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MR - Annup Agarwaal

The document contains a series of laboratory test results for Mr. Annup Agarwaal, a 65-year-old male, with various serum tests including Calcium, Creatinine, Gamma GT, Lithium, Magnesium, Phosphorous, Prostate Specific Antigen, Blood Urea, and Uric Acid. The results indicate some values are within normal ranges while others, like Creatinine and Lithium, are slightly elevated, suggesting potential health concerns. Each test includes interpretations and suggested clinical correlations for further assessment.

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Sourav Agarwal
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0% found this document useful (0 votes)
15 views23 pages

MR - Annup Agarwaal

The document contains a series of laboratory test results for Mr. Annup Agarwaal, a 65-year-old male, with various serum tests including Calcium, Creatinine, Gamma GT, Lithium, Magnesium, Phosphorous, Prostate Specific Antigen, Blood Urea, and Uric Acid. The results indicate some values are within normal ranges while others, like Creatinine and Lithium, are slightly elevated, suggesting potential health concerns. Each test includes interpretations and suggested clinical correlations for further assessment.

Uploaded by

Sourav Agarwal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 23

Processing Location : Rd #68, Jubilee Hills, Hyderabad- 500033

Email: [email protected]
Client : DIRECT
Patient Name : Mr.ANNUP AGARWAAL
Age / Gender : 65 Y(s) / Male Sample Type : Serum Scan to Validate
Phone : 9830036573 Registered On : 09-06-2025 11:24
Ref.Dr. : SELF Collected On : 09-06-2025 11:26
Req.No : NMK062500275 - 2500456636 Received On : 09-06-2025 12:10
Report Status : Final Reported On : 09-06-2025 13:10

DEPARTMENT OF CLINICAL BIOCHEMISTRY


Calcium, Serum
TEST NAME RESULT UNITS BIOLOGICAL REFERENCE INTERVAL
Calcium, Serum : 10.6 mg/dL 8.8-10.6
Method : Arsenazo III

Interpretation
Increased :
Increased levels may be seen in hyperparathyroidism, vitamin D intoxication, milk-alkali syndrome,
thiazide diuretic use, and granulomatous diseases
Decreased :
Hypoparathyroidism, chronic renal disease with uremia and phosphate retention, malabsorption of calcium
and vitamin D, and insufficient calcium, phosphorus, and vitamin D intake.

Reference:

Beckman kit Insert.

Note :- Suggested Clinical Correlation *

**End Of Report**

Dr.Vijay Babu B,MBBS.MD Dr.Sowmya Gayatri .C Dr.S.A.Nabi Ph.D


Consultant Biochemistry M.B.B.S MD Sr.Biochemist
Consultant Biochemistry

Print Date : 12-06-2025 18:27 Page 1 of 23


Processing Location : Rd #68, Jubilee Hills, Hyderabad- 500033
Email: [email protected]
Client : DIRECT
Patient Name : Mr.ANNUP AGARWAAL
Age / Gender : 65 Y(s) / Male Sample Type : Serum Scan to Validate
Phone : 9830036573 Registered On : 09-06-2025 11:24
Ref.Dr. : SELF Collected On : 09-06-2025 11:26
Req.No : NMK062500275 - 2500456636 Received On : 09-06-2025 12:10
Report Status : Final Reported On : 09-06-2025 13:10

DEPARTMENT OF CLINICAL BIOCHEMISTRY


Creatinine, Serum
TEST NAME RESULT UNITS BIOLOGICAL REFERENCE INTERVAL
Creatinine,Serum : 1.33 mg/dL 0.8-1.3
Method : Modified Jaffe Kinetic

Note : Test repeated on the received sample. Repeat the test in case of clinical discordance.

Reference :Tietz fundamentals of clinical chemistry, 7 th edition.

Interpretation:

Increased In

* Diet: ingestion of creatinine (roast meat)

* Muscle disease: gigantism, acromegaly

* Prerenal azotemia

* Impaired kidney function

* An increase in serum creatinine creatinine occure in 10.20% of patients taking aminoglycosides and < 20% of patients

taking penicillins (especially methicillin)

Decreased In

* Creatinine secretion is inhibited by certain drugs (e.g., cimetidine, trimethoprim).

* Proxy for reduced skeletal muscle mass.

Note :- Suggested Clinical Correlation *

**End Of Report**

Dr.Vijay Babu B,MBBS.MD Dr.Sowmya Gayatri .C Dr.S.A.Nabi Ph.D


Consultant Biochemistry M.B.B.S MD Sr.Biochemist
Consultant Biochemistry

Print Date : 12-06-2025 18:27 Page 2 of 23


Processing Location : Rd #68, Jubilee Hills, Hyderabad- 500033
Email: [email protected]
Client : DIRECT
Patient Name : Mr.ANNUP AGARWAAL
Age / Gender : 65 Y(s) / Male Sample Type : Serum Scan to Validate
Phone : 9830036573 Registered On : 09-06-2025 11:24
Ref.Dr. : SELF Collected On : 09-06-2025 11:26
Req.No : NMK062500275 - 2500456636 Received On : 09-06-2025 12:10
Report Status : Final Reported On : 09-06-2025 13:10

DEPARTMENT OF CLINICAL BIOCHEMISTRY


Gamma GT (GGTP)
TEST NAME RESULT UNITS BIOLOGICAL REFERENCE INTERVAL
Gamma GT (GGTP) : 19.80 U/L <55
Method : IFCC

Reference:Beckman kit Insert.

Note :- Suggested Clinical Correlation *

**End Of Report**

Dr.Vijay Babu B,MBBS.MD Dr.Sowmya Gayatri .C Dr.S.A.Nabi Ph.D


Consultant Biochemistry M.B.B.S MD Sr.Biochemist
Consultant Biochemistry

Print Date : 12-06-2025 18:27 Page 3 of 23


Processing Location : Rd #68, Jubilee Hills, Hyderabad- 500033
Email: [email protected]
Client : DIRECT
Patient Name : Mr.ANNUP AGARWAAL
Age / Gender : 65 Y(s) / Male Sample Type : Serum Scan to Validate
Phone : 9830036573 Registered On : 09-06-2025 11:24
Ref.Dr. : SELF Collected On : 09-06-2025 11:26
Req.No : NMK062500275 - 2500456636 Received On : 09-06-2025 12:10
Report Status : Final Reported On : 11-06-2025 12:53

DEPARTMENT OF CLINICAL BIOCHEMISTRY


Lithium
TEST NAME RESULT UNITS BIOLOGICAL REFERENCE INTERVAL
Lithium : 1.14 mMol/L Therapeutic range : 0.6 - 1.2
Method : Colorimetry Toxic : > 2.0
Note : This parameter has been outsourced to a NABL Accredited laboratory.

Reference:Beckman kit literature

Interpretation:Lithium is available commercially as citrate and carbonate salts. Lithium salts are considered to be anti -manic
agents and are used for the prophylaxis and treatment of bipolar disorder (Manic depressive psychosis). In addition, lithium is
considered by some investigators to be the drug of choice for prevention of chronic cluster headache and may also be effective in
episodic or periodic forms of cluster headache. Complete absorption of lithium occurs after 6-8 hrs of oral administration.
Plasma half life varies from 17-36 hrs and onset of action is slow (5-10 days). Since lithium shows delayed and varied tissue
distribution, symptoms of acute intoxication may not correlate well with serum levels. Toxicity may occur acutely as a result of
single toxic dose or chronically from high/prolonged dosages of lithium. Fever, diarrhea, vomiting, diuretics and pyelonephritis
are contributing factors in underlying chronic intoxication. Renal toxicity and hypothyroidism are also known side effects of
lithium administration. Thus it is advisable to monitor creatinine and TSH levels periodically in patients on lithium.

Note :- Suggested Clinical Correlation *

**End Of Report**

Dr.Vijay Babu B,MBBS.MD Dr.Sowmya Gayatri .C Dr.S.A.Nabi Ph.D


Consultant Biochemistry M.B.B.S MD Sr.Biochemist
Consultant Biochemistry

Print Date : 12-06-2025 18:27 Page 4 of 23


Processing Location : Rd #68, Jubilee Hills, Hyderabad- 500033
Email: [email protected]
Client : DIRECT
Patient Name : Mr.ANNUP AGARWAAL
Age / Gender : 65 Y(s) / Male Sample Type : Serum Scan to Validate
Phone : 9830036573 Registered On : 09-06-2025 11:24
Ref.Dr. : SELF Collected On : 09-06-2025 11:26
Req.No : NMK062500275 - 2500456636 Received On : 09-06-2025 12:10
Report Status : Final Reported On : 09-06-2025 13:10

DEPARTMENT OF CLINICAL BIOCHEMISTRY


Magnesium
TEST NAME RESULT UNITS BIOLOGICAL REFERENCE INTERVAL
Magnesium : 2.0 mg/dL 1.8-2.6
Method : Xylidyl Blue,Tris buffer

Reference:Beckman kit Insert.

Note :- Suggested Clinical Correlation *

**End Of Report**

Dr.Vijay Babu B,MBBS.MD Dr.Sowmya Gayatri .C Dr.S.A.Nabi Ph.D


Consultant Biochemistry M.B.B.S MD Sr.Biochemist
Consultant Biochemistry

Print Date : 12-06-2025 18:27 Page 5 of 23


Processing Location : Rd #68, Jubilee Hills, Hyderabad- 500033
Email: [email protected]
Client : DIRECT
Patient Name : Mr.ANNUP AGARWAAL
Age / Gender : 65 Y(s) / Male Sample Type : Serum Scan to Validate
Phone : 9830036573 Registered On : 09-06-2025 11:24
Ref.Dr. : SELF Collected On : 09-06-2025 11:26
Req.No : NMK062500275 - 2500456636 Received On : 09-06-2025 12:10
Report Status : Final Reported On : 09-06-2025 13:10

DEPARTMENT OF CLINICAL BIOCHEMISTRY


Phosphorous, Serum
TEST NAME RESULT UNITS BIOLOGICAL REFERENCE INTERVAL
Phosphorous, Serum : 4.0 mg/dL 2.5 -4.5
Method : Phosphomolybdate

Reference:Beckman Kit Insert.

Note :- Suggested Clinical Correlation *

**End Of Report**

Dr.Vijay Babu B,MBBS.MD Dr.Sowmya Gayatri .C Dr.S.A.Nabi Ph.D


Consultant Biochemistry M.B.B.S MD Sr.Biochemist
Consultant Biochemistry

Print Date : 12-06-2025 18:27 Page 6 of 23


Processing Location : Rd #68, Jubilee Hills, Hyderabad- 500033
Email: [email protected]
Client : DIRECT
Patient Name : Mr.ANNUP AGARWAAL
Age / Gender : 65 Y(s) / Male Sample Type : Serum Scan to Validate
Phone : 9830036573 Registered On : 09-06-2025 11:24
Ref.Dr. : SELF Collected On : 09-06-2025 11:26
Req.No : NMK062500275 - 2500456636 Received On : 09-06-2025 12:10
Report Status : Final Reported On : 09-06-2025 13:10

DEPARTMENT OF CLINICAL BIOCHEMISTRY


Prostate Specific Antigen, Total (PSA)-Male
TEST NAME RESULT UNITS BIOLOGICAL REFERENCE INTERVAL
Prostate Specific Antigen, Total : 2.585 ng/mL 0-4
(PSA)
Method : CLIA

Interpretation:
PSA levels can be also increased by prostate infection, irritation, benign prostatic hyperplasia (BPH), and recent ejaculation,
producing a false Positive result. Digital rectal examination (DRE) has been shown in several studies to produce an increase in
PSA. However the effect is clinically insignificant, since DRE causes the most substantial increases in patients with PSA levels
already elevated over 4.0 ng/mL. Most PSA in the blood is bound to serum proteins. A small amount is not protein bound and is
called free PSA. In men with prostate cancer the ratio of free (unbound) PSA to total PSA is decreased. The risk of cancer
increases if the free to total ratio is less than 25%. The lower the ratio the greater the probability of prostate cancer. Measuring
the ratio of free to total PSA appears to be particularly promising for eliminating unnecessary biopsiesin men with PSA levels
between 4 and 10 ng/mL However, both total and free PSA increase immediately after ejaculation, returning slowly to baseline
levels within 24 hours.

Reference:Beckman kit insert.

Note :- Suggested Clinical Correlation *

**End Of Report**

Dr.Vijay Babu B,MBBS.MD Dr.Sowmya Gayatri .C Dr.S.A.Nabi Ph.D


Consultant Biochemistry M.B.B.S MD Sr.Biochemist
Consultant Biochemistry

Print Date : 12-06-2025 18:27 Page 7 of 23


Processing Location : Rd #68, Jubilee Hills, Hyderabad- 500033
Email: [email protected]
Client : DIRECT
Patient Name : Mr.ANNUP AGARWAAL
Age / Gender : 65 Y(s) / Male Sample Type : Serum Scan to Validate
Phone : 9830036573 Registered On : 09-06-2025 11:24
Ref.Dr. : SELF Collected On : 09-06-2025 11:26
Req.No : NMK062500275 - 2500456636 Received On : 09-06-2025 12:10
Report Status : Final Reported On : 09-06-2025 13:10

DEPARTMENT OF CLINICAL BIOCHEMISTRY


Urea, Serum
TEST NAME RESULT UNITS BIOLOGICAL REFERENCE INTERVAL
Blood Urea : 27.20 mg/dL 17-43
Method : GLDH Kinetic

Interpretation: -
Increased In
Impaired kidney function, congestive heart failure, salt and water depletion due to vomiting, diarrhea
urinary tract obstruction, hemorrhage into GI tract.
Decreased In
Malnutrition, pregnancy, infancy, acromegaly, low protein- High carbohydrate diet, impaired absorption,
some patients of nephrotic syndrome.

Reference :Beckman kit Insert.

Note :- Suggested Clinical Correlation *

**End Of Report**

Dr.Vijay Babu B,MBBS.MD Dr.Sowmya Gayatri .C Dr.S.A.Nabi Ph.D


Consultant Biochemistry M.B.B.S MD Sr.Biochemist
Consultant Biochemistry

Print Date : 12-06-2025 18:27 Page 8 of 23


Processing Location : Rd #68, Jubilee Hills, Hyderabad- 500033
Email: [email protected]
Client : DIRECT
Patient Name : Mr.ANNUP AGARWAAL
Age / Gender : 65 Y(s) / Male Sample Type : Serum Scan to Validate
Phone : 9830036573 Registered On : 09-06-2025 11:24
Ref.Dr. : SELF Collected On : 09-06-2025 11:26
Req.No : NMK062500275 - 2500456636 Received On : 09-06-2025 12:10
Report Status : Final Reported On : 09-06-2025 13:10

DEPARTMENT OF CLINICAL BIOCHEMISTRY


Uric Acid, Serum
TEST NAME RESULT UNITS BIOLOGICAL REFERENCE INTERVAL
Uric Acid : 5.43 mg/dL 3.5-7.2
Method : Uricase PAP(Phenyl AminoPhenazone)

Interpretation
Increased :
renal failure, gout, leukemia, polycythemia, and hemolytic anemia. decreased renal clearance due to
drugs like thiazides
and furosemide, the use of drugs like barbiturates, some patients with alcoholism, high protein weight-
reduction diet.
Decreased :
Use of uricosuric drugs like probenecid, Allopurinol, cortisone, estrogens, Fanconi syndrome, etc.

Note :- Suggested Clinical Correlation *

**End Of Report**

Dr.Vijay Babu B,MBBS.MD Dr.Sowmya Gayatri .C Dr.S.A.Nabi Ph.D


Consultant Biochemistry M.B.B.S MD Sr.Biochemist
Consultant Biochemistry

Print Date : 12-06-2025 18:27 Page 9 of 23


Processing Location : Rd #68, Jubilee Hills, Hyderabad- 500033
Email: [email protected]
Client : DIRECT
Patient Name : Mr.ANNUP AGARWAAL
Age / Gender : 65 Y(s) / Male Sample Type : Serum Scan to Validate
Phone : 9830036573 Registered On : 09-06-2025 11:24
Ref.Dr. : SELF Collected On : 09-06-2025 11:26
Req.No : NMK062500275 - 2500456636 Received On : 09-06-2025 12:10
Report Status : Final Reported On : 09-06-2025 13:10

DEPARTMENT OF CLINICAL BIOCHEMISTRY


Vitamin B12 (Cyanocobalamin),Serum
TEST NAME RESULT UNITS BIOLOGICAL REFERENCE INTERVAL
Vitamin B12 (Cyanocobalamine), : 225 pg/mL 222-1439
Serum
Method : CLIA

Interpretation:

1.Vitamin B12 deficiency occurs in megaloblastic anaemia,malabsorption,dietary deficiency(vegeterians),congenital


disorders,pregnancy etc.

2.An associated increase in homocysteine is an independent marker for cardiovascular disease and deep vein thrombosis.

3.Holotranscobalamin is a more sensitive marker of Vitamin B12 deficiency.

4.Elevated Vitamin B12 is associated with use of oral contraceptives,multivitamins ,Chronic renal failure,liver disease,increased
levels of transcobalamin,acute and chronic myelogeneous leukemia etc.

Note: disagreement of vitamin b12 values can be noticed between laboratories using assays of different manufacturers.

Reference:Beckman caliper study of pediatric Reference values.Beckman kit insert,Teitz Fundamentals of clinical chemistry.

Note :- Suggested Clinical Correlation *

**End Of Report**

Dr.Vijay Babu B,MBBS.MD Dr.Sowmya Gayatri .C Dr.S.A.Nabi Ph.D


Consultant Biochemistry M.B.B.S MD Sr.Biochemist
Consultant Biochemistry

Print Date : 12-06-2025 18:27 Page 10 of 23


Processing Location : Rd #68, Jubilee Hills, Hyderabad- 500033
Email: [email protected]
Client : DIRECT
Patient Name : Mr.ANNUP AGARWAAL
Age / Gender : 65 Y(s) / Male Sample Type : Serum Scan to Validate
Phone : 9830036573 Registered On : 09-06-2025 11:24
Ref.Dr. : SELF Collected On : 09-06-2025 11:26
Req.No : NMK062500275 - 2500456636 Received On : 09-06-2025 12:10
Report Status : Final Reported On : 09-06-2025 13:10

DEPARTMENT OF CLINICAL BIOCHEMISTRY


Lipid Profile
TEST NAME RESULT UNITS BIOLOGICAL REFERENCE INTERVAL
Total Cholesterol : 219.0 mg/dL Desirable: < 200
Method : CHOD-POD Borderline: 200±239
High: >= 240
HDL Cholesterol : 57.2 mg/dL Major risk factor for heart disease: <40
Method : Enzymatic Immunoinhibition Negative risk factor for heart disease: >60
LDL Cholesterol : 126.40 mg/dL Optimal : < 100
Method : Calculation Near Optimal : 100±129
Borderline High : 130-159
High : 160±189
Very Highy : > 190
VLDL : 35.40 mg/dL 6-38
Method : Calculated

Triglycerides : 177.01 mg/dL Normal: < 150


Method : Glycerol Phosphate Oxidase (GPO), Borderline High: 150 - 199
Peroxidase (POD) High: 200 - 499
Very High: >= 500
CHOL / HDL Ratio : 3.83 3.5-5.0
Method : Calculation

Non - HDL Cholesterol : 161.80 mg/dL <130


Method : Calculated

LDL/HDL Ratio : 2.21 mg/dL 1.3-3.5


Method : Calculated

Reference:The National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATP III) Guidelines.

Note :- Suggested Clinical Correlation *

**End Of Report**

Dr.Vijay Babu B,MBBS.MD Dr.Sowmya Gayatri .C Dr.S.A.Nabi Ph.D


Consultant Biochemistry M.B.B.S MD Sr.Biochemist
Consultant Biochemistry

Print Date : 12-06-2025 18:27 Page 11 of 23


Processing Location : Rd #68, Jubilee Hills, Hyderabad- 500033
Email: [email protected]
Client : DIRECT
Patient Name : Mr.ANNUP AGARWAAL
Age / Gender : 65 Y(s) / Male Sample Type : Serum Scan to Validate
Phone : 9830036573 Registered On : 09-06-2025 11:24
Ref.Dr. : SELF Collected On : 09-06-2025 11:26
Req.No : NMK062500275 - 2500456636 Received On : 09-06-2025 12:10
Report Status : Final Reported On : 09-06-2025 13:10

DEPARTMENT OF CLINICAL BIOCHEMISTRY


Thyroid Profile (T3,T4,TSH)
TEST NAME RESULT UNITS BIOLOGICAL REFERENCE INTERVAL
Total T3 : 0.99 ng/mL 0.87-1.78
Method : CLIA

Total T4 : 8.17 µg/dL 4.82-15.65


Method : CLIA

TSH : 18.03 µIU/mL Children:


Method : CLIA Birth-4d:1.0-39.0
2-20wk:1.7-9.1
21wk-20y:0.7-6.4
Adults:
21-54y:0.4-4.2
55-87y:0.5-8.9

Interpretation :
1.T3 &T4 values may be altered due to changes in serum proteins,pregnancy,drugs,nephrosis etc.In such cases Free T3 and Free
T4 may give more appropriate thyroid status.T3 levels fluctuate rapidly to stress and non thyroid illness.

2.TSH values may be transiently altered in fever,severe infections,liver disease,renal and heart failure,severe burns,trauma and
surgery.

3.Drugs that decrease TSH values include L-DOPA,Glucocorticoids,Heparin.Drugs that increase TSH include-
Iodine,Lithium,Amiodarone.

4.TSH exhibits diurnal rythm,peaks at 2.00- 4.00AM and has lowest level at 5.00-6.00PM
Reference: Beckman caliper study of pediatric Reference values.Beckman kit insert,Teitz Fundamentals of clinical chemistry.

Note :- Suggested Clinical Correlation *

**End Of Report**

Dr.Vijay Babu B,MBBS.MD Dr.Sowmya Gayatri .C Dr.S.A.Nabi Ph.D


Consultant Biochemistry M.B.B.S MD Sr.Biochemist
Consultant Biochemistry

Print Date : 12-06-2025 18:27 Page 12 of 23


Processing Location : Rd #68, Jubilee Hills, Hyderabad- 500033
Email: [email protected]
Client : DIRECT
Patient Name : Mr.ANNUP AGARWAAL
Age / Gender : 65 Y(s) / Male Sample Type : Serum Scan to Validate
Phone : 9830036573 Registered On : 09-06-2025 11:24
Ref.Dr. : SELF Collected On : 09-06-2025 11:26
Req.No : NMK062500275 - 2500456636 Received On : 09-06-2025 12:10
Report Status : Final Reported On : 09-06-2025 13:10

DEPARTMENT OF CLINICAL BIOCHEMISTRY


Liver Function Test (LFT)
TEST NAME RESULT UNITS BIOLOGICAL REFERENCE INTERVAL
Total Bilirubin : 0.41 mg/dL 0.3-1.2
Method : DPD

Direct Bilirubin : 0.07 mg/dL <0.2


Method : DPD

Indirect Bilirubin : 0.34 mg/dL 0.0-0.9


Method : Calculated

SGPT / ALT : 17.70 U/L 0-50


Method : IFCC without Pyridoxal Phosphate

AST/SGOT : 25.57 U/L 0-50


Method : IFCC without Pyridoxal Phosphate

Alkaline Phosphatase : 82.32 IU/L 30-120


Method : IFCC AMP-Buffer

Total Protein (TP) : 7.92 g/dL 6.6-8.3


Method : Biuret

Albumin : 4.42 g/dL 3.5-5.2


Method : Bromocresol Green(BCG)

Globulin : 3.5 g/dL 1.8-3.8


Method : Calculation

A/G Ratio : 1.26 0.9-1.8


Method : Calculated

Note :- Suggested Clinical Correlation *

**End Of Report**

Dr.Vijay Babu B,MBBS.MD Dr.Sowmya Gayatri .C Dr.S.A.Nabi Ph.D


Consultant Biochemistry M.B.B.S MD Sr.Biochemist
Consultant Biochemistry

Print Date : 12-06-2025 18:27 Page 13 of 23


Processing Location : Rd #68, Jubilee Hills, Hyderabad- 500033
Email: [email protected]
Client : DIRECT
Patient Name : Mr.ANNUP AGARWAAL
Age / Gender : 65 Y(s) / Male Sample Type : Serum Scan to Validate
Phone : 9830036573 Registered On : 09-06-2025 11:24
Ref.Dr. : SELF Collected On : 09-06-2025 11:26
Req.No : NMK062500275 - 2500456636 Received On : 09-06-2025 12:10
Report Status : Final Reported On : 09-06-2025 13:10

DEPARTMENT OF CLINICAL BIOCHEMISTRY


Electrolytes, Serum
TEST NAME RESULT UNITS BIOLOGICAL REFERENCE INTERVAL
Sodium, Serum : 138.0 mMol/L 136-146
Method : ISE Indirect

Potassium, Serum : 4.94 mMol/L 3.5-5.1


Method : ISE Indirect

Chlorides, Serum : 100.8 mMol/L 101-109


Method : ISE Indirect

Interpretation :

Increased:

Sodium levels are increased in vomiting, diarrhea, bowel obstruction, and hyperaldosteronism.

Potassium levels are increased in usage of drugs like NSAIDs, ACE inhibitors, cyclosporine, Addison's disease,

renal failure, and intravascular hemolysis.

Chloride levels are increased in metabolic acidosis, with prolonged diarrhea, respiratory alkalosis, and retention of salt

water due to corticosteroids.

Decreased:

Sodium levels are decreased in congestive heart failure, cirrhosis of liver nephrotic syndrome, hypothyroidism.

Potassium levels are decreased in use of drugs like thiazides, furosemide, high dose antibiotics, etc.

Chloride levels are decreased in prolonged vomiting, salt losing, renal disease, adrenocortical insufficiency.

Note :- Suggested Clinical Correlation *

**End Of Report**

Dr.Vijay Babu B,MBBS.MD Dr.Sowmya Gayatri .C Dr.S.A.Nabi Ph.D


Consultant Biochemistry M.B.B.S MD Sr.Biochemist
Consultant Biochemistry

Print Date : 12-06-2025 18:27 Page 14 of 23


Processing Location : Rd #68, Jubilee Hills, Hyderabad- 500033
Email: [email protected]
Client : DIRECT
Patient Name : Mr.ANNUP AGARWAAL
Age / Gender : 65 Y(s) / Male Sample Type : WHOLE BLOOD EDTA Scan to Validate
Phone : 9830036573 Registered On : 09-06-2025 11:24
Ref.Dr. : SELF Collected On : 09-06-2025 11:26
Req.No : NMK062500275 - 2500456635 Received On : 09-06-2025 12:10
Report Status : Final Reported On : 09-06-2025 13:10

DEPARTMENT OF CLINICAL BIOCHEMISTRY


Glycosylated Hb (HbA1C)
TEST NAME RESULT UNITS BIOLOGICAL REFERENCE INTERVAL
Glycosylated Hb (HbA1C) : 5.7 % Normal:<5.7
Method : High-performance Iiquid chromatography Prediabetes:5.7-6.4
Boronate affinity Diabetes:>6.5
Estimated Average Glucose : 116.89 mg/dL

Use:

HbA1C reflects the mean blood glucose concentration over the previous 3-4 months.

Interpretation:

Criteria for diagnosis of Diabetes:

HbA1C >/= 6.5% using method that is NGSP certified & standardised to DCCT Assay.

Note:

Low HbA1C values(<4%) in a individual are often associated with systemic inflammatory diseases,chronic anemia,chronic renal
failure and liver diseases.

Reference:American Diabetes Association guidelines 2022.

Note :- Suggested Clinical Correlation *

**End Of Report**

Dr.Vijay Babu B,MBBS.MD Dr.Sowmya Gayatri .C Dr.S.A.Nabi Ph.D


Consultant Biochemistry M.B.B.S MD Sr.Biochemist
Consultant Biochemistry

Print Date : 12-06-2025 18:27 Page 15 of 23


Processing Location : Rd #68, Jubilee Hills, Hyderabad- 500033
Email: [email protected]
Client : DIRECT
Patient Name : Mr.ANNUP AGARWAAL
Age / Gender : 65 Y(s) / Male Sample Type : Urine Scan to Validate
Phone : 9830036573 Registered On : 09-06-2025 11:24
Ref.Dr. : SELF Collected On : 09-06-2025 15:57
Req.No : NMK062500275 - 2500457787 Received On : 09-06-2025 16:40
Report Status : Final Reported On : 09-06-2025 17:38

DEPARTMENT OF CLINICAL PATHOLOGY


Complete Urine Examination (CUE)
TEST NAME RESULT UNITS BIOLOGICAL REFERENCE INTERVAL
PHYSICAL EXAMINATION:
Colour : Pale Yellow STRAW TO YELLOW
Appearance : Clear
CHEMICAL EXAMINATION
Reaction (pH) : Alkaline 8.0 5.0-8.0
Method : Methyl Red & Bromothymol Blue

Specific Gravity : 1.015 1.000-1.030


Method : pKA Change

Protein / Albumin : TRACE NEGATIVE


Method : Tetrabromophenol blue

Glucose / Sugar : Negative NEGATIVE


Method : Glucose oxidase/Peroxidase

Blood : Negative NEGATIVE


Method : Peroxidase

Ketones : Negative NEGATIVE


Method : Sodium Nitroprusside

Bilirubin : Negative NEGATIVE


Method : Dichloroanilinediazonium

Leucocytes : Negative NEGATIVE


Method : 3 hydroxy5 phenylpyrrole + diazonium

Nitrites : Negative NEGATIVE


Method : Diazonium + 1,2,3,4 tetrahydrobenzo (h)
quinolin 3-ol

Urobilinogen : 0.2 mg/dL 0.2-1.0


Method : Dim ethyl aminobenzaldehyde

MICROSCOPIC EXAMINATION:
Pus Cells : 3-4 /HPF 0-5
Epithelial Cells : 2-3 /HPF 0-5
RBC : Absent /HPF Absent
Casts : Absent Absent
Crystals / Amorphous deposit : Absent Absent
Others : Nil Nil

Method:Reflectance Photometry, Automated Urine Analyzer/Microscopy.


Print Date : 12-06-2025 18:27 Page 16 of 23
Processing Location : Rd #68, Jubilee Hills, Hyderabad- 500033
Email: [email protected]
Client : DIRECT
Patient Name : Mr.ANNUP AGARWAAL
Age / Gender : 65 Y(s) / Male Sample Type : Urine Scan to Validate
Phone : 9830036573 Registered On : 09-06-2025 11:24
Ref.Dr. : SELF Collected On : 09-06-2025 15:57
Req.No : NMK062500275 - Received On : 09-06-2025 16:40
Report Status : Final Reported On : 09-06-2025 17:38

Reference:

Siemens Multistix 10 SG Kit insert. Textbook of Medical Laboratory Technology B. Godkar,3rd Edition.

Note :- Suggested Clinical Correlation *

**End Of Report**

Dr.A.Ramya Priyadarshini Dr.Gaurav Rastogi Dr.Sushmitha Reddy A


Consultant Pathologist MD,Pathology
Senior Consultant Consultant Pathologist

Dr.K Kiran
Consultant Pathologist

Print Date : 12-06-2025 18:27 Page 17 of 23


Processing Location : Rd #68, Jubilee Hills, Hyderabad- 500033
Email: [email protected]
Client : DIRECT
Patient Name : Mr.ANNUP AGARWAAL
Age / Gender : 65 Y(s) / Male Sample Type : WHOLE BLOOD EDTA Scan to Validate
Phone : 9830036573 Registered On : 09-06-2025 11:24
Ref.Dr. : SELF Collected On : 09-06-2025 11:26
Req.No : NMK062500275 - 2500456635 Received On : 09-06-2025 12:10
Report Status : Final Reported On : 09-06-2025 13:08

DEPARTMENT OF HAEMATOLOGY
Complete Blood Picture (CBP)
TEST NAME RESULT UNITS BIOLOGICAL REFERENCE INTERVAL
Hemoglobin : 13.7 g/dL 13.0-17.0
Method : Non-Cyanide Photometric Measurement

HCT/Haematocrit : 40.4 % 40.0-50.0


Method : Calculated

RBC Count : 4.06 millions/cumm 4.5-5.5


Method : Electrical Impedance

MCV : 99.6 fL 83.0-101.0


Method : Calculated

MCH : 33.7 pg 27.0- 32.0


Method : Calculated

MCHC : 33.9 g/dL 31.5-34.5


Method : Calculated

RDW-CV : 15.1 % 11.6-14.0


Method : Calculated

RDW-SD : 54.3 fL 39-46


Method : Calculated

MPV : 9.3 fL 7.40-10.40


Method : Calculated

Platelet Count : 2.38 lakhs/cmm 1.50-4.10


Method : Electrical Impedance

Total WBC Count : 9600 Cells/cmm 4000-11000


Method : Electrical Impedance

Differential Count
(Method:VCS/Leishman Stain/Microscopy)
Neutrophils : 73 % 40-80
Lymphocytes : 19 % 20-40
Monocytes : 05 % 2-10
Eosinophils : 03 % 1-6
Basophils : 00 % 0-1

PERIPHERAL BLOOD PICTURE


RBC : Normocytic Normochromic
WBC : Normal in morphology and distribution
Platelets : Adequate
Print Date : 12-06-2025 18:27 Page 18 of 23
Processing Location : Rd #68, Jubilee Hills, Hyderabad- 500033
Email: [email protected]
Client : DIRECT
Patient Name : Mr.ANNUP AGARWAAL
Age / Gender : 65 Y(s) / Male Sample Type : WHOLE BLOOD EDTA Scan to Validate
Phone : 9830036573 Registered On : 09-06-2025 11:24
Ref.Dr. : SELF Collected On : 09-06-2025 11:26
Req.No : NMK062500275 - Received On : 09-06-2025 12:10
Report Status : Final Reported On : 09-06-2025 13:08

Reference :Dacie and Lewis Practical Hematology,12th Edition


Note : These results are generated by a fully automated hematology analyzer and the differential count is done on a peripheral
smear.

Method:

Fully automated haematology analyzer (Beckman Coulter DXH900) (Photometric Measurement, Electrical Impedance, VCS
Technology, Leishman's Stain and Microscopy)

Note :- Suggested Clinical Correlation *

**End Of Report**

Dr.Gaurav Rastogi MD,Pathology Dr.Sushmitha Reddy A Dr.K Kiran


Senior Consultant Consultant Pathologist
Consultant Pathologist

Dr.A.Ramya Priyadarshini
Consultant Pathologist

Print Date : 12-06-2025 18:27 Page 19 of 23


Processing Location : Rd #68, Jubilee Hills, Hyderabad- 500033
Email: [email protected]
Client : DIRECT
Patient Name : Mr.ANNUP AGARWAAL
Age / Gender : 65 Y(s) / Male Sample Type : WHOLE BLOOD EDTA Scan to Validate
Phone : 9830036573 Registered On : 09-06-2025 11:24
Ref.Dr. : SELF Collected On : 09-06-2025 11:26
Req.No : NMK062500275 - 2500456635 Received On : 09-06-2025 12:10
Report Status : Final Reported On : 09-06-2025 13:08

DEPARTMENT OF HAEMATOLOGY
Erythrocyte Sedimentation Rate (ESR)
TEST NAME RESULT UNITS BIOLOGICAL REFERENCE INTERVAL
E.S.R 1st HOUR : 32 mm/hr Male: 0±10 mm/1st hr
Method : Modified Westergren Female: 0±15 mm/1st hr

Interpretation:

Erythrocyte sedimentation rate (ESR) is a useful but nonspecific marker of underlying inflammation.
ESR is elevated in: Rheumatoid arthritis, chronic infection, collagen disease, polyclonal hyperglobulinemia and
hyperfibrinogenemia Temporal arteritis, septic arthritis, pelvic inflammatory disease, and appendicitis, Osteomyelitis.
Neoplastic disease- Myeloma or Macroglobulinemia, Prostate cancer, Hodgkin¶s disease, Renal cell carcinoma. Stroke,
coronary artery disease Pregnancy - increase at the 10th to the 12th week, and returns to normal about 1 month postpartum.
ESR is decreased in:
polycythemia, hyperviscosity, sickle cell anemia, leukemia, low plasma protein (liver, kidney disease) and congestive heart
failure.

Reference: Henry¶s Clinical Diagnosis and Management by Laboratory Methods, 22nd edition, page-521.

Note :- Suggested Clinical Correlation *

**End Of Report**

Dr.Gaurav Rastogi MD,Pathology Dr.Sushmitha Reddy A Dr.K Kiran


Senior Consultant Consultant Pathologist
Consultant Pathologist

Dr.A.Ramya Priyadarshini
Consultant Pathologist

Print Date : 12-06-2025 18:27 Page 20 of 23


Processing Location : Rd #68, Jubilee Hills, Hyderabad- 500033
Email: [email protected]
Client : DIRECT
Patient Name : Mr.ANNUP AGARWAAL
Age / Gender : 65 Y(s) / Male Sample Type : Serum Scan to Validate
Phone : 9830036573 Registered On : 09-06-2025 11:24
Ref.Dr. : SELF Collected On : 09-06-2025 11:26
Req.No : NMK062500275 - 2500456636 Received On : 09-06-2025 12:10
Report Status : Final Reported On : 09-06-2025 15:18

DEPARTMENT OF SEROLOGY
Hepatitis B surface Antigen (HBsAg)
TEST NAME RESULT UNITS BIOLOGICAL REFERENCE INTERVAL
Hepatitis B surface Antigen : <0.030 (Non-Reactive) IU/mL Non-Reactive: < 0.05
(HBsAg) Reactive: >/=0.05
Method : CLIA

Interpretation:

Notes:

1) This is a screening test only. The test results need to be confirmed with supplementary tests like HBV serological profile or
HBV- DNA PCR.

2) A non-reactive test does not exclude the possibility of HBV infection.

3) The results must be clinically correlated by the treating physician.

Note :- Suggested Clinical Correlation *

**End Of Report**

Dr.Archana G J MBBS MD Dr.Sara Shireen MBBS MD


Consultant Microbiologist
Consultant Microbiologist

Print Date : 12-06-2025 18:27 Page 21 of 23


Processing Location : Rd #68, Jubilee Hills, Hyderabad- 500033
Email: [email protected]
Client : DIRECT
Patient Name : Mr.ANNUP AGARWAAL
Age / Gender : 65 Y(s) / Male Sample Type : Serum Scan to Validate
Phone : 9830036573 Registered On : 09-06-2025 11:24
Ref.Dr. : SELF Collected On : 09-06-2025 11:26
Req.No : NMK062500275 - 2500456636 Received On : 09-06-2025 12:10
Report Status : Final Reported On : 09-06-2025 13:10

DEPARTMENT OF CLINICAL BIOCHEMISTRY


25 Hydroxy Vitamin D
TEST NAME RESULT UNITS BIOLOGICAL REFERENCE INTERVAL
25 Hydroxy (OH) Vitamin D : 48.3 ng/mL Deficiency : < 10
Method : CLIA Insufficiency: 10 - 30
Sufficiency : 30 - 100
Toxicity : > 100

Interpretation :
Vitamin Dp 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. Testing for 25(OH)vitamin D is recommended as it
is the best indicator of vitamin D nutritional status as obtained from sunlight exposure & dietary intake. For diagnosis of vitamin
D deficiency it is recommended to have clinical correlation with serum 25(OH)vitamin D, serum calcium, serum PTH & serum
alkaline phosphatase. During monitoring of oral vitamin D therapy- suggested testing of serum 25(OH)vitamin D is after 12
weeks or 3 mths of treatment.

Incresed levels:

Vitamin D intoxication

Excessive exposure to sunlight

Decreased levels:

Rickets,malabsorption,steatorrhea,anticonvulsant usage,biliary and portal cirrhosis.

Reference:DiaSorin kit literature

Note :- Suggested Clinical Correlation *

**End Of Report**

Dr.Vijay Babu B,MBBS.MD Dr.Sowmya Gayatri .C Dr.S.A.Nabi Ph.D


Consultant Biochemistry M.B.B.S MD Sr.Biochemist
Consultant Biochemistry

Print Date : 12-06-2025 18:27 Page 22 of 23


Processing Location : Rd #68, Jubilee Hills, Hyderabad- 500033
Email: [email protected]
Client : DIRECT
Patient Name : Mr.ANNUP AGARWAAL
Age / Gender : 65 Y(s) / Male Sample Type : Plasma - F Scan to Validate
Phone : 9830036573 Registered On : 09-06-2025 11:24
Ref.Dr. : SELF Collected On : 09-06-2025 11:26
Req.No : NMK062500275 - 2500456637 Received On : 09-06-2025 12:10
Report Status : Final Reported On : 09-06-2025 13:10

DEPARTMENT OF CLINICAL BIOCHEMISTRY


Glucose, Fasting (FBS)
TEST NAME RESULT UNITS BIOLOGICAL REFERENCE INTERVAL
Fasting Plasma Glucose : 86 mg/dL Normal : 70 - 100
Method : Hexokinase Prediabetes :100-125
Diabetic : >/=126

Interpretation:

Criteria for diagnosis of Diabetes mellitus.

FPG >/=126 mg/dL, Fasting is defined as no caloric intake for atleast 8 hours.

Remarks:

Fasting hypoglycemia may be observed in persons taking certain diabetes medications, antibiotics and alcoholic beverages.
Additionally intestinal disorders, endocrine disorders, insulin surge, nature of diet, reduced food intake than usual and stress are
among several other factors. Please correlate clinically.

Reference:American Diabetes association guidelines 2021.

Note :- Suggested Clinical Correlation *

**End Of Report**

Dr.Vijay Babu B,MBBS.MD Dr.Sowmya Gayatri .C Dr.S.A.Nabi Ph.D


Consultant Biochemistry M.B.B.S MD Sr.Biochemist
Consultant Biochemistry

Print Date : 12-06-2025 18:27 Page 23 of 23

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