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Routine Health Package Extended: Investigation Biological Reference Interval Units

Mr. Amar Singh, a 50-year-old male, underwent a routine health package investigation on January 28, 2025, which included a complete blood count, urine analysis, and renal function tests. The results indicate normal hemoglobin levels, white blood cell counts, and renal function, with a glycosylated hemoglobin (HbA1c) of 5.9%, suggesting good blood glucose control. Overall, the findings are within the biological reference intervals, indicating no significant health issues.

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Yuvraj Singh
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0% found this document useful (0 votes)
20 views12 pages

Routine Health Package Extended: Investigation Biological Reference Interval Units

Mr. Amar Singh, a 50-year-old male, underwent a routine health package investigation on January 28, 2025, which included a complete blood count, urine analysis, and renal function tests. The results indicate normal hemoglobin levels, white blood cell counts, and renal function, with a glycosylated hemoglobin (HbA1c) of 5.9%, suggesting good blood glucose control. Overall, the findings are within the biological reference intervals, indicating no significant health issues.

Uploaded by

Yuvraj Singh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
You are on page 1/ 12

Patient Name : Mr.

AMAR Age/ Sex : 50 /


SINGH
Visit : Perm Years MALE
number 111386687 RegisteredOn : :
No/ID
Phone : Collected
28/01/2025 : 28/01/2025
Email 987250543 On
1 01:12PM
Referred Reported
Address
: : : 1064, SEC 37-
by B, CHD.
On 28/01/2025
: Self 02:33PM
Centre
: HOME
InvestigationVISIT Resu Biological Reference Units
lt Interval

ROUTINE HEALTH PACKAGE


EXTENDED
CBC (COMPLETE BLOOD COUNT)
Haemoglobin : 13. 13.0 - gm/
SLS-Hb (Photometry) 6 17.0 dL
PACKED CELLS VOLUME : 40. 40 - %
(Calculated) 5 50
TOTAL & DIFFERENTIAL LEUCOCYTE COUNT
Total Leucocytic Count (TLC) : 984 4000 - Cells/
(Flow Cytometry) 0 11000 cu.mm

Neutrophils : 63. 40 - %
Lymphocyt 7 80 %
:
es 26. 20 - %
Monocytes : 6 40 %
Eosinophils : 5.9 2 - 10 %
Basophils : 3.4 1-6 K/uL
Absolute : 0.4 0-
Neutrophil 6.2 2.0
Count : 2.6
7 1 -- 7
2 K/uL
(Calculated) 2 3

Absolute : 0.5 0.2 - K/uL


Lymphocyt 8 1.0
e Count 0.3 0.02 - K/uL
:
(Calculated) 3 0.5
Absolute Page 1 of 12
Monocyte
REVIEWED BY: 5:41:17PM
Count RAJNI 22 :
ANUPRASHER Dr.Namrita Singh,Pathologist,MBBS,DCP
(Calculated)
Absolute
Eosinophil
Count
Age/ Sex : /
Patient Name :
Mr. AMAR SINGH 50
Visit : Perm Years MALE
number No/ID
RegisteredOn : :
111386687
Phone Collected
28/01/2025 :
: 28/01/2025
Email On 01:12PM
987250543
Referred Reported
Address
1 : : 1064, SEC 37-
by On 28/01/2025
: B, CHD. 02:33PM
Centre : Self
Investigation: Result Biological Reference Units
HOME Interval
(Calculated) VISIT

Absolute Basophil Count : 0.04 0 - 0.2 K/uL


(Calculated)
R.B.C. Count : 4.67 4.5 - 5.5 millions/
(DC Detection) cu.mm

M C V (Mean Corpuscular Volume) 86.7 83 - 101 fL


:
(Calculated)
MCH : 29.1 27 - 32 pg
(Calculated)
M C H C(Mean Corpuscular Hb C) 33.6 31.5 - 34.5 g/dl
:
(Calculated)
RDW : 13.2 11.6 - 14.0 %
Platelet Count : 220 150 - 410 K/uL
(DC Detection)
Note:
Mean
Test Platelet Volume
conducted whole : blood
on EDTA (MPV) 11.2 6.5 - 12.0 fL

ERYTHROCYTE SEDIMENTATION RATE (ESR)


Erythrocyte Sed. : 1 mm/1st
Rate 1 hr
Test method: Rate of fall of red cells (sedimentation)
Capillary Photometry (Automated)

Page 2 of 12
REVIEWED BY: 5:41:17PM

ANUPRASHER Dr.Namrita Singh,Pathologist,MBBS,DCP RAJNI 22 :


Age/ Sex : /
Patient Name :
Mr. AMAR SINGH 50
Visit : Perm Years MALE
number No/ID
RegisteredOn : :
111386687
Phone Collected
28/01/2025 :
: 28/01/2025
Email On 01:12PM
987250543
Referred Reported
Address
1 : : 1064, SEC 37-
by On 28/01/2025
: B, CHD. 02:33PM
Centre : Self
Investigation Resu Biological Reference Units
:
HOME lt
Modified Westergren~s method. Interval
VISIT
REFERENCE RANGE (mm at 1st hour)

< 50 Years of Age


Males Females
0-15 0-20
> 50 Years of Age Females
Males 0-30
0-20
NOTE::

C-Reactive Protein (CRP) is recommended in acute inflammatory conditions.

GLYCOSYLATED HAEMOGLOBIN - HBA1C


GLYC. Hb(HbA1C) : 5.9 %
MEAN BLOOD : 122.6 50 - mg/dl
GLUCOSE HPLC;NGSP 140
Method : Certified
INTERPRETATION
(As per American Diabetes Association - ADA)
Hemoglobin A1c in % Degree of Glucose Control
4.0 To 5.6 Non-diabetic adult > or = 18 yrs.
5.7 to Prediabetic (At Risk)
Diagnosing Diabetes
6.4
Therapeutic goals for glycemic control:
6.5 or above
ADULTS:
* Goal of therapy : < 7.0
*Action Suggested: > 8.0
LIMITATIONS OF ASSAY

Page 3 of 12
REVIEWED BY: 5:41:17PM

ANUPRASHER Dr.Namrita Singh,Pathologist,MBBS,DCP RAJNI 22 :


Age/ Sex : /
Patient Name :
Mr. AMAR SINGH 50
Visit : Perm Years MALE
number No/ID
RegisteredOn : :
111386687
Phone Collected
28/01/2025 :
: 28/01/2025
Email On 01:12PM
987250543
Referred Reported
Address
1 : : 1064, SEC 37-
by On 28/01/2025
: B, CHD. 03:59PM
Centre : Self
Investigation Result Biological Reference Units
:
HOME Interval
Samples from VISIT
patients with hemolytic anemias will exhibit decreased Hemoglobin A1c values due to
the shortened life span of the red cells. This effect will depend on the severity of the anemia
Similarly, samples from patients with polycythemia or post splenectomy may exhibit increased HbA1c
values due to somewhat longer life span of the red cells.
HEMOGLOBIN F
Samples from newborns, some young children ( 1- 12 months), pregnant women, as well as patients
with B-Thalassemia or Hereditary Persistence of HbF (HPHF) will exhibit falsely high HbA1c values
because Hemoglobin F co-elutes with the HbA1c fraction.

NOTE:

1. Since HbAic reflects long term fluctuations in the blood glocose concentration , a diabetic
patient who is recently under good control may still have a high concentration of HbA1c.
Converse is true for a diabetic previously under good control but now poorly controlled.
2. Target goals of < 7.0 % may be beneficial in patients with short duration of diabetes , long
life expectancy & no significant cardiovascular disease.
3. Presence of Hemoglobin variants and/or conditions that affect red cell turnover must be
considered particularly when HbA1C result does not correlate with the patient blood glucose
levels.

COMMENTS:
HbA1c provides an index of average blood glucose levels over the past 8 - 12 wks & is a much
better indicator of long term glycemic control as compared to blood & urine glucose levels.

∙ PERIPHERAL SMEAR (PBF)


RBCs : Normocytic
Normochromic
∙ WBCs : TLC is within normal
limits
∙ PlateletsNormal
Impression : Adequate pictur
: Blood e
Page 4 of 12
REVIEWED BY: 5:41:17PM

ANUPRASHER Dr.Namrita Singh,Pathologist,MBBS,DCP RAJNI 22 :


Age/ Sex : /
Patient Name :
Mr. AMAR SINGH 50
Visit : Perm Years MALE
number No/ID
RegisteredOn : :
111386687
Phone Collected
28/01/2025 :
: 28/01/2025
Email On 01:12PM
987250543
Referred Reported
Address
1 : : 1064, SEC 37-
by On 28/01/2025
: B, CHD. 02:33PM
Centre : Self
Investigation Resu Biological Reference Units
:
HOME lt Interval
VISIT

URINE ANALYSIS ; AUTOMATED

PHYSICAL

COLOUR : Pale Yellow Pale Yellow


SPECIFIC GRAVITY : 1.012 1.001 - 1.030
pH : 7.0 5.0 - 8.0
CHEMICAL

BILIRUBIN : Negativ Negativ mg/dL


BLOOD : e e
Negativ Negativ mg/dL
GLUCOSE :
e e
Negativ Negativ
e e
KETONES : Negative Negative mg/dL
LEUCOCYTES : Negative < 25 WBC/
NITRITE : Negativ Negativ uL
Page 5 of 12
PROTEIN : e e
REVIEWED BY: 5:41:17PM
Negativ Negativ mg/dL
ANUPRASHER e
Dr.Namrita Singh,Pathologist,MBBS,DCP e RAJNI 22 :

UROBILINOGEN : 0.2 < 2.0 E.U/dl


MICROSCOPY

White Blood Cells(Pus cells) : 1-2 <6 /HPF


Age/ Sex : /
Patient Name :
Mr. AMAR SINGH 50
Visit : Perm Years MALE
number No/ID
RegisteredOn : :
111386687
Phone Collected
28/01/2025 :
: 28/01/2025
Email On 01:15PM
987250543
Referred Reported
Address
1 : : 1064, SEC 37-
by On 28/01/2025
: B, CHD. 02:28PM
Centre : Self
Investigation: Result Biological Reference Units
HOME Interval
VISIT
Red Blood Cells (RBC) : NIL NIL /HPF
Squamous Epithelial Cells : Occasion /HPF
Crystals : al NIL
Cast - Hyaline : NI /LPF
L /LPF
Cast - Pathological :
NI /HPF
YEAST : L /HPF
Bacteria : Negativ
Method:
e
Macroscopy & Chemistry: Reflectance Photometry
Microscopy:Flow Cytometry/Light Microscopy Negativ
e
GLUCOSE FASTING :PLASMA
Glucose Plasma : 70 - mg/
(Hexokinase) 99 dl
H 101
Criteria for Diabetes Mellitus according to ADA:
< 99 mg/dL Normal
100 to 125 mg/dl Impaired Fasting Glucose
> or = 126 mg/dL Exclude Diabetes if unknown status
Renal Function Tests

Blood Urea : 19.26 13 - 43 mg%


(Urease)
Serum Creatinine : 0.80 0.60 - 1.30 mg%
(Kinetic Alkaline Picrate)
Uric Acid : 4.9 3.7 - 7.7 mg%

Page 6 of 12
REVIEWED BY: 5:41:17PM

SITA22 Dr.Namrita Singh,Pathologist,MBBS,DCP RAJNI 22 :


Age/ Sex : 50 /
Patient Name : Mr. AMAR
Visit Perm Years MALE
SINGH :
number No/ID :
111386687 RegisteredOn :
Phone Collected
28/01/2025 : 28/01/2025
:
Email On 01:15PM
9700810000
Referred Reported
: Address : 1064, SEC 37-B,
: 28/01/2025
by On
: Self CHD. 02:25PM
Centre
Investigation : HOME Result Biological Reference Units
VISIT Interval
(Uricase)

Blood Urea Nitrogen : 9.00 6.0 - 20.0 mg%


(Urease)

BUN / CREATININE RATIO : 11.25 10:1 to 20:1 Ratio


(Calculated)

AGE : 50 YEARS
GLOMERULAR FILTRATION RATE(MALE) : 102.32 mL/min/1.73
m
Calculated
Sodium : L 135 136 - 145 mEq/L
Ion Selective Electrode (Indirect)

Potassium serum : 5.0 3.5 - 5.1 mEq/l


Ion Selective Electrode (Indirect)

Serum Chloride : 103 98 - 107 mEq/L


Ion Selective Electrode (Indirect)

Calcium : 9.1 8.4 - 10.2 mg%


(Arsenazo III)

eGFR:
Method : Calculated
Creatinine Method: Kinetic Alkaline Picrate
GFR - Glomerular filtration rate is a measure of the function of kidneys.
A GFR of 60 or higher is in normal range.
A GFR below 60 may mean kidney disease.
A GFR of 15 or lower may mean kidney failure.
Estimated GFR (eGFR) is the preferred method for identifying people with
chronic kidney
Page 7 of 12
REVIEWED BY: 5:41:17PM

SITA22 Dr.Namrita Singh,Pathologist,MBBS,DCP RAJNI 22 :


Age/ Sex : 50 /
Patient Name : Mr. AMAR
Visit Perm Years MALE
SINGH :
number No/ID :
111386687 RegisteredOn :
Phone Collected
28/01/2025 : 28/01/2025
:
Email On 01:15PM
9700810000
Referred Reported
: Address : 1064, SEC 37-B,
: 28/01/2025
by On
: Self CHD. 02:25PM
Centre
Investigation : HOME Result Biological Reference Units
VISIT Interval
disease(CKD). In adults, eGFR calculated using MDRD study equation provides a more clinically useful
measure of kidney function than serum creatinine alone.

Calculator reference
http://egfrcalc.renal.org/

Lipid Profile;BASIC
Total Cholesterol : 173 0 - 200 mg%
(Enzymatic)

HDL Cholesterol : L 26 40 - 60 mg%


(Accelerator Selective detergent)

LDL Cholesterol : H 107.4 0 - 100 mg%


(Calculated)

VLDL Cholesterol : H 39.6 0 - 30 mg%


(Calculated)

CHOL/HDL Ratio : H 6.7 LOW RISK :0.0-3.5


MODERATE RISK :3.5-5.0
HIGH RISK :>5
(Calculated)

LDL/HDL Ratio : H 4.1 NORMAL RANGE : 2.5-


3.5
HIGH RISK :>3.5
(Calculated)

Triglycerides : H 198 0 - 150 mg%


(Glycerol Phosphate Oxidase)

Page 8 of 12
REVIEWED BY: 5:41:17PM

SITA22 Dr.Namrita Singh,Pathologist,MBBS,DCP RAJNI 22 :


Age/ Sex : 50 /
Patient Name : Mr. AMAR
Visit Perm Years MALE
SINGH :
number No/ID :
111386687 RegisteredOn :
Phone Collected
28/01/2025 : 28/01/2025
:
Email On 01:15PM
9700810000
Referred Reported
: Address : 1064, SEC 37-B,
: 28/01/2025
by On
: Self CHD. 02:25PM
Centre
Investigation : HOME Resu Biological Reference Units
VISIT lt Interval
Triglyceride/HDL : H 0.5 - 1.9 Optimal
ratio 7.6 2.0 - 3.0 Some IR
> 3.0 Increased IR or Heart
disease risk
(Calculated)

Phospholipi : 20 150 - mg
ds 4 250 %
(Calculated)
: Serum normal at room
Comments temp.
COMMENTS:
As per National Cholesterol Education programme(NCEP) & guidelines & adult treatment panel III (ATP
III) , the focus has shifted from recognizing abnormal & normal cholestrol values to assess overall
cardiovascular risk based on cutoffs for cholestrol , triglycerides, HDL- c & LDL - c . ATP III
recommends complete lipoprotein profile as the initial test for evaluating cholestrol.
EVALUATION OF RISK:

TOTAL CHOLESTROL IN mg/dl

< 200 ---- Desirable


200 to 239 ---- Borderline
> or = 240 ---- High
HDL CHOLESTEROL

< 40 : Major risk


factor for heart
disease
>=60: Negative risk
factor for heart
disease

LDL Cholestrol

< 100 ----- Optimal


100 to 129 ---- Near Page 9 of 12
optimal
REVIEWED
130 to BY:
159 ---- 5:41:17PM
Borderline
SITA22
high RAJNI 22 :
Dr.Namrita Singh,Pathologist,MBBS,DCP
160 to 189 ---- High
Age/ Sex : 50 /
Patient Name : Mr. AMAR
Visit Perm Years MALE
SINGH :
number No/ID :
111386687 RegisteredOn :
Phone Collected
28/01/2025 : 28/01/2025
:
Email On 01:15PM
9700810000
Referred Reported
: Address : 1064, SEC 37-B,
: 28/01/2025
by On
: Self CHD. 02:25PM
Centre
Investigation : HOME Result Biological Reference Units
VISIT Interval
> or = 190 -----Very high

TRIGLYCERIDES

< 150 -----Normal


150 to 199 -----Borderline high
200 to 499 ---- High
> or = 500 ---- Very high

Liver Function Test (LFT); Serum


Bilirubin (Total) : 0.35 0.2 - 1.2 mg/dl
(Diazonium Salt)

Bilirubin;Direct(Conjugated) : 0.17 0 - 0.5 mg/dl


(Diazo Reaction)

Bilirubin;Indirect(Unconj) : 0.18 0.1 - 0.90 mg/dl


(Calculated)

SGOT (AST) : 31 11 - 34 Units/L


(NADH without P-5-P)

SGPT(ALT) : 30 0 - 45 Units/L
(NADH without P-5 -P)

Alkaline Phosphatase : 93 50 - 116 U/L


p-NPP (Para-nitrophenyl phosphate)

Total Proteins : 7.1 6.4 - 8.3 g/dl


(Biuret)
Albumin : 4.3 3.5 - 5 g/dl

Page 10 of 12
REVIEWED BY: 5:41:17PM

SITA22 Dr.Namrita Singh,Pathologist,MBBS,DCP RAJNI 22 :


Age/ Sex : 50 /
Patient Name : Mr. AMAR
Visit Perm Years MALE
SINGH :
number No/ID :
111386687 RegisteredOn :
Phone Collected
28/01/2025 : 28/01/2025
:
Email On 01:15PM
9700810000
Referred Reported
: Address : 1064, SEC 37-B,
: 28/01/2025
by On
: Self CHD. 02:25PM
Centre
Investigation : HOME Result Biological Reference Units
VISIT Interval
Bromocresol Green (BCG)

Globulin : 2.8 2.0 - 4.0 gm/dl


(Calculated)

A/G Ratio : 1.5 1.0 - 3


(Calculated)

Thyroid Profile, Total;T3,T4,TSH Ultrasensitive (Third Generation)


T3 (TRI IODOTHYRONINE) TOTAL : 0.94 0.35 - 1.93 ng/mL
(CMIA)

T4 Total : 6.82 4.87 - 11.72 µg/dL


(CMIA)

TSH ,Ultrasensitive (3rd Gen.) : 3.06 0.35 - 4.94 µlU/mL


(CMIA)

INTERPRETATION: (Not related to abovesaid subject)

Total T3 is a useful marker for Hyperthyroidism in patients with low TSH & normal T4 levels. It
is also used for the diagnosis of T3 Thyrotoxicosis.
Total T4 offers a good index of thyroid functions when TBG is normal .This assay is useful to
monitor treatment with synthetic hormones (Synthetic T3 will cause low Total T4) .It also helps
to monitor treatment of Hyperthyroidism with Thiouracil or other antithyroid drugs.
Total thyroid hormone levels include protein bound levels & are affected by TBG which is increased
due to effect of estrogens like pregnancy, oral contraceptives & Tamoxifen therapy.
hyTSH or Ultrasensitive TSH helps in an early indicator of decreased thyroid reserve.It helps
to diagnose hypothyroidism,hyperthyroidism,to monitor T4 replacement or T4 suppressive therapy.
Note:TSH levels are subject to circadian variation, reaching

Page 11 of 12
REVIEWED BY: 5:41:17PM

INDUBALA Dr.Namrita Singh,Pathologist,MBBS,DCP RAJNI 22 :


Age/ Sex : 50 /
Patient Name : Mr. AMAR
Visit Perm Years MALE
SINGH :
number No/ID :
111386687 RegisteredOn :
Phone Collected
28/01/2025 : 28/01/2025
:
Email On 01:15PM
9700810000
Referred Reported
: Address : 1064, SEC 37-B,
: 28/01/2025
by On
: Self CHD. 02:49PM
Centre
Investigation : HOME Result Biological Reference Units
VISIT Interval
peak levels between 2-4 a.m. & at a minimum between 6-10 p.m. The variation is to the order of
50%. Hence time of the day has influence on the measured serum TSH concentrations. Each
individual~s circadian rhythm is different, so for serial readings, one should always give this
sample at the exact same time of day every time.

REF. RANGES OF TSH IN CORD BLOOD : 2.0 - 40.0 uIU/ml

REFERENCE RANGES OF TSH IN PREGNANCY (As Per American Thyroid


Association) 1st Trimaster: 0.10 to 2.50 uIU/mL
2nd Trimaster : 0.20 to 3.00 uIU/mL
3rd Trimaster : 0.30 to 3.00
uIU/mL

CLINICAL USE OF THYROID PROFILE

1) Primary Hypothyroidism
2) Hyperthyroidism.
3) Hypothalamic - Pituitary
hypothyroidism.
4) Autoimmune thyroid disease.
5) Pregnancy with thyroid disorders.
*****End Of Report *****
"Wishing You A Good
Health" Note: *Test Result Released pertain to the specimen submitted.

Page 12 of 12
REVIEWED BY: 5:41:17PM

INDUBALA Dr.Namrita Singh,Pathologist,MBBS,DCP RAJNI 22 :

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