Visit ID : RDDPL400692

Registration : 30-Oct-2024 16:37

UHID/MR No : 401321
Collected : 30-Oct-2024 16:37
Patient Name : MR. NARESH
Received : 30-Oct-2024 16:37
Age/Gender : 58Y 0M 0D/Male Reported : 30-Oct-2024 16:49
Ref Doctor : Dr. ARUN Status : Final report
E-MIDAS Infosystem Pvt. Ltd.

: FRANKLENE BLOOD COLLECTION

Client Name Client Code : RDDL162
CENTRE
Barcode No : A11151
Ref.Lab :AM

DEPARTMENT OF HEMATOLOGY

+TSH - RD1.0 + TSH

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) 13.9 g/dL 13.0-17.0 Colorimetric SLS
RBC Count(Red Blood Count) 4.9 10^6/uL 4.5–5.9 Electrical Impedance
Packed Cell Volume (PCV)-Hematocrit 45.1 % 30.0-55.0 RBC Pulse Height
Detection
Mean Corpuscular Volume (MCV) 92.2 fL 80 - 96 Automated/Calculated
Mean Corpuscular Hemoglobin (MCH) 28.4 pg/cell 28 - 33 Automated/Calculated
Mean Corpuscular Hb concentration (MCHC) 30.80 L g/dL 31 - 36 Automated/Calculated
Red Blood Cell Distribution Width Cofficient 16.4 H % 11.7 - 14.4 Automated/Calculated
of Variation (RDW-CV)
Red Blood Cell Distribution Width Standard 55.8 H fL 35.0- 46.0 Automated/Calculated
Deviation (RDW-SD)
WHITE BLOOD CELL (WBC) PARAMETERS
Total Leukocyte Count (TLC/WBC COUNT) 6.01 10^3/µL 4.00-10.0 optical Flow
cytometry/Manual
DIFFERENTIAL LEUKOCYTE COUNT(DLC) BY FLOW CYTOMETERY/MICROSCOPIC
Neutrophils Count 62.0 % 40.0-80.0 Impedance Flow
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cytometry/Microscopy
Lymphocytes Count 28.0 % 20.0-40.0 Impedance Flow
cytometry/Microscopy
Monocytes Count 6.0 % 2 .0- 10 .0 Impedance Flow
cytometry/Microscopy
Eosinophils Count 4.0 % 1.0 - 6.0 Impedance Flow
cytometry/Microscopy
Basophils Count 0.0 % 0.00 - 2.00 Impedance Flow
cytometry/Microscopy
ABSOLUTE LEUKOCYTE COUNTS
Absolute Neutrophil Count 3.73 10^3/µL 2.00-7.00 Automated Calculated
Absolute Lymphocyte Count 1.68 10^3/µL 1.00-3.00 Automated Calculated
Absolute Monocyte Count 0.36 10^3ul 0.20 - 1.00 Automated Calculated
Absolute Eosinophils Count 0.24 10^3/ul 0.02-0.50 Automated Calculated

Result Enter By: H TYAGI, Approved by: Dr Chitra Chauhan

1 of 6
 Visit ID : RDDPL400692
Registration : 30-Oct-2024 16:37
UHID/MR No : 401321
Collected : 30-Oct-2024 16:37
Patient Name : MR. NARESH
Received : 30-Oct-2024 16:37
Age/Gender : 58Y 0M 0D/Male Reported : 30-Oct-2024 16:49
Ref Doctor : Dr. ARUN Status : Final report
: FRANKLENE BLOOD COLLECTION
Client Name Client Code : RDDL162
CENTRE
Barcode No : A11151
Ref.Lab :AM

DEPARTMENT OF HEMATOLOGY

+TSH - RD1.0 + TSH

Test Name Result Unit Bio.Ref.Range Method Name
Absolute Basophil Count 00 10^3/µL 0.00-0.10 Automated Calculated
PLATELET PARAMETERS
Platelet Count 185 10^3/µL 150-410 Electrical
Impedance/Neubauer
Chamber with
Microscopy
Plateletcrit (PCT) 0.19 % 0.18 - 0.39 Automated Optical
Flowcytometer
Platelet Distribution Width(PDW) 16.6 fL 8.30-18.0 Calculated
Mean Platelet Volume (MPV) 13.4 H fL 7.10-12.50 Automated Calculated
Platelet-Large Cell Count (P-LCC) 71.00 10^3/µL 45.0-95.0 Automated Calculated
Mentzer Index 18.85 Ratio Calculated
Neutrophil to Lymphocyte Ratio 2.21 Calculated
Lymphocyte to Monocyte Ratio 4.67 Calculated
SED RATE
Erythrocyte Sedimentation Rate (ESR) 10 mm/1st 0 - 15 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
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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
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: H TYAGI, Approved by: Dr Chitra Chauhan

2 of 6
 Visit ID : RDDPL400692
Registration : 30-Oct-2024 16:37
UHID/MR No : 401321
Collected : 30-Oct-2024 16:37
Patient Name : MR. NARESH
Received : 30-Oct-2024 16:37
Age/Gender : 58Y 0M 0D/Male Reported : 30-Oct-2024 17:16
Ref Doctor : Dr. ARUN Status : Final report
E-MIDAS Infosystem Pvt. Ltd.

: FRANKLENE BLOOD COLLECTION

Client Name Client Code : RDDL162
CENTRE
Barcode No : A11152
Ref.Lab :AM

DEPARTMENT OF CLINICAL BIOCHEMISTRY

+TSH - RD1.0 + TSH

Test Name Result Unit Bio.Ref.Range Method Name
LIVER FUNCTION TEST (LFT)
Sample Type : SERUM
JAUNDICE PROFILE
Bilirubin Total 0.31 mg/dL 0.20 -1.20 Diazotized Sulfanilic
Acid DSA
Bilirubin Direct 0.20 mg/dL 0.00 - 0.30 Diazotized Sulfanilic
Acid (DSA)
Bilirubin Indirect 0.11 mg/dL 0.00 - 1.10 Calculated
HEPATIC ENZYME
Aspartate Transaminase (AST/SGOT) 41.32 H U/L 0.00 - 40.0 IFCC without pyridoxal
phosphate
Alanine Amino Transferase (ALT/SGPT) 45.82 H U/L 5.00-45.0 IFCC without pyridoxal
phosphate
Alkaline Phosphatase (ALP) 78.34 IU/L 44-147 IFCC
SGOT/SGPT Ratio 0.90 g/dL 0.00 - 3.50 Calculated
LIVER PLASMA PROTEIN
Total Protein 7.30 g/dL 6.4-8.3 Biuret
Serum Albumin 4.01 g/dL 3.5 - 5.5 Bromocresol Green
Serum Globulin 3.29 g/dL 2.3-4.5 Calculated
Albumin/Globulin Ratio (A/G)
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1.22 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
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: H TYAGI, Approved by: Dr Chitra Chauhan

3 of 6
 Visit ID : RDDPL400692
Registration : 30-Oct-2024 16:37
UHID/MR No : 401321
Collected : 30-Oct-2024 16:37
Patient Name : MR. NARESH
Received : 30-Oct-2024 16:37
Age/Gender : 58Y 0M 0D/Male Reported : 30-Oct-2024 17:16
Ref Doctor : Dr. ARUN Status : Final report
E-MIDAS Infosystem Pvt. Ltd.

: FRANKLENE BLOOD COLLECTION

Client Name Client Code : RDDL162
CENTRE
Barcode No : A11152
Ref.Lab :AM

DEPARTMENT OF CLINICAL BIOCHEMISTRY

+TSH - RD1.0 + TSH

Test Name Result Unit Bio.Ref.Range Method Name
KIDNEY FUNCTION TEST (KFT) WITH CALCIUM
Sample Type : SERUM
RENAL PARAMETER
Blood Urea 21.81 mg/dL 15-40 Urease Glutamate
Dehydrogenase
Serum Creatinine 0.80 mg/dL 0.60-1.50 Modified Jaffe's
Blood Urea Nitrogen (BUN) 10.19 mg/dL 6.0 - 20.0 Calculated
RATIO
Urea / Creatinine Ratio 27.26 Ratio 10.7-42.8 Calculated
Bun/ Creatinine Ratio 12.74 Ratio 10.0-20.0 Calculated
PURINE COMPOUND (Break Down Product)
Uric Acid (UA) 4.19 mg/dL 3.50 - 7.20 Uricase peroxidase
CHEMICAL ELEMENTS (MINERALS)
Total Calcium 8.50 mg/dL 8.5- 10.5 Arsenazo III Method
ELECTROLYTE PROFILE (* )
*Sodium (Na+) 138.90 mmol/L 135 - 150 Indirect Potentiometery
ISE
*Potassium (K+) 4.74 mmol/L 3.5 - 5.5 Indirect Potentiometery
ISE
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*Serum Chloride (Cl-) 99.90 mmol/L 94 - 110 Indirect Potentiometery

ISE

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 glomerulo nephritis, 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-carbohydratediets). 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. 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: H TYAGI, Approved by: Dr Chitra Chauhan

4 of 6
 Visit ID : RDDPL400692
Registration : 30-Oct-2024 16:37
UHID/MR No : 401321
Collected : 30-Oct-2024 16:37
Patient Name : MR. NARESH
Received : 30-Oct-2024 16:37
Age/Gender : 58Y 0M 0D/Male Reported : 30-Oct-2024 17:16
Ref Doctor : Dr. ARUN Status : Final report
E-MIDAS Infosystem Pvt. Ltd.

: FRANKLENE BLOOD COLLECTION

Client Name Client Code : RDDL162
CENTRE
Barcode No : A11152
Ref.Lab :AM

DEPARTMENT OF CLINICAL BIOCHEMISTRY

+TSH - RD1.0 + TSH

Test Name Result Unit Bio.Ref.Range Method Name
LIPID PROFILE (CIRCULATING LIPOPROTEIN)
Total Cholesterol 153.10 mg/dL Desirable <200 Cholesterol
Moderate Risk 200-239 Oxidase,Esterase,Peroxidase
High >240
BODY FAT STUDY (COMMON)
Triglycerides (TG) 165.80 H mg/dL Optimal <150 GPO-POD
Border line 150-199
High 200-499
Very High >500
GOOD CHOLESTEROL
HDL Cholesterol 46.50 mg/dL 40 - 60 Direct measure Method
BAD CHOLESTEROL
LDL Cholesterol 73.44 mg/dL Optimal 100 CALCULATED
Near Optimal 100-129
Border Line High 130-159
High 160-189
very High >190
VLDL - Cholesterol 33.16 H mg/dL Less than 33.0 mg/dL Calculated
RATIO
Cholestrol/HDL-Cholestro Ratio 3.29 mg/dL Less than 4.0 mg/dL Calculated
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LDL / HDL Cholestrol Ratio 1.58 Ratio 1.5-3.5 Calculated

HDL / LDL Cholestrol Ratio 0.63 Ratio <3.50 Calculated
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: H TYAGI, Approved by: Dr Chitra Chauhan

5 of 6
 Visit ID : RDDPL400692
Registration : 30-Oct-2024 16:37
UHID/MR No : 401321
Collected : 30-Oct-2024 16:37
Patient Name : MR. NARESH
Received : 30-Oct-2024 16:37
Age/Gender : 58Y 0M 0D/Male Reported : 30-Oct-2024 17:14
Ref Doctor : Dr. ARUN Status : Final report
E-MIDAS Infosystem Pvt. Ltd.

: FRANKLENE BLOOD COLLECTION

Client Name Client Code : RDDL162
CENTRE
Barcode No : A11152
Ref.Lab :AM

DEPARTMENT OF IMMUNOLOGY

+TSH - RD1.0 + TSH

Test Name Result Unit Bio.Ref.Range Method Name
TSH (Thyroid- Stimulating Hormone) 1.82 µIU/ml 0.35-5.1 Chemiluminescent
immunoassay (CLIA)
Interpretation:-

Reference Group Age Reference Range in uIU/mL

1 - 2 days 3.20 - 34.60
3 days - 4 days 0.70- 15.40
Children
15 days - 5 months 1.70 - 9.10
5 months - 20 years 0.70 - 6.40
Adults > 20 years 0.35-5.1
1st Trimester 0.10 - 2.50
Pregnancy 2nd Trimester 0.20 - 3.00
3rd Trimester 0.30 - 3.00

Note :

TSH levels are subject to constantly variation, rising several hours before the onset of sleep, reaching peak levels between11p.m to 6.a.m. Nadir concentrations
are observed during the afternoon. Day to day variation in TSH level approximates + - 50 % hence time of the day has influence on the measured serum
TSH concentrations.

Change in ultrasensitive h TSH secretion

Glucocorticoids, servere non-thyroid illness, Dopaminergices... may lead to reduced TSH.

Metoclopramide, noradrenaline, antidopaminergics, antidepressants... may lead to increased TSH.
Depression : In certain major depressions, Low TSH associated with normal T3 and T4 Level is sometimes observed in the absence of endocrinopathy .

Patient not receiving treatment.

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Results are to be correlated with clinical findings & interpreted by referring physician/Doctor.

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. "This test is done by Red Drop Diagnostics pvt Ltd"

* End of Report *

Result Enter By: H TYAGI, Approved by: Dr Chitra Chauhan

6 of 6