COULTER DxH900
RDW - SD 47.70 fL 39.0-46.0
Method: Derived from RBC Histogram
Machine: BECKMAN COULTER DxH900
Mentzer Index 17.21 Ratio
Method: Calculated
RDWI 280.50 Ratio
Method: Calculated
Green and king index 86 Ratio
Method: Calculated
Differential Leucocyte Count

Page 11 of 18
SIN No:E0333638
 Partner Name : CSIR IGIB
Barcode : E0333638
Participant Name : 81SU0O
Sample Collected On : 25/Feb/2024 08:44AM
Age/Gender : 35Y 0M 0D /Female
Sample Received On : 26/Feb/2024 10:52AM
Order Id : 10186386992
Report Generated On : 26/Feb/2024 11:59AM
Referred By : Self
Sample Temperature : Maintained
Customer Since : 26/Feb/2024
Report Status : Final Report
Sample Type : Whole Blood EDTA

DEPARTMENT OF HAEMATOLOGY
Test Name Value Unit Bio. Ref Interval

Neutrophils 60.5 % 40 - 80
Method: VCS Technology
Machine: BECKMAN COULTER DxH900
Lymphocytes 29.1 % 20-40
Method: VCS Technology
Machine: BECKMAN COULTER DxH900
Monocytes 5.5 % 02 - 10
Method: VCS Technology
Machine: BECKMAN COULTER DxH900
Eosinophils 3.6 % 01 - 06
Method: VCS Technology
Machine: BECKMAN COULTER DxH900
Basophils 1.3 % 00 - 02
Method: VCS Technology
Machine: BECKMAN COULTER DxH900
Absolute Leucocyte Count
Absolute Neutrophil Count (ANC) 3.27 10^3/uL 2.0-7.0
Method: Calculated
Machine: BECKMAN COULTER DxH900
Absolute Lymphocyte Count (ALC) 1.57 10^3/uL 1.0-3.0
Method: Calculated
Machine: BECKMAN COULTER DxH900
Absolute Monocyte Count 0.30 10^3/uL 0.2-1.0
Method: Calculated
Machine: BECKMAN COULTER DxH900
Absolute Eosinophil Count (AEC) 0.19 10^3/uL 0.02-0.5
Method: Calculated
Machine: BECKMAN COULTER DxH900
Absolute Basophil Count 0.07 10^3/uL 0.02 - 0.10
Method: Calculated
Machine: BECKMAN COULTER DxH900
Platelet Count(PLT) 276 10^3/µl 150-410
Method: Impedance
Machine: BECKMAN COULTER DxH900
MPV 9.0 fL 7-9
Method: Derived from PLT Histogram

Page 12 of 18
SIN No:E0333638
 Partner Name : CSIR IGIB
Barcode : E0333638
Participant Name : 81SU0O
Sample Collected On : 25/Feb/2024 08:44AM
Age/Gender : 35Y 0M 0D /Female
Sample Received On : 26/Feb/2024 10:52AM
Order Id : 10186386992
Report Generated On : 26/Feb/2024 11:59AM
Referred By : Self
Sample Temperature : Maintained
Customer Since : 26/Feb/2024
Report Status : Final Report
Sample Type : Whole Blood EDTA

DEPARTMENT OF HAEMATOLOGY
Test Name Value Unit Bio. Ref Interval

Machine: BECKMAN COULTER DxH900

ESR 04 mm/1st hour 0-12
Method: Kinetic Red Cells Aggregation
Machine: ALIFAX TEST - 1
The International Council for Standardization in Haematology (ICSH) recommends reporting of absolute counts of various WBC subsets for clinical decision making.
This test has been performed on a fully automated 5 part differential cell counter which counts over 10,000 WBCs to derive differential counts. A complete blood
count is a blood panel that gives information about the cells in a patient's blood, such as the cell count for each cell type and the concentrations of Hemoglobin and
platelets. The cells that circulate in the bloodstream are generally divided into three types: white blood cells (leukocytes), red blood cells (erythrocytes), and platelets
(thrombocytes). Abnormally high or low counts may be physiological or may indicate disease conditions, and hence need to be interpreted clinically.

The Mentzer index is used to differentiate iron deficiency anaemia beta thalassemia trait. If a CBC indicates microcytic anaemia, these are two of the most likely
causes, making It necessary to distinguish between them.
If the quotient of the mean corpuscular volume divided by the red blood cell count is then 13, thalassemia is more likely. If the result is greater than 13, then iron-
deficiency anaemia is more likely. Green and King Index used to differentiate IDA from thalassemia trait value >65 is likely to be Iron Deficiency Anemiaand value <65
Beta Thalassemia Trait. For RDWI Value >220 more likely to be Iron Deficiency Anemia and value <220 more likely to be Beta Thalassemia Trait .

ESR is a non-specific phenomenon, its measurement is clinically useful in disorders associated with an increased production of acute-phase proteins. it provides an
index of progress of the disease in rheumatoid arthritis or tuberculosis, and it is of considerable value in diagnosis of temporal arteritis and polymyalgia rheumatica. It
is often used if multiple myeloma is suspected, but when the myeloma is non-secretory or light chain, a normal ESR does not exclude this diagnosis.

An elevated ESR occurs as an early feature in myocardial infarction. Although a normal ESR cannot be taken to exclude the presence of organic disease, the vast
majority of acute or chronic infections and most neoplastic and degenerative diseases are associated with changes in the plasma proteins that increased ES values.
An increased ESR in subjects who are HIV seropositive seems to be an early predictive marker of progression toward acquired immune deficiency syndrome
(AIDS).
The ESR is influenced by age, stage of the menstrual cycle and medications taken (corticosteroids, contraceptive pills). It is especially low (0–1 mm) in
polycythaemia, hypofibrinogenaemia and congestive cardiac failure and when there are abnormalities of the red cells such as poikilocytosis, spherocytosis, or sickle
cells.
In cases of performance enhancing drug intake by athletes the ESR values are generally lower than the usual value for the individual and as a result of the
increase in haemoglobin (i.e. the effect of secondary polycythaemia).

Page 13 of 18
SIN No:E0333638
 Partner Name : CSIR IGIB
Barcode : E0333638
Participant Name : 81SU0O
Sample Collected On : 25/Feb/2024 08:44AM
Age/Gender : 35Y 0M 0D /Female
Sample Received On : 26/Feb/2024 01:23PM
Order Id : 10186386992
Report Generated On : 26/Feb/2024 05:33PM
Referred By : Self
Sample Temperature : Maintained
Customer Since : 26/Feb/2024
Report Status : Final Report
Sample Type : SERUM

DEPARTMENT OF IMMUNOLOGY
Test Name Value Unit Bio. Ref Interval

Thyroid Stimulating Hormone (TSH)

Thyroid Stimulating Hormone (TSH)-Ultrasensitive 1.9380 µIU/ml 0.55-4.78
Method: CLIA
Interpretation:
Bio Ref Range for TSH in uIU/ml (As per American Thyroid
Pregnancy interval
Association)
First trimester 0.1 - 2.5
Second trimester 0.2 – 3.0
Third trimester 0.3 – 3.0

1. Thyroid hormones undergo circadian variation: Peak levels are seen at around midnight. Minimum levels seen between morning through noon.
This variation may be as much as 50% thus, influence of sampling time needs to be considered for clinical interpretation.
2. Circulating forms of T3 and T4 are mostly reversibly bound with Thyroxine binding globulins (TBG), and to a lesser extent with albumin and
Thyroid binding Pre-Albumin. Thus the conditions in which TBG and protein levels alter such as chronic liver disorders, pregnancy, excess of
estrogens, androgens, anabolic steroids and glucocorticoids may cause misleading total T3, total T4 and TSH interpretations.
3. TSH levels may be normal in central hypothyroidism, recent rapid correction of hypothyroidism or hyperthyroidism, pregnancy, phenytoin therapy
etc.
4. TSH values of <0.03 uIU/mL must be clinically correlated to evaluate the presence of a rare TSH variant in certain individuals which is
undetectable by conventional methods.
5. Presence of Autoimmune disorders may lead to spurious results of thyroid hormones.
6. Various drugs influence the levels of thyroid hormones such as L-Dopa, Lithium, Glucocorticoids, Phenytoin etc.
7. Serum TSH is evaluated in Neonates to diagnose Congenital Hypothyroidism.
8. Within hours of birth, plasma TSH, T4, and T3 concentrations rise rapidly. By 2 to 3 days, TSH concentrations fall. T4 falls to adult
concentrations by 1 to 2 months of age.

Page 14 of 18

SIN No:E0333638
 Partner Name : CSIR IGIB
Barcode : E0333638
Participant Name : 81SU0O
Sample Collected On : 25/Feb/2024 08:44AM
Age/Gender : 35Y 0M 0D /Female
Sample Received On : 26/Feb/2024 01:23PM
Order Id : 10186386992
Report Generated On : 26/Feb/2024 05:33PM
Referred By : Self
Sample Temperature : Maintained
Customer Since : 26/Feb/2024
Report Status : Final Report
Sample Type : Serum

DEPARTMENT OF IMMUNOLOGY
Test Name Value Unit Bio. Ref Interval

Ferritin
Ferritin 7.2 ng/ml 10-291
Method: CLIA
Ferritin estimation is useful in the diagnosis of iron deficiency anemia and iron overload. Elevated ferritin levels are observed in acute and chronic
liver disease, chronic renal failure , some types of neoplasms , hemochromatosis, frequent blood transfusions with packed RBCs and alcoholic
liver disease. Decreased levels are seen in heavy menstrual bleeding, poor absorption of iron, iron deficiency anaemia and long term GI bleed.
Ferritin is an acute phase reactant and thus may also be increased with inflammation, chronic infection, liver disease, auto-immune disorders
and some type of cancers.

Page 15 of 18

SIN No:E0333638
 Partner Name : CSIR IGIB
Barcode : E0333638
Participant Name : 81SU0O
Sample Collected On : 25/Feb/2024 08:44AM
Age/Gender : 35Y 0M 0D /Female
Sample Received On : 26/Feb/2024 01:23PM
Order Id : 10186386992
Report Generated On : 26/Feb/2024 05:33PM
Referred By : Self
Sample Temperature : Maintained
Customer Since : 26/Feb/2024
Report Status : Final Report
Sample Type : Serum

DEPARTMENT OF IMMUNOLOGY
Test Name Value Unit Bio. Ref Interval

Vitamin B12
VITAMIN B12 412 pg/ml 211 - 912
Method: CLIA
Interpretation
Vitamin B12 is a coenzyme that is involved in two very important metabolic functions vital to normal cell growth and DNA synthesis: 1) the synthesis of methionine
from homocysteine and 2) the conversion of methyl malonyl CoA to succinyl CoA. Deficiency of this vitamin can lead to megaloblastic anemia andultimately to severe
neurological problems. It can also lead to macrocytic anemia, glossitis, peripheral neuropathy, weakness, hyperreflexia, ataxia, loss of proprioception, poor
coordination, and affective behavioral changes. A significant increase in RBC mean corpuscular volume (MCV) may be an important indicator of vitamin B12
deficiency.
Patients taking vitamin B12 supplementation may have misleading results. A normal serum concentration of Vitamin B12 does not rule out tissue deficiency of vitamin
B12. The most sensitive test for Vitamin B12 deficiency at the cellular level is the assay for methyl malonic acid (MMA). If clinicalsymptoms suggest deficiency,
measurement of MMA and homocysteine should be considered, even ifserum B12 concentrations are normal.

Page 16 of 18

SIN No:E0333638
 Partner Name : CSIR IGIB
Barcode : E0333638
Participant Name : 81SU0O
Sample Collected On : 25/Feb/2024 08:44AM
Age/Gender : 35Y 0M 0D /Female
Sample Received On : 26/Feb/2024 01:23PM
Order Id : 10186386992
Report Generated On : 26/Feb/2024 05:33PM
Referred By : Self
Sample Temperature : Maintained
Customer Since : 26/Feb/2024
Report Status : Final Report
Sample Type : Serum

DEPARTMENT OF IMMUNOLOGY
Test Name Value Unit Bio. Ref Interval

Vitamin D, 25-Hydroxy
VITAMIN D (25 - OH VITAMIN D) 23.75 ng/ml 30 - 100
Method: CLIA

VITAMIN D STATUS VITAMIN D 25 HYDROXY (ng/mL), Adult VITAMIN D 25 HYDROXY (ng/mL), Pediatric
DEFICIENCY <20 <15
INSUFFICIENCY 20 - 30 15 - 20
SUFFICIENCY 30 – 100 20 - 100

Vitamin D is a steroid hormone known for its important role in regulating body levels of calcium and phosphorus and in the mineralization of bone
Uses :

Diagnosis of Vitamin D deficiency

Differential diagnosis of causes of rickets and Osteomalacia
Monitoring Vitamin D replacement therapy
Diagnosis of hypervitaminosis D

Increased in

Vitamin D intoxication
Excessive exposure to sunlight

Decreased in

Malabsorption
Steatorrhoea
Dietary osteomalacia
Thyrotoxicosis
Coeliac disease
Inflammatory bowel disease
Rickets
Pancreatic insufficiency

*** End Of Report ***

Page 17 of 18

SIN No:E0333638
 Partner Name : CSIR IGIB
Barcode : E0333638
Participant Name : 81SU0O
Sample Collected On : 25/Feb/2024 08:44AM
Age/Gender : 35Y 0M 0D /Female
Sample Received On : 26/Feb/2024 01:23PM
Order Id : 10186386992
Report Generated On : 26/Feb/2024 05:33PM
Referred By : Self
Sample Temperature : Maintained
Customer Since : 26/Feb/2024
Report Status : Final Report
Sample Type : Serum

DEPARTMENT OF IMMUNOLOGY
Test Name Value Unit Bio. Ref Interval

Page 18 of 18

SIN No:E0333638
 Smart Report 3.0

ADVISORY 81SU0O
Health Advisory Booking ID : 10186386992 | Sample Collection Date : 25/Feb/2024

Body Mass Index

No Data

Physical Activity Smoke Food Preference Blood Pressure

Height · No Data No Data No Data No Data

5' 7"(ft/in)

Weight
Sugar levels

·
Medication Alcohol Family History
No Data
No Data Found
No Data No Data No Data

SUGGESTED NUTRITION

Do's Dont's

Have a balanced diet that includes whole grains, Avoid flavoured and seasoned foods
pulses, dairy, fruits, vegetables, nuts and healthy fats Decrease intake of colas and sugary drinks
SUGGESTED Include fruits like apples, berries and melons in your Avoid saturated fats, transfats, oily and greasy foods

NUTRITION
diet like cakes, creamy or fried foods
Have dates and figs
Avoid refined carbs, processed foods
Take vitamin C rich foods like citrus fruits, strawberries
Avoid the use of oil and avoid sauces and dressings
and green, leafy vegetables
Include calcium rich foods like milk, yoghurt, cheese Limit sugar intake
and green, leafy vegetables Reduce caffeine intake
Include Brazil nuts, sesame seeds, sunflower seeds Avoid high cholesterol and calorie dense foods
Include fresh garlic and fenugreek seeds in your diet Avoid red meat and organ meats
Include whole grains in your diet like whole wheat Limit the use of oil and avoid sauces and dressings
bread and other products, brown rice or hand
pounded rice, oats

SUGGESTED LIFESTYLE

Do's Dont's

Maintain ideal weight Avoid overexertion without having food or drink

Have regular exposure to sunlight Avoid strenuous exercises
SUGGESTED Sleep well at night and do relaxing activities Avoid smoking and alcohol

LIFESTYLE Lose weight gradually and stay active Avoid long periods of inactivity
Avoid late night heavy meals
Avoid overeating or calorie rich food

SUGGESTED FUTURE TESTS

Complete Hemogram - Every 2 Month

Peripheral Smear Examination By Pathologist - Every 2 Month
SUGGESTED Iron Studies With Ferritin - Every 1 Month

FUTURE Occult blood, Stool - Every 1 Month

Reticulocyte Count - Every 1 Month

TESTS Abnormal Haemoglobin Studies (Hb Variants), Blood - Every 1

Month
Vitamin D Total-25 Hydroxy - Every 2 Month