Kiran Lasod 91161592024 11 09 02 30 46 036 6 1378 133756993047373602
Kiran Lasod 91161592024 11 09 02 30 46 036 6 1378 133756993047373602
0000009116159
                 Erythrocytes
                   1 Total Red Blood Cell Count (RBC)                               4.2             10^6/µL        4.1-5.1
                   2 Hemoglobin                                                    11.8               g/dL         12.3-15.3
                 Platelets
                  11 Platelet Count                                               245.0             10^3/µL        150-450
                  12 Mean Platelet Volume (MPV)                                     7.5                 fL         6 - 12
                  13 Platelet Distribution Width (PDW)                             17.0                 %          15.5-18.3
                  14 Plateletcrit (PCT)                                           0.184                 %          0.12-0.37
                 Leucocytes
                  15 Total Leucocytes Count                                         3.9             10^3/µL        4.4-11
                                   CRM No :9116159
                                   Sample Recd. Time: 10-11-2024 10:26
                                   Report Time: 10-11-2024 13:27                  Authorized Signatory
                                   Patient Name: KIRAN LASOD                      Dr. Murari lal Dhanetwal
                                   Patient ID: 9116159                            MBBS,MD (Pathology)
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                                                                                  Consultant Pathologist.
                                                                                                                                      Page 1 of 10
                Name:                        KIRAN LASOD                       Age/Gender:                55 Years/Female
0000009116159
Leucocytes
Remarks
Interpretation
Test Methods:
                                   CRM No :9116159
                                   Sample Recd. Time: 10-11-2024 10:26
                                   Report Time: 10-11-2024 13:27                       Authorized Signatory
                                   Patient Name: KIRAN LASOD                           Dr. Murari lal Dhanetwal
                                   Patient ID: 9116159                                 MBBS,MD (Pathology)
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                                                                                       Consultant Pathologist.
                                                                                                                                           Page 2 of 10
                Name:                             KIRAN LASOD                       Age/Gender:                    55 Years/Female
0000009116159
                                      CRM No :9116159
                                      Sample Recd. Time: 10-11-2024 10:26
                                      Report Time: 10-11-2024 13:27                         Authorized Signatory
                                      Patient Name: KIRAN LASOD                             Dr. Murari lal Dhanetwal
                                      Patient ID: 9116159                                   MBBS,MD (Pathology)
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                                                                                            Consultant Pathologist.
                                                                                                                                                  Page 3 of 10
                Name:                             KIRAN LASOD                    Age/Gender:                   55 Years/Female
0000009116159
Lipid Profile
                 Interpretation
                 1.Triglycerides: When triglycerides are very high greater than 1000 mg/dL, there is a risk of developing pancreatitis in children
                 and adults. Triglycerides change dramatically in response to meals, increasing as much as 5 to 10 times higher than fasting
                 levels just a few hours after eating. Even fasting levels vary considerably day to day. Therefore, modest changes in fasting
                 triglycerides measured on different days are not considered to be abnormal.
                 2. HDL-Cholesterol: HDL- C is considered to be beneficial, the so-called "good" cholesterol, because it removes excess
                 cholesterol from tissues and carries it to the liver for disposal. If HDL-C is less than 40 mg/dL for men and less than 50 mg/dL
                 for women, there is an increased risk of heart disease that is independent of other risk factors, including the LDL-C level. The
                 NCEP guidelines suggest that an HDL cholesterol value greater than 60 mg/dL is protective and should be treated as a negative
                 risk factor.
                 3. LDL-Cholesterol: Desired goals for LDL-C levels change based on individual risk factors. For young adults, less than 120
                 mg/dL is acceptable. Values between 120-159 mg/dL are considered Borderline high. Values greater than 160 mg/dL are
                 considered high. Low levels of LDL cholesterol may be seen in people with an inherited lipoprotein deficiency and in people
                 with hyperthyroidism, infection, inflammation, or cirrhosis.
                                     CRM No :9116159
                                     Sample Recd. Time: 10-11-2024 10:26
                                     Report Time: 10-11-2024 13:27                       Authorized Signatory
                                     Patient Name: KIRAN LASOD                           Dr. Murari lal Dhanetwal
                                     Patient ID: 9116159                                 MBBS,MD (Pathology)
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                                                                                         Consultant Pathologist.
                                                                                                                                                 Page 4 of 10
                Name:                             KIRAN LASOD                           Age/Gender:                    55 Years/Female
0000009116159
                 Interpretation
                 1. Triodothyronine (T3) is produced by the thyroid gland and along with thyroxine (T4) help control the rate at which the body
                 uses energy.Elevated T3 denote hyperthyroidism while low levels indicate hypothyroidism.
                 2.The most common causes of thyroid dysfunction are related to autoimmune disorders. Graves disease causes hyperthyroidism,
                 but it can also be caused by thyroiditis, thyroid cancer, and excessive production of TSH. Total T3 is used to assess thyroid
                 function.
                 3. Elevated T4 levels may indicate hyperthyroidism. They may also indicate other thyroid problems, such as thyroiditis or toxic
                 multinodular goiter. Abnormally low levels of T4 may indicate: dietary issues, such as fasting, malnutrition, or an iodine
                 deficiency, medications that affect protein levels, hypothyroidism, illness.
                 4. Thyroid-stimulating hormone (TSH) stimulates the production and release of T4 (primarily) and T3. They help control the
                 rate at which the body uses energy and are regulated by a feedback system. Most of the T4 circulates in the blood bound to
                 protein, while a small percentage is free (not bound).
                 5. Lab has estimated Total T4 reference intervals that are specific for India, using the indirect sampling technique following
                 CLSI EP28-A3c document: Defining Establishing, and Verifying Reference Intervals in the Clinical Laboratory: Approved
                 Guideline-Third Edition.
                 5. Thyroid hormone status during pregnancy:
                                     CRM No :9116159
                                     Sample Recd. Time: 10-11-2024 10:26
                                     Report Time: 10-11-2024 13:27                                Authorized Signatory
                                     Patient Name: KIRAN LASOD                                    Dr. Murari lal Dhanetwal
                                     Patient ID: 9116159                                          MBBS,MD (Pathology)
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                                                                                                  Consultant Pathologist.
                                                                                                                                                          Page 5 of 10
                Name:                             KIRAN LASOD                        Age/Gender:                   55 Years/Female
0000009116159
                 Interpretation
                 A renal function panel could be ordered when a patient has risk factors for kidney dysfunction such as high blood pressure
                 (hypertension), diabetes, cardiovascular disease, obesity, elevated cholesterol, or a family history of kidney disease. A renal
                 function panel may also be ordered when someone has signs and symptoms of kidney disease, though early kidney disease often
                 does not cause any noticeable symptoms. It may be initially detected through routine blood or urine testing. Renal function panel
                 results are not diagnostic but rather indicate that there may be a problem with the kidneys and that further testing is required to
                 make a diagnosis and determine the cause. Results of the panel are usually considered together, rather than separately.
                 Individual test result can be abnormal due to causes other than kidney disease, but taken together with risks and signs and
                 symptoms, they may give an indication of whether kidney disease is present.
                                     CRM No :9116159
                                     Sample Recd. Time: 10-11-2024 10:26
                                     Report Time: 10-11-2024 13:27                           Authorized Signatory
                                     Patient Name: KIRAN LASOD                               Dr. Murari lal Dhanetwal
                                     Patient ID: 9116159                                     MBBS,MD (Pathology)
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                                                                                             Consultant Pathologist.
                                                                                                                                                   Page 6 of 10
                Name:                             KIRAN LASOD                     Age/Gender:                    55 Years/Female
0000009116159
                 Interpretation
                 Testosterone is the main sex hormone (androgen) in men. It is responsible for male physical characteristics. It is present in large
                 amounts in males during puberty and in adult males to regulate the sex drive and maintain muscle mass. In women, testosterone
                 is converted to estradiol, the main sex hormone in females. Testosterone levels are diurnal, peaking in the early morning hours
                 (about 4:00 to 8:00 am), with the lowest levels in the evening (about 4:00 to 8:00 pm). Levels also increase after exercise and
                 also decrease with age. Testosterone test may be used to help evaluate conditions such as delayed or precocious (early) puberty
                 in boys, decreased sex drive in men and women, erectile dysfunction in men, infertility in men and women, testicular tumors in
                 men, hypothalamus or pituitary disorders, hirsutism and virilization in girls and women.
                 Interpretation
                 Low B12 level in a person with signs and symptoms indicates that the person has a deficiency but does not necessarily reflect
                 the severity of the anemia or associated neuropathy. Vitamin B12 levels are decreased in megaloblastic anaemia, partial/total
                 gastrectomy, pernicious anaemia, peripheral neuropathy, chronic alcoholism, senile dementia, and treated epilepsy. Associated
                 increased in homocysteine levels and Vitamin B12 has better predictivity for cardiovascular disease and deep vein thrombosis.
                 Holo-Transcobalamin II levels and methylmalonic acid levels are more accurate markers of active Vitamin B12 component.
                 Additional tests are usually done to investigate the underlying cause of the deficiency.
                 In method comparison study done at our centre, we found acceptable correlation and these results showed that there was no
                 statistically significant between our methods and other Lab procedures (like, CLIA, CMIA, ELISA, IFA etc). The harmonization
                 between total vitamin B12 assays is variable and individual results can differ significantly between assays. Though cut-off
                 value of 200 pg/mL was used commonly, however, since there is not a reference method for measuring vitamin B12, this cut-
                 off value may not be suitable to use in the evaluation of cobalamin deficiency diagnosis. Until the harmonization study between
                 measurement methods is concluded, it is always suggested by NABL that laboratories should use their own reference values or
                 reference values for Lab assay methods instead of cut-off value of 200 pg/mL.
                 Interpretation
                 1. The 25-hydroxyvitamin D is the major form found in the blood and is the relatively inactive precursor to the active hormone,
                 1,25-dihydroxyvitamin D. Because of its long half-life and higher concentration, 25-hydroxyvitamin D is commonly measured
                 to assess and monitor vitamin D status in individuals. A low blood level of 25-hydroxyvitamin D may mean that a person is not
                 getting enough exposure to sunlight or enough dietary vitamin D to meet his or her body's demand or that there is a problem
                 with its absorption from the intestines.
                                     CRM No :9116159
                                     Sample Recd. Time: 10-11-2024 10:26
                                     Report Time: 10-11-2024 13:27                        Authorized Signatory
                                     Patient Name: KIRAN LASOD                            Dr. Murari lal Dhanetwal
                                     Patient ID: 9116159                                  MBBS,MD (Pathology)
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                                                                                          Consultant Pathologist.
                                                                                                                                                    Page 7 of 10
                Name:                        KIRAN LASOD                        Age/Gender:                55 Years/Female
0000009116159
                 2. Vitamin D is a fat soluble vitamin and exists in two main forms as cholecalciferol (vitamin D3) which is synthesized in skin
                 from 7-dehydrocholesterol in response to sunlight exposure & Ergocalciferol(vitamin D2) present mainly in dietary
                 sources.Both cholecalciferol & Ergocalciferol are converted to 25(OH)vitamin D in liver. 3. Testing for 25(OH) vitamin D is
                 recommended as it is the best indicator of vitamin D nutritional status.
                                   CRM No :9116159
                                   Sample Recd. Time: 10-11-2024 10:26
                                   Report Time: 10-11-2024 13:27                        Authorized Signatory
                                   Patient Name: KIRAN LASOD                            Dr. Murari lal Dhanetwal
                                   Patient ID: 9116159                                  MBBS,MD (Pathology)
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                                                                                        Consultant Pathologist.
                                                                                                                                           Page 8 of 10
                Name:                             KIRAN LASOD                      Age/Gender:                    55 Years/Female
0000009116159
                 Interpretation
                 1. Serum iron measures the level of iron in the liquid portion of the blood. Low iron levels may seen in anemia (microcytic and
                 hypochromic) . High levels of serum iron in hereditary hemochromatosis, multiple blood transfusions, and a few other
                 conditions.
                 2. TIBC (Total iron-binding capacity) measures all the proteins in blood available to bind with iron, including transferrin.TIBC
                 test is a good indirect measurement of transferrin. The body produces transferrin in relationship to the need for iron. When iron
                 stores are low, transferrin levels increase and vice versa. Since transferrin is the primary iron-binding protein, the TIBC test is a
                 good indirect measurement of transferrin availability.
                                     CRM No :9116159
                                     Sample Recd. Time: 10-11-2024 10:26
                                     Report Time: 10-11-2024 13:27                         Authorized Signatory
                                     Patient Name: KIRAN LASOD                             Dr. Murari lal Dhanetwal
                                     Patient ID: 9116159                                   MBBS,MD (Pathology)
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                                                                                           Consultant Pathologist.
                                                                                                                                                 Page 9 of 10
                Name:                             KIRAN LASOD                     Age/Gender:                   55 Years/Female
0000009116159
                 Interpretation
                 1.The term HbA1c refers to Glycated Haemoglobin. Measuring HbA1c gives an overall picture of what the average blood sugar
                 levels have been over a period of weeks/month. Higher the HbA1c, the greater the risk of developing diabetes-related
                 complications.
                 2.HbA1c has been endorsed by clinical groups and ADA (American Diabetes Assocation) guidelines 2012, for the diagnosis of
                 diabetes using a cut-off point of 6.5%. ADA defined biological reference range for HbA1c is between 4-6%. Patients with
                 HBA1c value between 6.0-6.5% are considered at risk for developing diabetes in the future. Trends in HbA1c area a better
                 indicator of glucose control than standalone test.
                 3.To estimate the eAG from the HbA1c value, the following equation is used: eAG(mg/dl) =28.7*A1c-46.7.
                 4.Diabetic must aspire to keep values under 7% to avoid the various complications resulting from diabetes.
                 5.Certain conditions can give rise to a spuriously low HbA1C values. Such conditions include Hemolytic anemias, certain
                 hemoglobinopathies (Hb SS, HbSC, Hb CC, unknown variant), recent blood transfusion,acute blood loss, hypertriglyceridemia,
                 drugs (eg dapsone, ribavirin, trimethoprim-sulfamethoxazole, hydroxyurea, vitamin C/E), chronic liver disease.
                 6.Certain conditions can give rise to a spuriously high HbA1C values. Such conditions include Iron deficiency, vitamin B12
                 deficiency, alcoholism, uremia, hyperbilirubinemia, drugs (chronic ingestion of salicylates in high doses and opiate addiction).
                 Note:The reportable range for HbA1C HPLC analyser is 3.8 % to 18.5 %, eAG calculation not possible above or below this
                 range. In such scenario, observed HbA1c results may not be truly representative of the glycemic control and need to be cross
                 checked by other methods of testing like fructosamine test.
End Of Report
                                     CRM No :9116159
                                     Sample Recd. Time: 10-11-2024 10:26
                                     Report Time: 10-11-2024 13:27                        Authorized Signatory
                                     Patient Name: KIRAN LASOD                            Dr. Murari lal Dhanetwal
                                     Patient ID: 9116159                                  MBBS,MD (Pathology)
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                                                                                          Consultant Pathologist.
                                                                                                                                                Page 10 of 10
                                                                         QUALITY POLICY
GENERAL DIAGNOSTICS INTERNATIONAL (P) Ltd. maintains the highest standards of quality control in all aspects
of laboratory work. The purpose of our laboratory’s Quality Management System is to ensure that:
   Principles of all accreditations, including that of NABL - ISO1518:2012 (National Accreditation Board of Laboratories) are adhered
   for each test in the scope of the accreditation, and beyond.
   Test methods, processes and control mechanisms are timely updated and fully validated to ensure the accuracy and
   reliability of our test results.
                                                        CONDITIONS of REPORTING
01. It is presumed that the specimen accompanying the TRF (Test Requisition Form where           07. For certain category of tests, the report may carry a “PRELIMINARY” status implying
    the details of patient are recorded) is of the same patient whose details are there in the         that the results are yet to be reported for one (or more) tests. For example, in the case
    TRF.                                                                                               with certain microbiology tests, a “FINAL” culture, identification or drug susceptibility
02. A test requested might not be performed due to the following reasons(s):                           result might be pending. In such case, the status “RESULT PENDING” will be mentioned
           2.1 Insufficient quantity of specimen required to conduct the test.                         on report. The same shall be replaced by the test results whenever it is ready.
           2.2 Poor quality of the Specimen not meeting the quality criteria                     08. If the collection date or any other details was not stated in the Test Requisition Form,
              (hemolysis of sample/clotted.)                                                           the same will not be printed on the report. In cases where the missing information is
           2.3 Incorrect specimen type as required to conduct a test.                                  mandatory for report generation or meeting accreditation guidelines, the sample
03. Test(s) may be patly or fully cancelled due to incorrect test code, incorrect name of the          shall not be processed at all.
    test or incorrect type of specimen. A communication shall be made and it is expected         09. Tests parameters excluded from the “scope” of NABL accreditation shall be marked
    that a fresh specimen will be sent to laboratory for analysis of same parameter(s).                by asterisks.
04. The results of laboratory investigation are dependent on the quality of the specimen as      10.   In case you are not the intended recipient of the report, please immediately inform
    well as the assay procedures/technologies used. All samples collected for tests are                the same to the issuing entity. Any use, disclosure, copy or distribution of any
    required to be prepared, stored, labeled and brought to processing laboratory as per the           contents of such report, is unlawful and is strictly prohibited.
    prescribed guidelines of GENERAL DIAGNOSTICS.                                                11.   Some test may be referred to other laboratories to provide a wider test menu to the
05. GENERAL DIAGNOSTICS laboratory cannot be held liable for incorrect results of a sample             patients. The details of the laboratory where the sample was referred to, can be
    which deviated from the guidelines issued.                                                         obtained from Customer Care department.
06. There can be several factors like sample’s unintended exposure to heat or travel through     12. Claims of comparing results against that from a different laboratory shall be looked
    rough terrain which affect the quality of test results. Therefore a 2% chance of error/            into only if it was the same sample which was split and sent in same conditions to all
    deviation in results is a possibility.                                                             laboratories and processed on the same technology.