PdfText - 2024-09-17T104039.402

Lab Address:- Hall.
No15187,Second Floor,Maharaj Market ,Opp:

Pillar No.40 ,Near Bank Of Baroda,Bailey Road,Raja
Bazar,Patna-800014, CMO.Reg.No.982/2023,
Name : Mrs. ASHA SINGH Sample ID : a1260121

Age/Gender : 50 Years/Female Reg. No : 0522409160062
Referred by : Dr. SELF SPP Code : SPL-BH-121
Referring Customer : . Collected On : 15-Sep-2024 07:11 PM
Primary Sample : Whole Blood Received On : 16-Sep-2024 02:38 PM
Sample Tested In : Whole Blood EDTA Reported On : 16-Sep-2024 03:44 PM
ITDOSE INFOSYSTEMS PVT. LTD.
Client Address : FATEHPUR BYPASS ROAD, SHIVAJI NAGAR,Pincode

Report
841226
Status : Final Report
HAEMATOLOGY
SAGE CARE 1.3
Test Name Results Units Ref. Range Method
COMPLETE BLOOD COUNT (CBC)

Haemoglobin (Hb) 11.6 g/dL 12-15 Cynmeth Method
RBC Count 3.88 10^12/L 3.8-4.8 Cell Impedence
Haematocrit (HCT) 36.9 % 40-50 Calculated
MCV 95 fl 81-101 Calculated
MCH 29.8 pg 27-32 Calculated
MCHC 31.3 g/dL 32.5-34.5 Calculated
RDW-CV 14.7 % 11.6-14.0 Calculated
Platelet Count (PLT) 159 10^9/L 150-410 Cell Impedance
Total WBC Count 5.6 10^9/L 4.0-10.0 Impedance
Neutrophils 60 % 40-70 Cell Impedence
Absolute Neutrophils Count 3.36 10^9/L 2.0-7.0 Impedence
Lymphocytes 35 % 20-40 Cell Impedence
Absolute Lymphocyte Count 1.96 10^9/L 1.0-3.0 Impedence
Monocytes 02 % 2-10 Microscopy
Absolute Monocyte Count 0.11 10^9/L 0.2-1.0 Calculated
Eosinophils 03 % 1-6 Microscopy
Absolute Eosinophils Count 0.17 10^9/L 0.02-0.5 Calculated
Basophils 00 % 1-2 Microscopy
Absolute Basophil lCount 0.00 10^9/L 0.0-0.3 Calculated
Atypical cells / Blasts 00 %
Morphology
Result rechecked and verified for abnormal cases
*** End Of Report ***
Page 1 of 10
Lab Address:- Hall.No15187,Second Floor,Maharaj Market ,Opp:


Report
841226
HAEMATOLOGY
SAGE CARE 1.3
Erythrocyte Sedimentation Rate (ESR) 34 mm/hr 10 or less Westergren method

Comments : ESR is an acute phase reactant which indicates presence and intensity of an inflammatory process.It is never diagnostic of a specific disease. It is
used to monitor the course or response to treatment of certain diseases. Extremely high levels are found in cases of malignancy, hematologic diseases, collagen
disorders and renal diseases.

Page 2 of 10


Report
841226
CLINICAL BIOCHEMISTRY
SAGE CARE 1.3
Glycated Hemoglobin (HbA1c) 5.7 % Non Diabetic:< 5.7 HPLC

Pre diabetic: 5.7-6.4
Diabetic:>= 6.5
Mean Plasma Glucose 116.89 mg/dL Calculated
Glycated hemoglobins (GHb), also called glycohemoglobins, are substances formed when glucose binds to hemoglobin, and occur in amounts proportional to the
concentration of serum glucose. Since red blood cells survive an average of 120 days, the measurement of GHb provides an index of a person's average blood glucose
concentration (glycemia) during the preceding 2-3 months. Normally, only 4% to 6% of hemoglobin is bound to glucose, while elevated glycohemoglobin levels are seen in
diabetes and other hyperglycemic states Mean Plasma Glucose(MPG):This Is Mathematical Calculations Where Glycated Hb Can Be Correlated With Daily Mean Plasma
Glucose Level
Page 3 of 10

Sample Tested In : Serum Reported On : 16-Sep-2024 04:57 PM

Report
841226
Calcium 8.75 mg/dL 8.5-10.1 Arsenazo
Comments:
Calcium in the body is found mainly in the bones (approximately 99%). In serum, Calcium exists in a
free ionised form and in bound form (with Albumin). Hence, a decrease in Albumin causes lower
Calcium levels and vice-versa.
Calcium levels in serum depend on the Parathyroid Hormone.
Increased Calcium levels are found in Bone tumors, Hyperparathyroidism. decreased levels are
found in Hypoparathyroidism, renal failure, Rickets.
25 - Hydroxy Vitamin D 15.26 ng/mL <20.0-Deficiency CLIA

20.0-30.0-Insufficiency
30.0-100.0-Sufficiency
>100.0-Potential Intoxication
Interpretation:
1.Vitamin D helps your body absorb calcium and maintain strong bones throughout your entire life. Your body produces vitamin D when the sun’s UV
rays contact your skin. Other good sources of the vitamin include fish, eggs, and fortified dairy products. It’s also available as a dietary supplement.
2.Vitamin D must go through several processes in your body before your body can use it. The first transformation occurs in the liver. Here, your
body converts vitamin D to a chemical known as 25-hydroxyvitamin D, also called calcidiol.
3.The 25-hydroxy vitamin D test is the best way to monitor vitamin D levels. The amount of 25-hydroxyvitamin D in your blood is a good indication of
how much vitamin D your body has. The test can determine if your vitamin D levels are too high or too low.
4.The test is also known as the 25-OH vitamin D test and the calcidiol 25-hydroxycholecalcifoerol test. It can be an important indicator of
osteoporosis (bone weakness) and rickets (bone malformation).
Those who are at high risk of having low levels of vitamin D include:
1.people who don’t get much exposure to the sun
2.older adults
3.people with obesity.
4.dietary deficiency
Increased Levels: Vitamin D Intoxication
Method : CLIA
Page 4 of 10

Report
841226
Vitamin- B12 (cyanocobalamin) 227 pg/mL 200-911 CLIA

Interpretation:
This test is most often done when other blood tests suggest a condition called megaloblastic anemia. Pernicious anemia is a form of megaloblastic anemia caused by
poor vitamin B12 absorption. This can occur when the stomach makes less of the substance the body needs to properly absorb vitamin B12.
Causes of vitamin B12 deficiency include:Diseases that cause malabsorption
Lack of intrinsic factor, a protein that helps the intestine absorb vitamin B12
Above normal heat production (for example, with hyperthyroidism)
An increased vitamin B12 level is uncommon in:
Liver disease (such as cirrhosis or hepatitis)

Myeloproliferative disorders (for example, polycythemia vera and chronic myelogenous leukemia)
Total IgE 6.7 IU/mL Upto 378 CLIA
Interpretation:
Allergies are a common and chronic condition that involves the body's immune system. Normally, your immune system works to fight off viruses, bacteria, and other infectious agents.
When you have an allergy, your immune system treats a harmless substance, like dust or pollen, as a threat. To fight this perceived threat, your immune system makes antibodies called
immunoglobulin E (IgE).
Substances that cause an allergic reaction are called allergens. Besides dust and pollen, other common allergens include animal dander, foods, including nuts and shellfish, and certain
medicines, such as penicillin.
Allergy symptoms can range from sneezing and a stuffy nose to a life-threatening complication called anaphylactic shock. Allergy blood tests measure the amount of IgE antibodies in the
blood. A small amount of IgE antibodies is normal. A larger amount of IgE may mean you have an allergy.

Page 5 of 10


Report
841226
SAGE CARE 1.3
Lipid Profile
Cholesterol Total 192 mg/dL < 200 CHOD-POD
Triglycerides-TGL 87 mg/dL < 150 GPO-POD
Cholesterol-HDL 41.3 mg/dL 40-60 Direct
Cholesterol-LDL 133.3 mg/dL < 100 Calculated
Cholesterol- VLDL 17.4 mg/dL 7-35 Calculated
Non HDL Cholesterol 150.7 mg/dL < 130 Calculated
Cholesterol Total /HDL Ratio 4.65 % 0-4.0 Calculated
HDL / LDL Ratio 0.31
LDL/HDL Ratio 3.23 % 0-3.5 Calculated
The National Cholesterol Education program’s third Adult Treatment Panel (ATPIII) has issued its recommendations on evaluating and treating lipid discorders for
primary and secondary.
HDL Non HDL
NCEP Cholesterol Total Triglycerides LDL Cholesterol
Cholesterol Cholesterol in
Recommendations in (mg/dL) in (mg/dL) in (mg/dL)
(mg/dL) (mg/dL)
Adult: < 200 Adult:<100
Optimal < 150 40-59 <130
Children: < 170 Children: <110
Above Optimal ----- ----- 100-129 130 - 159
Adult: 200-239 Adult: 130-159
Borderline High 150-199 160 - 189
Children:171-199 Children: 111-129
Adult:>or=240 Adult:160-189
High 200-499 ≥ 60 190 - 219
Children:>or=200 Children:>or=130
Adult: >or=190
Very High ----- >or=500 >=220
-------
Note: LDL cholesterol cannot be calculated if triglyceride is >400 mg/dL (Friedewald's formula). Calculated values not provided for LDL and VLDL

Page 6 of 10


Report
841226
SAGE CARE 1.3
Kidney Profile-KFT
Creatinine -Serum 0.69 mg/dL 0.60-1.10 Jaffes Kinetic
Urea-Serum 18.9 mg/dL 12.8-42.8 Calculated
Blood Urea Nitrogen (BUN) 8.81 mg/dL 7.0-18.0 Calculated
BUN / Creatinine Ratio 12.77 6 - 22
Uric Acid 3.74 mg/dL 2.6-6.0 Uricase
Sodium 138.0 mmol/L 135-150 ISE Direct
Potassium 4.5 mmol/L 3.5-5.0 ISE Direct
Chloride 102.7 mmol/L 94-110 ISE Direct
Interpretation:
The kidneys, located in the retroperitoneal space in the abdomen, are vital for patient health. They process several hundred liters of fluid a day and remove around two liters of waste products from the bloodstream. The
volume of fluid that passes though the kidneys each minute is closely linked to cardiac output. The kidneys maintain the body’s balance of water and concentration of minerals such as sodium, potassium, and phosphorus
in blood and remove waste by-products from the blood after digestion, muscle activity and exposure to chemicals or medications. They also produce renin which helps regulate blood pressure, produce erythropoietin which
stimulates red blood cell production, and produce an active form of vitamin D, needed for bone health.
Page 7 of 10


Report
841226
SAGE CARE 1.3
Liver Function Test (LFT)

Bilirubin(Total) 0.55 mg/dL 0.3-1.2 Diazo
Bilirubin (Direct) 0.07 mg/dL 0.0 - 0.3 Diazo
Bilirubin (Indirect) 0.48 mg/dL 0.2-1.0 Calculated
Aspartate Aminotransferase (AST/SGOT) 23.4 U/L 15-37 IFCC UV Assay
Alanine Aminotransferase (ALT/SGPT) 20.3 U/L 0-55 IFCC with out (P-5-P)
Alkaline Phosphatase(ALP) 72 U/L 30-120 Kinetic PNPP-AMP
Gamma Glutamyl Transpeptidase (GGTP) 10 U/L 5-55 IFCC
Protein - Total 6.56 g/dL 6.4-8.2 Βiuret
Albumin 4.04 g/dL 3.4-5.0 Bromocresol Green (BCG)
Globulin 2.52 g/dL 2.0-4.2 Calculated
A:G Ratio 1.6 % 0.8-2.0 Calculated
SGOT/SGPT Ratio 1.15
Alanine Aminotransferase(ALT) is an enzyme found in liver and kidneys cells. ALT helps create energy for liver cells. Damaged liver cells release ALT into the bloodstream, which can elevate
ALT levels in the blood.
Aspartate Aminotransferase (AST) is an enzyme in the liver and muscles that helps metabolizes amino acids. Similarly to ALT, elevated AST levels may be a sign of liver damage or liver
disease.
Alkaline phosphate (ALP) is an enzyme present in the blood. ALP contributes to numerous vital bodily functions, such as supplying nutrients to the liver, promoting bone growth, and
metabolizing fat in the intestines.
Gamma-glutamyl Transpeptidase (GGTP) is an enzyme that occurs primarily in the liver, but it is also present in the kidneys, pancreas, gallbladder, and spleen. Higher than normal
concentrations of GGTP in the blood may indicate alcohol-related liver damage. Elevated GGTP levels can also increase the risk of developing certain types of cancer.
Bilirubin is a waste product that forms when the liver breaks down red blood cells. Bilirubin exits the body as bile in stool. High levels of bilirubin can cause jaundice - a condition in which the
skin and whites of the eyes turn yellow- and may indicate liver damage.
Albumin is a protein that the liver produces. The liver releases albumin into the bloodstream, where it helps fight infections and transport vitamins, hormones, and enzymes throughout the body.
Liver damage can cause abnormally low albumin levels.
Page 8 of 10


Report
841226
SAGE CARE 1.3
Thyroid Profile-I(TFT)
T3 (Triiodothyronine) 104.18 ng/dL 70-204 CLIA
T4 (Thyroxine) 4.4 µg/dL 3.2-12.6 CLIA
TSH -Thyroid Stimulating Hormone 0.43 µIU/mL 0.35-5.5 CLIA
Pregnancy & Cord Blood
T3 (Triiodothyronine): T4 (Thyroxine) TSH (Thyroid Stimulating Hormone)

First Trimester : 81-190 ng/dL 15 to 40 weeks:9.1-14.0 µg/dL First Trimester : 0.24-2.99 µIU/mL
Second&Third Trimester :100-260 ng/dL Second Trimester: 0.46-2.95 µIU/mL
Third Trimester : 0.43-2.78 µIU/mL
Cord Blood: 30-70 ng/dL Cord Blood: 7.4-13.0 µg/dL Cord Blood: : 2.3-13.2 µIU/mL
Interpretation:
Thyroid gland is a butterfly-shaped endocrine gland that is normally located in the lower front of the neck. The thyroid’s job is to make thyroid hormones, which are
secreted into the blood and then carried to every tissue in the body. Thyroid hormones help the body use energy, stay warm and keep the brain, heart, muscles, and other
organs working as they should.
Thyroid produces two major hormones: triiodothyronine (T3) and thyroxine (T4). If thyroid gland doesn’t produce enough of these hormones, you may experience
symptoms such as weight gain, lack of energy, and depression. This condition is called hypothyroidism.
Thyroid gland produces too many hormones, you may experience weight loss, high levels of anxiety, tremors, and a sense of being on a high. This is called
hyperthyroidism.
TSH interacts with specific cell receptors on the thyroid cell surface and exerts two main actions. The first action is to stimulate cell reproduction and hypertrophy.
Secondly, TSH stimulates the thyroid gland to synthesize and secrete T3 and T4.
The ability to quantitate circulating levels of TSH is important in evaluating thyroid function. It is especially useful in the differential diagnosis of primary (thyroid) from
secondary (pituitary) and tertiary (hypothalamus) hypothyroidism. In primary hypothyroidism, TSH levels are significantly elevated, while in secondary and tertiary
hypothyroidism, TSH levels are low.
Page 9 of 10

Report
841226
SAGE CARE 1.3
Iron Profile-I
Iron(Fe) 25.54 μg/dL 50-170 Ferrozine
Total Iron Binding Capacity (TIBC) 337 µg/dL 250-450 Ferrozine
Transferrin 235.66 mg/dL 250-380 Calculated
Iron Saturation((% Transferrin Saturation) 7.58 % 15-50 Calculated
Unsaturated Iron Binding Capacity (UIBC) 311 ug/dL 110-370 FerroZine
Interpretation:
Serum transferrin (and TIBC) high, serum iron low, saturation low. Usual causes of depleted iron stores include blood loss, inadequate dietary iron. RBCs in moderately severe iron
deficiency are hypochromic and microcytic. Stainable marrow iron is absent. Serum ferritin decrease is the earliest indicator of iron deficiency if inflammation is absent.
Anemia of chronic disease: Serum transferrin (and TIBC) low to normal, serum iron low, saturation low or normal. Transferrin decreases with many inflammatory diseases. With
chronic disease there is a block in movement to and utilization of iron by marrow. This leads to low serum iron and decreased erythropoiesis. Examples include acute and chronic
infections, malignancy and renal failure.
Sideroblastic Anemia: Serum transferrin (and TIBC) normal to low, serum iron normal to high, saturation high.
Hemolytic Anemia: Serum transferrin (and TIBC) normal to low, serum iron high, saturation high.
Hemochromatosis: Serum transferrin (and TIBC) slightly low, serum iron high, saturation very high.
Protein depletion: Serum transferrin (and TIBC) may be low, serum iron normal or low (if patient also is iron deficient). This may occur as a result of malnutrition, liver disease, renal
disease.
Liver disease: Serum transferrin variable; with acute viral hepatitis, high along with serum iron and ferritin. With chronic liver disease (eg, cirrhosis), transferrin may be low. Patients who
have cirrhosis and portacaval shunting have saturated TIBC/transferrin as well as high ferritin.
Estimated Glomerular Filtration Rate (eGFR):

GFR by MDRD Formula 90.1 mL/min/1.73m2 74 - 129 Calculated
Correlate Clinically.
Page 10 of 10

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Lab Address:- Hall.

No15187,Second Floor,Maharaj Market ,Opp:

Name : Mrs. ASHA SINGH Sample ID : a1260121

Client Address : FATEHPUR BYPASS ROAD, SHIVAJI NAGAR,Pincode

COMPLETE BLOOD COUNT (CBC)

Name : Mrs. ASHA SINGH Sample ID : a1260121

Client Address : FATEHPUR BYPASS ROAD, SHIVAJI NAGAR,Pincode

Erythrocyte Sedimentation Rate (ESR) 34 mm/hr 10 or less Westergren method

Result rechecked and verified for abnormal cases

Name : Mrs. ASHA SINGH Sample ID : a1260121

Client Address : FATEHPUR BYPASS ROAD, SHIVAJI NAGAR,Pincode

Glycated Hemoglobin (HbA1c) 5.7 % Non Diabetic:< 5.7 HPLC

*** End Of Report ***

Name : Mrs. ASHA SINGH Sample ID : a1260120

Sample Tested In : Serum Reported On : 16-Sep-2024 04:57 PM

Calcium 8.75 mg/dL 8.5-10.1 Arsenazo

25 - Hydroxy Vitamin D 15.26 ng/mL <20.0-Deficiency CLIA

Name : Mrs. ASHA SINGH Sample ID : a1260120

Vitamin- B12 (cyanocobalamin) 227 pg/mL 200-911 CLIA

An increased vitamin B12 level is uncommon in:

Liver disease (such as cirrhosis or hepatitis)

Total IgE 6.7 IU/mL Upto 378 CLIA

Result rechecked and verified for abnormal cases

Name : Mrs. ASHA SINGH Sample ID : a1260120

Client Address : FATEHPUR BYPASS ROAD, SHIVAJI NAGAR,Pincode

Result rechecked and verified for abnormal cases

Name : Mrs. ASHA SINGH Sample ID : a1260120

Client Address : FATEHPUR BYPASS ROAD, SHIVAJI NAGAR,Pincode

*** End Of Report ***

Name : Mrs. ASHA SINGH Sample ID : a1260120

Client Address : FATEHPUR BYPASS ROAD, SHIVAJI NAGAR,Pincode

Liver Function Test (LFT)

*** End Of Report ***

Name : Mrs. ASHA SINGH Sample ID : a1260120

Client Address : FATEHPUR BYPASS ROAD, SHIVAJI NAGAR,Pincode

T3 (Triiodothyronine): T4 (Thyroxine) TSH (Thyroid Stimulating Hormone)

Name : Mrs. ASHA SINGH Sample ID : a1260120

Estimated Glomerular Filtration Rate (eGFR):

Result rechecked and verified for abnormal cases

*** End Of Report ***

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