DIAGNOSTIC REPORT

MC-5875

PATIENT NAME : DEVI BHARATHAN REF. DOCTOR : SELF

CODE/NAME & ADDRESS : C000096875 ACCESSION NO : 0043XA011014 AGE/SEX : 70 Years Female
SRL PSC NEHRU NAGAR HOME COLLECTION PATIENT ID : DEVIF15115327 DRAWN : 30/01/2024 09:15:24
BLDG NO 68, SHOP NO 3, NR ABHYUDAYA CO-OP
CLIENT PATIENT ID: DEVIF15115327 RECEIVED : 30/01/2024 14:22:00
BANK BLDG,NEHRU NAGAR, KURLA EAST ,
REPORTED :30/01/2024 17:58:41
MUMBAI 400024 ABHA NO :
7777015481

Test Report Status Preliminary Results Biological Reference Interval Units

AGILUS 60+ (FEMALE) RESULT PENDING

PROTEIN ELECTROPHORESIS, SERUM RESULT PENDING

Page 1 Of 10

View Details View Report

PERFORMED AT :
Agilus Pathlabs Private Limited
Mahalakshmi Industrial Estate, Mahim West
Mumbai, 400016 Patient Ref. No. 775000006246134
Maharashtra, INDIA
Tel : +91 22 48247247/022 68247247, Fax : CIN - U85I95DL1999PTC217659
DIAGNOSTIC REPORT

MC-5875

PATIENT NAME : DEVI BHARATHAN REF. DOCTOR : SELF

CODE/NAME & ADDRESS : C000096875 ACCESSION NO : 0043XA011014 AGE/SEX : 70 Years Female
SRL PSC NEHRU NAGAR HOME COLLECTION PATIENT ID : DEVIF15115327 DRAWN : 30/01/2024 09:15:24
BLDG NO 68, SHOP NO 3, NR ABHYUDAYA CO-OP
CLIENT PATIENT ID: DEVIF15115327 RECEIVED : 30/01/2024 14:22:00
BANK BLDG,NEHRU NAGAR, KURLA EAST ,
REPORTED :30/01/2024 17:58:41
MUMBAI 400024 ABHA NO :
7777015481

Test Report Status Preliminary Results Biological Reference Interval Units

HAEMATOLOGY - CBC
AGILUS 60+ (FEMALE)
BLOOD COUNTS, EDTA WHOLE BLOOD
HEMOGLOBIN (HB) 12.6 12.0 - 15.0 g/dL
RED BLOOD CELL (RBC) COUNT 4.39 3.80 - 4.80 mil/µL
WHITE BLOOD CELL (WBC) COUNT 7.41 4 - 10 thou/µL
PLATELET COUNT 240 150 - 410 thou/µL
RBC AND PLATELET INDICES
HEMATOCRIT (PCV) 40.3 36.0 - 46.0 %
MEAN CORPUSCULAR VOLUME (MCV) 91.8 83.0 - 101.0 fL
MEAN CORPUSCULAR HEMOGLOBIN (MCH) 28.7 27.0 - 32.0 pg
MEAN CORPUSCULAR HEMOGLOBIN 31.3 Low 31.5 - 34.5 g/dL
CONCENTRATION(MCHC)
RED CELL DISTRIBUTION WIDTH (RDW) 13.9 11.6 - 14.0 %
MENTZER INDEX 20.9 > 13 Normal Index
< 13 s/o Thalassaemia,
Advise HPLC
MEAN PLATELET VOLUME (MPV) 11.4 High 6.80 - 10.90 fL
WBC DIFFERENTIAL COUNT
NEUTROPHILS 51 40 - 80 %
LYMPHOCYTES 40 20 - 40 %
MONOCYTES 7 2 - 10 %
EOSINOPHILS 2 1-6 %
BASOPHILS 0 <1-2 %
ABSOLUTE NEUTROPHIL COUNT 3.78 2.0 - 7.0 thou/µL
ABSOLUTE LYMPHOCYTE COUNT 2.96 1.0 - 3.0 thou/µL
ABSOLUTE MONOCYTE COUNT 0.52 0.20 - 1.0 thou/µL
ABSOLUTE EOSINOPHIL COUNT 0.15 0.02 - 0.50 thou/µL
ABSOLUTE BASOPHIL COUNT 0 Low 0.02 - 0.10 thou/µL
NEUTROPHIL LYMPHOCYTE RATIO (NLR) 1.3 0.78 - 3.53 RATIO

Page 2 Of 10

DR. ALVIN ALVA (MD)

CONSULTANT PATHOLOGIST

View Details View Report

PERFORMED AT :
Agilus Pathlabs Private Limited
Mahalakshmi Industrial Estate, Mahim West
Mumbai, 400016 Patient Ref. No. 775000006246134
Maharashtra, INDIA
Tel : +91 22 48247247/022 68247247, Fax : CIN - U85I95DL1999PTC217659
 DIAGNOSTIC REPORT

MC-5875

PATIENT NAME : DEVI BHARATHAN REF. DOCTOR : SELF

CODE/NAME & ADDRESS : C000096875 ACCESSION NO : 0043XA011014 AGE/SEX : 70 Years Female
SRL PSC NEHRU NAGAR HOME COLLECTION PATIENT ID : DEVIF15115327 DRAWN : 30/01/2024 09:15:24
BLDG NO 68, SHOP NO 3, NR ABHYUDAYA CO-OP
CLIENT PATIENT ID: DEVIF15115327 RECEIVED : 30/01/2024 14:22:00
BANK BLDG,NEHRU NAGAR, KURLA EAST ,
REPORTED :30/01/2024 17:58:41
MUMBAI 400024 ABHA NO :
7777015481

Test Report Status Preliminary Results Biological Reference Interval Units

Interpretation(s)
RBC AND PLATELET INDICES-Mentzer index (MCV/RBC) is an automated cell-counter based calculated screen tool to differentiate cases of Iron deficiency anaemia(>13)
from Beta thalassaemia trait
(<13) in patients with microcytic anaemia. This needs to be interpreted in line with clinical correlation and suspicion. Estimation of HbA2 remains the gold standard for
diagnosing a case of beta thalassaemia trait.
WBC DIFFERENTIAL COUNT-The optimal threshold of 3.3 for NLR showed a prognostic possibility of clinical symptoms to change from mild to severe in COVID positive
patients. When age = 49.5 years old and NLR = 3.3, 46.1% COVID-19 patients with mild disease might become severe. By contrast, when age < 49.5 years old and NLR <
3.3, COVID-19 patients tend to show mild disease.
(Reference to - The diagnostic and predictive role of NLR, d-NLR and PLR in COVID-19 patients ; A.-P. Yang, et al.; International Immunopharmacology 84 (2020) 106504
This ratio element is a calculated parameter and out of NABL scope.

Page 3 Of 10

DR. ALVIN ALVA (MD)

CONSULTANT PATHOLOGIST

View Details View Report

PERFORMED AT :
Agilus Pathlabs Private Limited
Mahalakshmi Industrial Estate, Mahim West
Mumbai, 400016 Patient Ref. No. 775000006246134
Maharashtra, INDIA
Tel : +91 22 48247247/022 68247247, Fax : CIN - U85I95DL1999PTC217659
DIAGNOSTIC REPORT

MC-5875

PATIENT NAME : DEVI BHARATHAN REF. DOCTOR : SELF

CODE/NAME & ADDRESS : C000096875 ACCESSION NO : 0043XA011014 AGE/SEX : 70 Years Female
SRL PSC NEHRU NAGAR HOME COLLECTION PATIENT ID : DEVIF15115327 DRAWN : 30/01/2024 09:15:24
BLDG NO 68, SHOP NO 3, NR ABHYUDAYA CO-OP
CLIENT PATIENT ID: DEVIF15115327 RECEIVED : 30/01/2024 14:22:00
BANK BLDG,NEHRU NAGAR, KURLA EAST ,
REPORTED :30/01/2024 17:58:41
MUMBAI 400024 ABHA NO :
7777015481

Test Report Status Preliminary Results Biological Reference Interval Units

BIO CHEMISTRY
AGILUS 60+ (FEMALE)
ALANINE AMINOTRANSFERASE (ALT/SGPT), SERUM
ALANINE AMINOTRANSFERASE (ALT/SGPT) 28 10 - 40 U/L
ASPARTATE AMINOTRANSFERASE (AST/SGOT), SERUM
ASPARTATE AMINOTRANSFERASE 26 15 - 45 U/L
(AST/SGOT)
BILIRUBIN, TOTAL, SERUM
BILIRUBIN, TOTAL 0.51 0 - 1.0 mg/dL
KIDNEY FUNCTION TEST
BLOOD UREA NITROGEN 11 8 - 21 mg/dL
CREATININE 0.68 0.4 - 1.2 mg/dL

Please note change in reference

range
BUN/CREAT RATIO 16.18 High 5 - 15
URIC ACID 5.0 3.0 - 5.9 mg/dL
TOTAL PROTEIN 7.0 6.3 - 8.6 g/dL
ALBUMIN 4.3 3.7 - 5.6 g/dL
GLOBULIN 2.7 2.0 - 3.5 g/dL
CALCIUM 9.0 8.1 - 10.4 mg/dL
SODIUM, SERUM 140 135 - 145 mmol/L
POTASSIUM, SERUM 3.35 Low 3.9 - 5.3 mmol/L
CHLORIDE, SERUM 103 96 - 109 mmol/L
GLUCOSE FASTING,FLUORIDE PLASMA
FBS (FASTING BLOOD SUGAR) 102 Normal < 100 mg/dL
Impaired fasting glucose:100 to
125
Diabetes mellitus : >= 126
(on more than one occassion)
(American diabetes association
guidelines 2017)
PHOSPHORUS, SERUM
PHOSPHORUS 4.0 2.8 - 4.5 mg/dL

Page 4 Of 10

Dr. Geetha Chandrashekhar, MD

Consultant Pathologist

View Details View Report

PERFORMED AT :
Agilus Pathlabs Private Limited
Mahalakshmi Industrial Estate, Mahim West
Mumbai, 400016 Patient Ref. No. 775000006246134
Maharashtra, INDIA
Tel : +91 22 48247247/022 68247247, Fax : CIN - U85I95DL1999PTC217659
DIAGNOSTIC REPORT

MC-5875

PATIENT NAME : DEVI BHARATHAN REF. DOCTOR : SELF

CODE/NAME & ADDRESS : C000096875 ACCESSION NO : 0043XA011014 AGE/SEX : 70 Years Female
SRL PSC NEHRU NAGAR HOME COLLECTION PATIENT ID : DEVIF15115327 DRAWN : 30/01/2024 09:15:24
BLDG NO 68, SHOP NO 3, NR ABHYUDAYA CO-OP
CLIENT PATIENT ID: DEVIF15115327 RECEIVED : 30/01/2024 14:22:00
BANK BLDG,NEHRU NAGAR, KURLA EAST ,
REPORTED :30/01/2024 17:58:41
MUMBAI 400024 ABHA NO :
7777015481

Test Report Status Preliminary Results Biological Reference Interval Units

ALKALINE PHOSPHATASE, SERUM

ALKALINE PHOSPHATASE 85 40 - 129 IU/L

Page 5 Of 10

Dr. Geetha Chandrashekhar, MD

Consultant Pathologist

View Details View Report

PERFORMED AT :
Agilus Pathlabs Private Limited
Mahalakshmi Industrial Estate, Mahim West
Mumbai, 400016 Patient Ref. No. 775000006246134
Maharashtra, INDIA
Tel : +91 22 48247247/022 68247247, Fax : CIN - U85I95DL1999PTC217659
 DIAGNOSTIC REPORT

PATIENT NAME : DEVI BHARATHAN REF. DOCTOR : SELF

CODE/NAME & ADDRESS : C000096875 ACCESSION NO : 0043XA011014 AGE/SEX : 70 Years Female
SRL PSC NEHRU NAGAR HOME COLLECTION PATIENT ID : DEVIF15115327 DRAWN : 30/01/2024 09:15:24
BLDG NO 68, SHOP NO 3, NR ABHYUDAYA CO-OP
CLIENT PATIENT ID: DEVIF15115327 RECEIVED : 30/01/2024 14:22:00
BANK BLDG,NEHRU NAGAR, KURLA EAST ,
REPORTED :30/01/2024 17:58:41
MUMBAI 400024 ABHA NO :
7777015481

Test Report Status Preliminary Results Biological Reference Interval Units

AGILUS 60+ (FEMALE)

LIPID PROFILE WITH CALCULATED LDL
CHOLESTEROL, TOTAL 223 Desirable : < 200 mg/dL
Borderline : 200-239
High : > 240
TRIGLYCERIDES 206 High < 160 mg/dL
HDL CHOLESTEROL 34 Low LOW : < 40 mg/dL
HIGH : > 60
CHOLESTEROL LDL 148 High Adult levels: mg/dL
Optimal < 100
Near optimal/above optimal:
100-129
Borderline high : 130-159
High : 160-189
Very high : = 190
NON HDL CHOLESTEROL 189 High Desirable : < 130 mg/dL
Above Desirable : 130 -159
Borderline High : 160 - 189
High : 190 - 219
Very high : > / = 220
VERY LOW DENSITY LIPOPROTEIN 41.2 High < OR = 30.0 mg/dL
CHOL/HDL RATIO 6.6 High Low Risk : 3.3 - 4.4
Average Risk : 4.5 - 7.0
Moderate Risk : 7.1 - 11.0
High Risk : > 11.0
LDL/HDL RATIO 4.4 High 2.5 - 3.5

Interpretation(s)
ALANINE AMINOTRANSFERASE (ALT/SGPT), SERUM-ALT test measures the amount of this enzyme in the blood.ALT is found mainly in the liver, but also in smaller amounts
in the kidneys,heart,muscles and pancreas.It is commonly measured as a part of a diagnostic evaluation of hepatocellular injury to determine liver health.AST levels
increase during acute hepatitis, sometimes due to a viral infection, ischemia to the liver, chronic hepatitis,obstruction of bile ducts,cirrhosis.
ASPARTATE AMINOTRANSFERASE (AST/SGOT), SERUM-Aminotransferase (AST) is an enzyme found in various parts of the body .AST is found in the liver, heart, skeletal
muscle, kidneys, brain, and red blood cells, and it is commonly measured clinically as a marker for liver health. AST levels increase during chronic 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.
BILIRUBIN, TOTAL, SERUM-Bilirubin is a yellowish pigment found in bile and is a breakdown product of normal heme catabolism. Bilirubin is excreted in bile and urine, and
elevated levels may give yellow discoloration in jaundice.Elevated levels results from increased bilirubin production (eg, hemolysis and ineffective erythropoiesis), decreased
bilirubin excretion (eg, obstruction and hepatitis), and abnormal bilirubin metabolism (eg, hereditary and neonatal jaundice).

An elevated bilirubin level in a newborn may be temporary and resolve itself within a few days to two weeks. However, if the bilirubin level is above a critical threshold or
rapidly increases, an investigation of the cause is needed so appropriate treatment can be initiated.

Page 6 Of 10

Dr. Geetha Chandrashekhar, MD

Consultant Pathologist

View Details View Report

PERFORMED AT :
Agilus Pathlabs Private Limited
Mahalakshmi Industrial Estate, Mahim West
Mumbai, 400016 Patient Ref. No. 775000006246134
Maharashtra, INDIA
Tel : +91 22 48247247/022 68247247, Fax : CIN - U85I95DL1999PTC217659
 DIAGNOSTIC REPORT

PATIENT NAME : DEVI BHARATHAN REF. DOCTOR : SELF

CODE/NAME & ADDRESS : C000096875 ACCESSION NO : 0043XA011014 AGE/SEX : 70 Years Female
SRL PSC NEHRU NAGAR HOME COLLECTION PATIENT ID : DEVIF15115327 DRAWN : 30/01/2024 09:15:24
BLDG NO 68, SHOP NO 3, NR ABHYUDAYA CO-OP
CLIENT PATIENT ID: DEVIF15115327 RECEIVED : 30/01/2024 14:22:00
BANK BLDG,NEHRU NAGAR, KURLA EAST ,
REPORTED :30/01/2024 17:58:41
MUMBAI 400024 ABHA NO :
7777015481

Test Report Status Preliminary Results Biological Reference Interval Units

Source: Wallach"s Interpretation of Diagnostic tests, 9th ed2) Wallach"s interpretation of diagnostic tests, 9th ed
GLUCOSE FASTING,FLUORIDE PLASMA-TEST DESCRIPTION
Normally, the glucose concentration in extracellular fluid is closely regulated so that a source of energy is readily available to tissues and sothat no glucose is excreted in the
urine.
Increased in:Diabetes mellitus, Cushing’ s syndrome (10 – 15%), chronic pancreatitis (30%). Drugs:corticosteroids,phenytoin, estrogen, thiazides.
Decreased in :Pancreatic islet cell disease with increased insulin,insulinoma,adrenocortical insufficiency,hypopituitarism,diffuse liver disease,
malignancy(adrenocortical,stomach,fibrosarcoma),infant of a diabetic mother,enzyme deficiency
diseases(e.g.galactosemia),Drugs-insulin,ethanol,propranolol;sulfonylureas,tolbutamide,and other oral hypoglycemic agents.
NOTE: While random serum glucose levels correlate with home glucose monitoring results (weekly mean capillary glucose values),there is wide fluctuation within
individuals.Thus, glycosylated hemoglobin(HbA1c) levels are favored to monitor glycemic control.
High fasting glucose level in comparison to post prandial glucose level may be seen due to effect of Oral Hypoglycaemics & Insulin treatment,Renal Glyosuria,Glycaemic
index & response to food consumed,Alimentary Hypoglycemia,Increased insulin response & sensitivity etc.
ALKALINE PHOSPHATASE, SERUM-Alkaline phosphatase (ALP) is a protein found in almost all body tissues. Tissues with higher amounts of ALP include the liver, bile ducts,
and bone. Elevated Alkaline Phosphaqtase levels are seen in Biliary obstruction,Osteoblastic bone tumors, osteomalacia, hepatitis, Hyperparathyroidism,Leukemia,
Lymphoma,Paget''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''
disease,Rickets,Sarcoidosis etc. Lower-than-normal ALP levels seen in Hypophosphatasia, Malnutrition, Protein
deficiency,Wilson'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''
disease .

Page 7 Of 10

Dr. Geetha Chandrashekhar, MD

Consultant Pathologist

View Details View Report

PERFORMED AT :
Agilus Pathlabs Private Limited
Mahalakshmi Industrial Estate, Mahim West
Mumbai, 400016 Patient Ref. No. 775000006246134
Maharashtra, INDIA
Tel : +91 22 48247247/022 68247247, Fax : CIN - U85I95DL1999PTC217659
 DIAGNOSTIC REPORT

MC-5875

PATIENT NAME : DEVI BHARATHAN REF. DOCTOR : SELF

CODE/NAME & ADDRESS : C000096875 ACCESSION NO : 0043XA011014 AGE/SEX : 70 Years Female
SRL PSC NEHRU NAGAR HOME COLLECTION PATIENT ID : DEVIF15115327 DRAWN : 30/01/2024 09:15:24
BLDG NO 68, SHOP NO 3, NR ABHYUDAYA CO-OP
CLIENT PATIENT ID: DEVIF15115327 RECEIVED : 30/01/2024 14:22:00
BANK BLDG,NEHRU NAGAR, KURLA EAST ,
REPORTED :30/01/2024 17:58:41
MUMBAI 400024 ABHA NO :
7777015481

Test Report Status Preliminary Results Biological Reference Interval Units

SPECIALISED CHEMISTRY - HORMONE

AGILUS 60+ (FEMALE)
TSH 3RD GENERATION ULTRASENSITIVE, SERUM
TSH (ULTRASENSITIVE) 2.860 Euthyroid : 0.35 - 4.94 µIU/mL
Hypothyroid : > 4.94
Hyperthyroid : < 0.35

Pregnant Women (As per

American Thyroid Association)
1st Trimester 0.100 - 2.500
2nd Trimester 0.200 - 3.000
3rd Trimester 0.300 - 3.000

Please note change in reference

range.

Interpretation(s)
TSH 3RD GENERATION ULTRASENSITIVE, SERUM-TSH stands for thyroid stimulating hormone.This hormone stimulates the Thyroid gland to make thyroid hormones
that regulate the way our body uses energy. These also play an important role in regulating weight, temperature, muscle strength, and even your mood. TSH is made in a
gland in the brain called the pituitary. When thyroid levels in our body are low, the pituitary gland makes more TSH. When thyroid levels are high, the pituitary gland makes
less TSH. TSH levels that are too high or too low can indicate that thyroid is not working correctly.
There is a circadian rhythm of TSH secretion, with peak values at the onset of sleep and nadir concentrations during the afternoon hours. Peak and nadir concentrations
differ by approximately +/- 50%. The effect on circulating T4 and T3 concentrations is not significant because of the large size of the extrathyroidal T4 pool.
In healthy subjects there is no significant impact of body weight, physical training, body habitus, posture, immobilization, mild to moderate exercise, or ambulatory status
on thyroid function, and no significant geographic environmental variation. Nutrition also has a minimal impact except for variation in iodine intake. Subthreshold
concentrations of iodine intake are associated with increased TSH secretion, goiter, increased thyroid iodine uptake, decreased T4 production, an increased T3/T4 secretion
ratio, and an increased ratio of circulating T3/T4 concentrations. Excessive iodine intake can block thyroid hormone biosynthesis by inhibiting the enzymes involved in the
biosynthetic process, resulting in reduced T4 secretion, increased TSH concentrations, goiter, and hypothyroidism if the iodine excess is chronic.
High TSH levels can mean your thyroid is not making enough thyroid hormones, a condition called hypothyroidism.Low TSH levels can mean your thyroid is making too
much of the hormones, a condition called hyperthyroidism. A TSH test does not explain why TSH levels are too high or too low.
In cases of Subclinical hypothyroidism, a single test can be misleading, so a second test is usually done 2 or 3 months later. In both tests, the blood is taken at the same
time of day because TSH levels can fluctuate over the course of 24 hours. Subclinical hypothyroidism is diagnosed when both TSH readings are high but the thyroid
hormone thyroxine is still within the normal range.
Being severely overweight and certain medications can also increase TSH. TSH levels are likely to fluctuate more during pregnancy.
TSH values may be transiently altered because of Non thyroidal Illness like severe infections, liver disease, renal failure, heart failure, severe burns, trauma, surgery etc.
TSH levels that are slightly or only moderately elevated do not necessarily need to be treated. Some people who have high TSH levels never even develop symptoms.
It is also very common for TSH levels to return to normal in children and teenagers.
REF: 1. TIETZ Fundamentals of Clinical chemistry 2Guidlines of the American Thyroid association during pregnancy and Postpartum,2011.
TSH in pregnancy
There’s reduction in both the lower and the upper limit of maternal TSH relative to the non-pregnant TSH reference range. This is because of elevated levels of serum hCG
that directly stimulates the TSH receptor, thereby increasing thyroid hormone production. The largest decrease in serum TSH is observed during the first trimester.
Thereafter, serum TSH and its reference range gradually increases in the second and third trimesters, but nonetheless remains lower than in non-pregnant women.

Page 8 Of 10

DR. SONAL PRIYA Dr. Geetha Chandrashekhar, MD

CONSULTANT PATHOLOGIST Consultant Pathologist

View Details View Report

PERFORMED AT :
Agilus Pathlabs Private Limited
Mahalakshmi Industrial Estate, Mahim West
Mumbai, 400016 Patient Ref. No. 775000006246134
Maharashtra, INDIA
Tel : +91 22 48247247/022 68247247, Fax : CIN - U85I95DL1999PTC217659
DIAGNOSTIC REPORT

MC-5875

PATIENT NAME : DEVI BHARATHAN REF. DOCTOR : SELF

CODE/NAME & ADDRESS : C000096875 ACCESSION NO : 0043XA011014 AGE/SEX : 70 Years Female
SRL PSC NEHRU NAGAR HOME COLLECTION PATIENT ID : DEVIF15115327 DRAWN : 30/01/2024 09:15:24
BLDG NO 68, SHOP NO 3, NR ABHYUDAYA CO-OP
CLIENT PATIENT ID: DEVIF15115327 RECEIVED : 30/01/2024 14:22:00
BANK BLDG,NEHRU NAGAR, KURLA EAST ,
REPORTED :30/01/2024 17:58:41
MUMBAI 400024 ABHA NO :
7777015481

Test Report Status Preliminary Results Biological Reference Interval Units

SPECIALISED CHEMISTRY - VITAMIN

AGILUS 60+ (FEMALE)
VITAMIN B12(CYANOCOBALAMINE), SERUM
VITAMIN B12 301 187 - 883 pg/mL
PHYSICAL EXAMINATION, URINE
COLOR LYELLOW
APPEARANCE CLEAR
CHEMICAL EXAMINATION, URINE
PH 5.0 4.6 - 8.0
SPECIFIC GRAVITY 1.004 1.003 - 1.035
PROTEIN NOT DETECTED NOT DETECTED
GLUCOSE NOT DETECTED NOT DETECTED
KETONES NOT DETECTED NOT DETECTED
BLOOD NOT DETECTED NOT DETECTED
BILIRUBIN NOT DETECTED NOT DETECTED
UROBILINOGEN NORMAL NORMAL
NITRITE NOT DETECTED NOT DETECTED
LEUKOCYTE ESTERASE NOT DETECTED NOT DETECTED
MICROSCOPIC EXAMINATION, URINE
RED BLOOD CELLS NOT DETECTED NOT DETECTED /HPF
PUS CELL (WBC’S) 0-1 0-5 /HPF
EPITHELIAL CELLS 0-1 0-5 /HPF
CASTS NOT DETECTED
CRYSTALS NOT DETECTED
BACTERIA NOT DETECTED NOT DETECTED
YEAST NOT DETECTED NOT DETECTED
REMARKS Chemical Examination done by Automated Dipstik Method

Microscopic Examination done by Automated Flow Cytometry

Page 9 Of 10

Dr. Geetha Chandrashekhar, MD DR. SONAL PRIYA

Consultant Pathologist CONSULTANT PATHOLOGIST

View Details View Report

PERFORMED AT :
Agilus Pathlabs Private Limited
Mahalakshmi Industrial Estate, Mahim West
Mumbai, 400016 Patient Ref. No. 775000006246134
Maharashtra, INDIA
Tel : +91 22 48247247/022 68247247, Fax : CIN - U85I95DL1999PTC217659
 DIAGNOSTIC REPORT

MC-5875

PATIENT NAME : DEVI BHARATHAN REF. DOCTOR : SELF

CODE/NAME & ADDRESS : C000096875 ACCESSION NO : 0043XA011014 AGE/SEX : 70 Years Female
SRL PSC NEHRU NAGAR HOME COLLECTION PATIENT ID : DEVIF15115327 DRAWN : 30/01/2024 09:15:24
BLDG NO 68, SHOP NO 3, NR ABHYUDAYA CO-OP
CLIENT PATIENT ID: DEVIF15115327 RECEIVED : 30/01/2024 14:22:00
BANK BLDG,NEHRU NAGAR, KURLA EAST ,
REPORTED :30/01/2024 17:58:41
MUMBAI 400024 ABHA NO :
7777015481

Test Report Status Preliminary Results Biological Reference Interval Units

Interpretation(s)
VITAMIN B12(CYANOCOBALAMINE), SERUM-Test description
1.Measures the amount of Vitamin B12/ Cyanocobalamin or Methyl cobalamin in blood.2. Done in Anemic conditions like Megaloblastic anemia, pernicious anemia, dietary
folate deficiencies,3.Workup of neuropathies especially due to diabetes.4.Nerve health and it is monitored in treatment of nerve damage.5.Important vitamin for women of
childbearing age and for older people.
1.Part of water-soluble B complex of vitamins. 2. It is essential in DNA synthesis, hematopoiesis & CNS integrity.3.Source for B12 is dietary foods like milk, yoghurt, eggs,
meat, fortified cereals, bread. 4.Absorption depends on the HCl secreted by the stomach and occurs in intestines. 5. It is part of enterohepatic circulation, hence excreted in
feces(approx. 0.1% per day)
Test interpretation
Higher than normal levels are in patients on Vitamin supplements or patients with COPD, CRF, Diabetes, Liver cell damage, Obesity, Polycythemia.
Decreased levels seen in
Inflammatory bowel disease, Pernicious anemia - genetic deficiency of intrinsic factor - necessary for Vit B12 absorption, Strict vegetarianslead to sub-clinical B12
deficiency- high among elderly patients, Malabsorption due to gastrectomy, smoking, pregnancy, multiple myeloma & hemodialysis, Alcohol & drugs like amino salicylic acid,
anticonvulsants, cholestyramine, cimetidine, Hyperthyroidism (High levels of thyroid), Seen in mothers of children with (NTD) Neural tube defects- hence fortification and
supplements are advised in expecting mothers
Recommendations-1.To prevent biotin interference the patient should be atleast 8 hours fasting before submitting the sample. 2. Vit B12 and Folic acid evaluated together
in macrocytic anemias to avoid methyl folate trap. Carmel’s composite criteria for inadequate Vit B12 status: Serum vitamin B12 < 148 pmol/L, or 148–258 pmol/L and
MMA > 0.30µmol/L, or tHcy > 13 nmol/L (females) and >15 nmol/L (males).
Associated Test-Holo-TC: Marker of vitamin B12 status -specificity and sensitivity better than serum vitamin B12, hence recommended in boderline and deficient cases for
confirmation.
References-O-Leary F, Samman S. Vitamin B12 in health and disease. Nutrients. 2010 Mar;2(3):299-316.
**End Of Report**
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Page 10 Of 10

Dr. Geetha Chandrashekhar, MD DR. SONAL PRIYA

Consultant Pathologist CONSULTANT PATHOLOGIST

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PERFORMED AT :
Agilus Pathlabs Private Limited
Mahalakshmi Industrial Estate, Mahim West
Mumbai, 400016 Patient Ref. No. 775000006246134
Maharashtra, INDIA
Tel : +91 22 48247247/022 68247247, Fax : CIN - U85I95DL1999PTC217659