Patient Name : MRS.

MANDEEP KAUR Specimen Drawn ON : 16/Sep/2025 10:00AM

Age/Gender : YRS /F Specimen Received ON : 16/Sep/2025 11:53PM
UHID/MR No : APJB.0000006120 Report Date : 17/Sep/2025 01:13AM
Barcode No : C7716109 Client Code : PJ1735
Ref Doctor : Dr.SELF Visit ID : MPJB6121
Ref Customer : SELF Client Name : KAMAL COMPUTERIZED LABORATORY

DEPARTMENT OF HAEMATOLOGY
SWASTHYA CARE IV
Test Name Result Unit Bio. Ref. Range Method

COMPLETE BLOOD COUNT(CBC)23

R.B.C 4.42 Millions/cumm 4.5-5.5 Impedance variation

Haemoglobin 9.9 g/dl 12.0-15.0 Spectrophotometry

Packed Cell Volume 39.70 % 40.0-50.0 Analogical Integration

MCV 89.82 fL 80-100

MCH 29.19 pg 27.0-32.0 Calculated
MCHC 32.49 g/dL 27.0-48.0 Calculated
RDW-CV 13.7 % 11.5-14.0 Calculated
Platelet Count 153 x1000/uL 150-450 Impedance Variation
Total WBC Count 10720 /cumm 4000-10000 Impedance Variation

MPV 12.30 % 9.1-11.9 Calculated

PCT 0.19 % 0.18-0.39 Calculated

PDW 23.40 % 9.0-15.0 Calculated

Differential Leucocyte Count

Neutrophil 84 % 40.0-80.0 flow cytometry/manual

Lymphocyte 12 % 20.0-40.0 flow cytometry/manual

Monocytes 03 % 2-10 flow cytometry/manual

Eosinophils 01 % 01-06 Flow cytometry/manual
Basophils 00 % 0-2 Flow cytometry/manual
Absolute Neutrophils 9 1000/uL 2.00-7.00
Absolute Lymphocytes 1.29 1000/µL 1.00-3.00
Absolute Monocytes 0.32 1000/µL 0.20-1.00
Absolute Eosinophils 0.11 1000/µL 0.02-0.50
Neutrophil-Lymphocyte Ratio 7.00 Calculated
Lymphocyte-Monocyte Ratio 4 Calculated
Platelet-Lymphocyte Ratio 13 Calculated

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Patient Name : MRS.MANDEEP KAUR Specimen Drawn ON : 16/Sep/2025 10:00AM
Age/Gender : YRS /F Specimen Received ON : 16/Sep/2025 11:53PM
UHID/MR No : APJB.0000006120 Report Date : 17/Sep/2025 02:17AM
Barcode No : C7716109 Client Code : PJ1735
Ref Doctor : Dr.SELF Visit ID : MPJB6121
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DEPARTMENT OF HAEMATOLOGY
SWASTHYA CARE IV
Test Name Result Unit Bio. Ref. Range Method

*Erythrocyte Sedimentation Rate (ESR) 26 mm/h 0-20 Westergren

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Patient Name : MRS.MANDEEP KAUR Specimen Drawn ON : 16/Sep/2025 10:00AM
Age/Gender : YRS /F Specimen Received ON : 16/Sep/2025 11:52PM
UHID/MR No : APJB.0000006120 Report Date : 17/Sep/2025 03:23AM
Barcode No : C7716112 Client Code : PJ1735
Ref Doctor : Dr.SELF Visit ID : MPJB6121
Ref Customer : SELF Client Name : KAMAL COMPUTERIZED LABORATORY

DEPARTMENT OF BIOCHEMISTRY
SWASTHYA CARE IV
Test Name Result Unit Bio. Ref. Range Method

Calcium 8.2 mg/dL 8.6-10.2 NM-BAPTA

DESCRIPTION
About 50% of the calcium present in circulation is free (also known as ionized calcium); 40% of serum calcium is bound to
proteins, especially albumin (80%) and, secondary, to globulins (20%); and about 10% exists as various small diffusible inorganic
and organic anions (eg, bicarbonate, lactate, citrate).Heart and skeletal muscle contractility are affected by calcium ions; in
addition, calcium ions are vital to nervous system function and are associated with blood clotting and bone mineralization.The
concentration of serum calcium is tightly regulated by parathyroid hormone (PTH) and 1,25-hydroxy vitamin D.
INTERPRETATION-
Serum calcium is decreased (hypocalcemia) in the following conditions:
Hypoparathyroidism , Vitamin D deficiency ,Chronic renal diseases ,Pseudohypoparathyroidism,
Magnesium deficiency (PTH glandular release is magnesium-dependent), Hyperphosphatemia,
Massive transfusion, Hypoalbuminemia, Severe calcium dietary deficiency and Severe pancreatitis (calcium saponification)
Serum calcium is increased(Hypercalcemia) in the following conditions:
Hyperparathyroidism ,Vitamin D excess, Milk-alkali syndrome, Multiple myeloma, owing to bone lesions, Paget disease of bone
with prolonged immobilization, Sarcoidosis, Familial hypocalciuria hypercalcemia,Vitamin A intoxication,Thyrotoxicosis and
Addison disease

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Patient Name : MRS.MANDEEP KAUR Specimen Drawn ON : 16/Sep/2025 10:00AM
Age/Gender : YRS /F Specimen Received ON : 16/Sep/2025 11:52PM
UHID/MR No : APJB.0000006120 Report Date : 17/Sep/2025 03:23AM
Barcode No : C7716112 Client Code : PJ1735
Ref Doctor : Dr.SELF Visit ID : MPJB6121
Ref Customer : SELF Client Name : KAMAL COMPUTERIZED LABORATORY

DEPARTMENT OF BIOCHEMISTRY
SWASTHYA CARE IV
Test Name Result Unit Bio. Ref. Range Method

EGFR (ESTIMATED GLOMERULAR FILTRATION RATE)

Creatinine 0.81 mg/dL 0.60-1.20 Jaffe Kinetic
Blood Urea Nitrogen (BUN) 9.03 mg/dL 6-20 spectrophotometry
Albumin (Serum) 3.80 g/dL 3.5-5.5 Bromo Cresol Green
(BCG)
EGFR By MDRD 91.72 mL/min/1.73 Spectrophotometric -
m2 Calculated

COMMENT-The Kidney Disease Improving Global Outcomes (KDIGO) guideline defines CKD by the presence of glomerular
filtration rate (GFR) <60 mL/min/1.73m2 for >3 months and/or evidence of kidney damage (eg, structural abnormalities, histologic
abnormalities, albuminuria, urinary sediment abnormalities, renal tubular disorders, and/or history of kidney transplantation) for
>3months.2 Thus, monitoring should include tests for GFR, albuminuria, and urine sediment.
CLINICAL USE-
• Detect chronic kidney disease (CKD) in adults.
• Monitor CKD therapy and/or progression in adults.
Interpretation of eGFR Values
eGFR (mL/min/1.73m2 ) Interpretation
90 Normal
60-89 Mild decrease
45-59 Mild to moderate decrease
30-44 Moderate to severe decrease
15-29 Severe decrease
<15 Kidney failure

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Patient Name : MRS.MANDEEP KAUR Specimen Drawn ON : 16/Sep/2025 10:00AM
Age/Gender : YRS /F Specimen Received ON : 16/Sep/2025 11:52PM
UHID/MR No : APJB.0000006120 Report Date : 17/Sep/2025 03:23AM
Barcode No : C7716112 Client Code : PJ1735
Ref Doctor : Dr.SELF Visit ID : MPJB6121
Ref Customer : SELF Client Name : KAMAL COMPUTERIZED LABORATORY

DEPARTMENT OF BIOCHEMISTRY
SWASTHYA CARE IV
Test Name Result Unit Bio. Ref. Range Method

KIDNEY FUNCTION TEST (KFT)

Sample Type : SERUM
Urea 19.36 mg/dl 18.0-45.0 Spectro-photometry
Creatinine 0.81 mg/dL 0.60-1.20 Jaffe Kinetic
Uric Acid 6.2 mg/dl 2.30-6.60 Spectro-photometry
Sodium (NA+) 141.40 mmol/L 135.0-145.0 Ion Selective Electrode
Potassium (K+) 3.60 mmol/L 3.50-5.50 Ion Selective Electrode
Chloride 107.00 mmol/L 98-109 Ion Selective Electrode

Interpretation:- Kidney blood tests, or Kidney function tests, are used to detect and diagnose disease of the Kidney.

The higher the blood levels of urea and creatinine, the less well the kidneys are working.
The level of creatinine is usually used as a marker as to the severity of kidney failure. (Creatinine in itself is not harmful, but a high
level indicates that the kidneys are not working properly. So, many other waste products will not be cleared out of the
bloodstream.) You normally need treatment with dialysis if the level of creatinine goes higher than a certain value.
Dehydration can also be a come for increases in urea level.
Before and after starting treatment with certain medicines. Some medicines occasionally cause kidney damage (Nephrotoxic Drug)
as a side-effect. Therefore, kidney function is often checked before and after starting treatment with certain medicines.

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Patient Name : MRS.MANDEEP KAUR Specimen Drawn ON : 16/Sep/2025 10:00AM
Age/Gender : YRS /F Specimen Received ON : 16/Sep/2025 11:52PM
UHID/MR No : APJB.0000006120 Report Date : 17/Sep/2025 03:23AM
Barcode No : C7716112 Client Code : PJ1735
Ref Doctor : Dr.SELF Visit ID : MPJB6121
Ref Customer : SELF Client Name : KAMAL COMPUTERIZED LABORATORY

DEPARTMENT OF BIOCHEMISTRY
SWASTHYA CARE IV
Test Name Result Unit Bio. Ref. Range Method

LIVER FUNCTION TEST (LFT)-EXTENDED

Sample Type : SERUM
Bilirubin Total mg/dl <1.1 Diazotized Sulfanilic
1.21
Bilirubin Direct 0.36 mg/dl 0-0.3 Diazotized Sulfanilic

Bilirubin Indirect 0.85 mg/dl 0.30-1.00 Calculated

SGOT (AST) 46.2 U/L <31.0 IFCC without pyridoxal
phosphate
SGPT (ALT) 49.2 U/L <33.0 IFCC without pyridoxal
phosphate
Alkaline Phosphatase (ALP) 169 U/L 35-104 Spectrophotometry
Gamma Glutamyl Transferase (GGT) 12 U/L 05-40 L-Gamma-glutamyl-3-
carboxy-4-nitroanilide
Substrate
Protein Total 6.41 g/dL 6.6-8.7 Biuret

Albumin (Serum) 3.80 g/dL 3.5-5.5 Bromo Cresol Green

(BCG)
Globulin 2.61 g/dL 2.50-3.50 Calculated
A/G Ratio 1.46 1.5-2.5 Calculated

Interpretation:- Liver blood tests, or liver function tests, are used to detect and diagnose disease or inflammation of the liver.
Elevated aminotransferase (ALT, AST) levels are measured as well as alkaline phosphatase, albumin, and bilirubin. Some
diseases that cause abnormal levels of ALT and AST include hepatitis A, B, and C, cirrhosis, iron overload, and Tylenol liver
damage. Medications also cause elevated liver enzymes. There are less common conditions and diseases that also cause elevated
liver enzyme levels.: Liver blood tests, or liver function tests, are used to detect and diagnose disease or inflammation of the liver.
Elevated aminotransferase (ALT, AST) levels are measured as well as alkaline phosphatase, albumin, and bilirubin. Some
diseases that cause abnormal levels of ALT and AST include hepatitis A, B, and C, cirrhosis, iron overload, and Tylenol liver
damage. Medications also cause elevated liver enzymes.There are less common conditions and diseases that also cause elevated
liver enzyme levels.

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Patient Name : MRS.MANDEEP KAUR Specimen Drawn ON : 16/Sep/2025 10:00AM
Age/Gender : YRS /F Specimen Received ON : 16/Sep/2025 11:52PM
UHID/MR No : APJB.0000006120 Report Date : 17/Sep/2025 03:23AM
Barcode No : C7716112 Client Code : PJ1735
Ref Doctor : Dr.SELF Visit ID : MPJB6121
Ref Customer : SELF Client Name : KAMAL COMPUTERIZED LABORATORY

DEPARTMENT OF BIOCHEMISTRY
SWASTHYA CARE IV
Test Name Result Unit Bio. Ref. Range Method

LIPID PROFILE BASIC

Sample Type : SERUM
Total Cholesterol 163.4 mg/dL Desirable - 200, Borderline high - CHO-POD
200-239, High ‐ ≥ 240
Triglyceride 157.9 mg/dL 0.0-150 :Normal GPO-POD
151-199:Border Line >=200 :High
200.0-499.0 High
~> 500 Very High
HDL Cholesterol 45.4 mg/dL 40-60 Direct (PVS/PEGME
precipitation & Trinder
reaction)
Non HDL Cholesterol 118.00 mg/dL < 130 mg/dL Calculated
VLDL Cholesterol 31.6 mg/dL 2.00-30.00 Calculated

LDL Cholesterol 86.42 mg/dL 0-130 :Normal~131- Direct (PVS/PEGME

155:Borderline~>=160 :High precipitation & Trinder
reaction)
Cholesterol/HDL Ratio 3.60 Ratio <4.00 Calculated
LDL / HDL Cholestrol Ratio 1.90 Ratio <3.50 Calculated
HDL/LDL Cholesterol Ratio 0.53 Ratio <3.50 Calculated

Cholesterol Level mg/dL

Desirable 200
Borderline High 200 - 239
High ≥ 240
Risk Modifiers As per ASCVD
PARAMETRS mg/dL
HDL <40 - low
>60 - high
LDL <100 optimal
TRIGLYCERIDE LEVELS < 150 for fasting
< 175 for Non fasting
Treatments Goal as per LAI 2023
TREATMENT GOAL
ASCVD RISK CATEGORY LDL-C in mg/dL Primary Target NonHDL-C in mg/dL CO-Primary Target
LOW <100 <130
MODERATE <100 <130
HIGH <70 <100
VERY HIGH <50 <80
EXTREME (A) <50 or <30 <80 or <60
EXTREME (B) <30 <60

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Patient Name : MRS.MANDEEP KAUR Specimen Drawn ON : 16/Sep/2025 10:00AM
Age/Gender : YRS /F Specimen Received ON : 16/Sep/2025 11:52PM
UHID/MR No : APJB.0000006120 Report Date : 17/Sep/2025 03:23AM
Barcode No : C7716112 Client Code : PJ1735
Ref Doctor : Dr.SELF Visit ID : MPJB6121
Ref Customer : SELF Client Name : KAMAL COMPUTERIZED LABORATORY

DEPARTMENT OF IMMUNOASSAY
SWASTHYA CARE IV
Test Name Result Unit Bio. Ref. Range Method

THYROID PROFILE
Sample Type : SERUM
Triiodothyronine Total (T3) 1.65 ng/mL 0.70-2.04 Chemiluminescence
Immunoassay (CLIA)
Thyroxine Total (T4) 8.3 ug/dL 4.6-10.5 Chemiluminescence
Immunoassay (CLIA)
TSH (4th Generation) 2.969 uIU/mL 0.40-4.20 Chemiluminescence
Immunoassay (CLIA)

PREGNANCY REFERENCE RANGE for TSH IN uIU/mL (As per American Thyroid Association.)
1st Trimester 0.10-2.50 uIU/mL
2nd Trimester 0.20-3.00 uIU/mL
3rd Trimester 0.30-3.00 uIU/mL
INTERPRETATION-
1. Primary hyperthyroidism is accompanied by elevated serum T3 & T4 values along with depressed TSH level.
2 .Primary hypothyroidism is accompanied by depressed serum T3 and T4 values & elevated serum TSH levels.
3. Normal T4 levels accompanied by high T3 levels and low TSH are seen in patients with T3 thyrotoxicosis.
4. Normal or low T3 & high T4 levels indicate T4 thyrotoxicosis ( problem is conversion of T4 to T3)
5. Normal T3 & T4 along with low TSH indicate mild / subclinical HYPERTHYROIDISM .
6. Normal T3 & low T4 along with high TSH is seen in HYPOTHYROIDISM .
7. Normal T3 & T4 levels with high TSH indicate Mild / Subclinical HYPOTHYROIDISM .
8. Slightly elevated T3 levels may be found in pregnancy and in estrogen therapy while depressed levels may be encountered in
severe illness , malnutrition , renal failure and during therapy with drugs like propanolol.
9. Although elevated TSH levels are nearly always indicative of primary hypothroidism . rarely they can result from TSH secreting
pituitary tumours ( seconday hyperthyroidism )
*TSH IS DONE BY ULTRASENSITIVE 4th GENERATION CHEMIFLEX ASSAY*
COMMENTS:
Assay results should be interpreted in context to the clinical condition and associated results of other investigations. Previous
treatment with corticosteroid therapy may result in lower TSH levels while thyroid hormone levels are normal. Note:

TSH levels may fluctuate based on few factors such as pregnancy, illness and age. Also, time of sample collection,
technologies used to analyze the test, usage of certain drugs. Diet may have impact on TSH levels. TSH may show around 50%
variation even when done at different times of day due to its association with circadian rhythm.

*** End Of Report ***

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