December Report
December Report
Mr Shuvam Karmakar
M 26
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Health Summary
THYROID PROFILE
BLOOD COUNTS
Test Name Result
LIPID PROFILE
KIDNEY PROFILE
LIVER PROFILE
ANEMIA STUDIES
MINERAL PROFILE
Sample Collected : Dec 03, 2024, 07:37 AM Report Date : Dec 03, 2024, 08:08 PM.
Test Description Value(s) Unit(s) Reference Range
RBC Parameters
Hemoglobin 15.5 g/dL 13.0 - 17.0
colorimetric
RBC Count 6.3 10^6/µl 4.5 - 5.5
Electrical impedance
PCV 48.1 % 40 - 50
Calculated
MCV 76.7 fl 83 - 101
Calculated
MCH 24.6 pg 27 - 32
Calculated
MCHC 32.1 g/dL 31.5 - 34.5
Calculated
RDW (CV) * 16.4 % 11.6 - 14.0
Calculated
RDW-SD * 45.1 fl 35.1 - 43.9
Calculated
WBC Parameters
TLC 10.4 10^3/µl 4 - 10
Electrical impedance and microscopy
Differential Leucocyte Count
Neutrophils 48.8 % 40-80
Flow cytometry
Lymphocytes 40 % 20-40
Flow cytometry
Monocytes 3.1 % 2-10
Flow cytometry
Eosinophils 7.8 % 1-6
Flow cytometry
Basophils 0.3 % <2
Flow cytometry
Absolute Leukocyte Counts
Calculated
Neutrophils. 5.08 10^3/µl 2-7
Lymphocytes. 4.16 10^3/µl 1-3
Monocytes. 0.32 10^3/µl 0.2 - 1.0
Eosinophils. 0.81 10^3/µl 0.02 - 0.5
Basophils. 0.03 10^3/µl 0.02 - 0.5
Platelet Parameters
Platelet Count 176 10^3/µl 150 - 410
Electrical impedance and microscopy
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 1 of 13
Patient NAME : Mr Shuvam Karmakar
DOB/Age/Gender : 26 Y 1 M 18 D/Male Report STATUS : Final Report
Patient ID / UHID : 10640398/RCL9543744 Barcode NO : HQ912502
Referred BY : Self Sample Type : Whole blood EDTA
Sample Collected : Dec 03, 2024, 07:37 AM Report Date : Dec 03, 2024, 08:08 PM.
Test Description Value(s) Unit(s) Reference Range
Mean Platelet Volume (MPV) * 12.5 fL 9.3 - 12.1
Calculated
PCT * 0.2 % 0.17 - 0.32
Calculated
PDW * 19 fL 8.3 - 25.0
Calculated
P-LCR * 44.5 % 18 - 50
Calculated
P-LCC * 78 10^9/L 44 - 140
Calculated
Mentzer Index * 12.17 % > 13
Calculated
Interpretation:
CBC provides information about red cells, white cells and platelets. Results are useful in the diagnosis of anemia, infections, leukemias, clotting
disorders and many other medical conditions.
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 2 of 13
Patient NAME : Mr Shuvam Karmakar
DOB/Age/Gender : 26 Y 1 M 18 D/Male Report STATUS : Final Report
Patient ID / UHID : 10640398/RCL9543744 Barcode NO : HQ912502
Referred BY : Self Sample Type : Whole blood EDTA
....
Sample Collected : Dec 03, 2024, 07:37 AM Report Date : Dec 03, 2024, 08:14 PM.
Test Description Value(s) Unit(s) Reference Range
Interpretation:
ESR is also known as Erythrocyte Sedimentation Rate. An ESR test is used to assess inflammation in the body. Many conditions can cause an
abnormal ESR, so an ESR test is typically used with other tests to diagnose and monitor different diseases. An elevated ESR may occur in
inflammatory conditions including infection, rheumatoid arthritis ,systemic vasculitis, anemia, multiple myeloma , etc. Low levels are typically
seen in congestive heart failure, polycythemia ,sickle cell anemia, hypo fibrinogenemia , etc.
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 3 of 13
Patient NAME : Mr Shuvam Karmakar
DOB/Age/Gender : 26 Y 1 M 18 D/Male Report STATUS : Final Report
Patient ID / UHID : 10640398/RCL9543744 Barcode NO : ZF561315
Referred BY : Self Sample Type : Fluoride Plasma
....
Sample Collected : Dec 03, 2024, 07:37 AM Report Date : Dec 03, 2024, 07:57 PM.
Test Description Value(s) Unit(s) Reference Range
Glucose Random
Interpretation:
1.Also known as Casual plasma glucose .
2.Samples can be taken anytime during the day regardless of eating time.
3.Random blood glucose level of equal to or more than 200mg/dl is indicative of Diabetes mellitus.
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 4 of 13
Patient NAME : Mr Shuvam Karmakar
DOB/Age/Gender : 26 Y 1 M 18 D/Male Report STATUS : Final Report
Patient ID / UHID : 10640398/RCL9543744 Barcode NO : ZF561314
Referred BY : Self Sample Type : Serum
....
Sample Collected : Dec 03, 2024, 07:37 AM Report Date : Dec 03, 2024, 08:19 PM.
Test Description Value(s) Unit(s) Reference Range
Interpretation:
The liver filters and processes blood as it circulates through the body. It metabolizes nutrients, detoxifies harmful substances, makes blood
clotting proteins, and performs many other vital functions. The cells in the liver contain proteins called enzymes that drive these chemical
reactions. When liver cells are damaged or destroyed, the enzymes in the cells leak out into the blood, where they can be measured by blood
tests Liver tests check the blood for two main liver enzymes. Aspartate aminotransferase (AST),SGOT: The AST enzyme is also found in
muscles and many other tissues besides the liver. Alanine aminotransferase (ALT), SGPT: ALT is almost exclusively found in the liver. If ALT
and AST are found together in elevated amounts in the blood, liver damage is most likely present. Alkaline Phosphatase and GGT: Another of
the liver's key functions is the production of bile, which helps digest fat. Bile flows through the liver in a system of small tubes (ducts), and is
eventually stored in the gallbladder, under the liver. When bile flow is slow or blocked, blood levels of certain liver enzymes rise: Alkaline
phosphatase Gamma-utamyl transpeptidase (GGT) Liver tests may check for any or all of these enzymes in the blood. Alkaline phosphatase is
by far the most commonly tested of the three. If alkaline phosphatase and GGT are elevated, a problem with bile flow is most likely present. Bile
flow problems can be due to a problem in the liver, the gallbladder, or the tubes connecting them. Proteins are important building blocks of all
cells and tissues. Proteins are necessary for your body's growth, development, and health. Blood contains two classes of protein, albumin and
globulin. Albumin proteins keep fluid from leaking out of blood vessels. Globulin proteins play an important role in your immune system. Low
total protein may
Indicate:
1.Bleeding
2.Liver disorder
3.Malnutrition
4.Agammaglobulinemia High Protein levels 'Hyperproteinemia: May be seen in dehydration due to inadequate water intake or to excessive
water loss (eg, severe vomiting, diarrhea, Addison's disease and diabetic acidosis) or as a result of increased production of proteins Low
albumin levels may be
Caused by:
1.A poor diet (malnutrition).
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 5 of 13
Patient NAME : Mr Shuvam Karmakar
DOB/Age/Gender : 26 Y 1 M 18 D/Male Report STATUS : Final Report
Patient ID / UHID : 10640398/RCL9543744 Barcode NO : ZF561314
Referred BY : Self Sample Type : Serum
Sample Collected : Dec 03, 2024, 07:37 AM Report Date : Dec 03, 2024, 08:19 PM.
Test Description Value(s) Unit(s) Reference Range
2.Kidney disease.
3.Liver disease. High albumin levels may be caused by: Severe dehydration.
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 6 of 13
Patient NAME : Mr Shuvam Karmakar
DOB/Age/Gender : 26 Y 1 M 18 D/Male Report STATUS : Final Report
Patient ID / UHID : 10640398/RCL9543744 Barcode NO : ZF561314
Referred BY : Self Sample Type : Serum
....
Sample Collected : Dec 03, 2024, 07:37 AM Report Date : Dec 03, 2024, 08:19 PM.
Test Description Value(s) Unit(s) Reference Range
Interpretation:
Kidney function tests is a collective term for a variety of individual tests and proceduresthat can be done toevaluate how well the kidneys are functioning. Many
conditions can affect the ability of the kidneys to carryout their vital functions. Somelead to a rapid (acute) decline in kidney functionothers lead to a gradual
(chronic) declineinfunction. Both result in a buildup of toxic waste subst done on urine samples, as well as on blood samples. A number of symptoms may indicate
a problem with your kidneys. These include : high blood pressure,blood in urine frequent urges to urinate,difficulty beginning urination,painful urination,swelling
in the hands and feet due to a buildup of fluids in the body. A single symptom may not mean something serious. However, when occurring simultaneously, these
symptoms suggest that your kidneys are not working properly. Kidney function tests can help determine the reason. Electrolytes are present in the human body
and the balancing act of the electrolytes in our bodies is essential for normal function of our cells and organs. There has to be a balance.Ionized calcium this test if
you have signs of kidney or parathyroid disease. The test may also be done to monitor progress and treatment of these diseases.
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 7 of 13
Patient NAME : Mr Shuvam Karmakar
DOB/Age/Gender : 26 Y 1 M 18 D/Male Report STATUS : Final Report
Patient ID / UHID : 10640398/RCL9543744 Barcode NO : ZF561314
Referred BY : Self Sample Type : Serum
....
Sample Collected : Dec 03, 2024, 07:37 AM Report Date : Dec 03, 2024, 08:19 PM.
Test Description Value(s) Unit(s) Reference Range
Interpretation:
Pregnancy Reference ranges TSH
1st Trimester 0.1 - 2.5
2nd Trimester 0.2 - 3.0
3rd Trimester 0.3 - 3.0
Note:
TSH levels are subject to circadian variation, reaching peak levels between 2-4 am. and at a minimum between 6-10 pm. The variation is
of 50 %, hence time of the day has influence on the measured serum TSH concentrations.
Clinical Use:
- Diagnose Hypothyroidism and Hyperthyroidism
- Monitor T4 replacement or T4 suppressive therapy
- Qunatify TSH levels in the subnormal range
Increased Levels : Primary hypothyroidism, Subclinical hypothyroidis, TSH dependent Hyperthyroidism, Thyroid hormone resistance
Decreased Levels: Grace disease, Autonomous thyroid hormone secretion, TSH deficiency
Primary malfunction of the thyroid gland may result in excessive (hyper) or below normal (hypo) release of T3 or T4. In addition as TSH
directly affects thyroid function, malfunction of the pituitary or the hypo - thalamus influences the thyroid gland activity. Disease in any
portion of the thyroid-pitutary-hypothala- mus system may influence the levels of T3 and T4 in the blood. In primary hypothyroidism,
TSH levels are significantly elevated, while in secondary and tertiary hypothyroidism, TSH levels may be low. In addition, in the
Euthyroid Sick Syndrome, multiple alterations in serum thyroid function test findings have been recognized in patients with a wide
variety of non-thyroidal illnesses (NTI) without evidence of preexisting thyroid or hypothalami c-pitutary diseases. Thyroid Binding
Globulin (TBG) concentrations remain relatively constant in healthy individuals. However, pregnancy, excess estrogen's, androgen's,
antibiotic steroids and glucocorticoids are known to alter TBG levels and may cause false thyroid values for Total T3 and T4 tests.
TSH T4 T3 INTERPRETATION
High Normal Normal Mild (subclinical) hypothyroidism
Low or
High Low Hypothyroidism
Normal
Low Normal Normal Mild (subclinical) hyperthyroidism
High or High or
Low Hyperthyroidism
normal normal
Low or Low or
Low Nonthyroidal illness; pituitary (secondary) hypothyroidism
normal normal
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 8 of 13
Patient NAME : Mr Shuvam Karmakar
DOB/Age/Gender : 26 Y 1 M 18 D/Male Report STATUS : Final Report
Patient ID / UHID : 10640398/RCL9543744 Barcode NO : ZF561314
Referred BY : Self Sample Type : Serum
Sample Collected : Dec 03, 2024, 07:37 AM Report Date : Dec 03, 2024, 08:19 PM.
Test Description Value(s) Unit(s) Reference Range
GFR = 141 * min(Scr/κ,1)α * max(Scr/κ, 1)-1.209 * 0.993Age * 1.018 [if female] * 1.159 [if black]
Scr is serum creatinine (mg/dL), κ is 0.7 for females and 0.9 for males, α is -0.329 for females and -0.411 for males, min indicates the
minimum of Scr/κ or 1, and max indicates the maximum of Scr/κ or 1.
2. The CKD-EPI (Chronic Kidney Disease Epidemiology Collaboration) equation was developed in an effort to create a more precise formula to
estimate glomerular filtration rate (GFR) from serum creatinine and other readily available clinical parameters, especially at when actual GFR is
Reference: Levey et al. Annals of Internal Medicine 2009 May 5, 150 (9): 604-12
Cholesterol Profile
Page 9 of 13
Patient NAME : Mr Shuvam Karmakar
DOB/Age/Gender : 26 Y 1 M 18 D/Male Report STATUS : Final Report
Patient ID / UHID : 10640398/RCL9543744 Barcode NO : ZF561314
Referred BY : Self Sample Type : Serum
Sample Collected : Dec 03, 2024, 07:37 AM Report Date : Dec 03, 2024, 08:19 PM.
Test Description Value(s) Unit(s) Reference Range
HDL Cholesterol
Low High
<40 >=60
Risk Stratification for ASCVD (Atherosclerotic Cardiovascular Disease) by Lipid Association of India.
Newer treatment goals and statin initiation thresholds based on the risk categories proposed by Lipid Association of India
in 2020.
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 10 of 13
Patient NAME : Mr Shuvam Karmakar
DOB/Age/Gender : 26 Y 1 M 18 D/Male Report STATUS : Final Report
Patient ID / UHID : 10640398/RCL9543744 Barcode NO : ZF561314
Referred BY : Self Sample Type : Serum
Sample Collected : Dec 03, 2024, 07:37 AM Report Date : Dec 03, 2024, 08:19 PM.
Test Description Value(s) Unit(s) Reference Range
References : Management of Dyslipidaemia for the Prevention of Stroke : Clinical practice Recommendations from the Lipid Association of India.
Current Vascular Pharmacology,2022,20,134-155.
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 11 of 13
Patient NAME : Mr Shuvam Karmakar
DOB/Age/Gender : 26 Y 1 M 18 D/Male Report STATUS : Final Report
Patient ID / UHID : 10640398/RCL9543744 Barcode NO : YB496149
Referred BY : Self Sample Type : Spot Urine
....
Sample Collected : Dec 03, 2024, 07:37 AM Report Date : Dec 03, 2024, 09:39 PM.
Test Description Value(s) Unit(s) Reference Range
Physical Examination
Volume * 20 mL -
Colour * Pale yellow - Pale yellow
Transparency * Slightly Hazy - Clear
Deposit * Present - Absent
Chemical Examination
Reaction (pH) 6.0 - 4.5 - 8.0
Double Indicator
Specific Gravity 1.015 - 1.010 - 1.030
Ion Exchange
Urine Glucose (sugar) Negative - Negative
Oxidase Peroxidase
Urine Protein (Albumin) Negative - Negative
Acid/Base colour exchange
Urine Ketones (Acetone) Negative - Negative
Legals test
Blood Negative - Negative
Peroxidase
Leucocyte esterase Positive(Trace) - Negative
Enzymatic reaction (Indoxyl ester)
Bilirubin Urine Negative - Negative
diazonium salt
Nitrite Negative - Negative
Griless Test
Urobilinogen Normal - Normal
Ehrlichs Test
Microscopic Examination
Pus Cells (WBCs) * 6-8 /hpf 0-5
Epithelial Cells * 1-2 /hpf 0-4
Red blood Cells * Absent /hpf Absent
Crystals * Absent - Absent
Cast * Absent - Absent
Yeast Cells * Absent - Absent
Amorphous deposits * Absent - Absent
Bacteria * Present - Absent
Protozoa * Absent - Absent
Interpretation:
URINALYSIS- Routine urine analysis assists in screening and diagnosis of various metabolic, urological, kidney and liver disorders.
Protein: Elevated proteins can be an early sign of kidney disease. Urinary protein excretion can also be temporarily elevated by strenuous
exercise, orthostatic proteinuria, dehydration, urinary tract infections and acute illness with fever
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 12 of 13
Patient NAME : Mr Shuvam Karmakar
DOB/Age/Gender : 26 Y 1 M 18 D/Male Report STATUS : Final Report
Patient ID / UHID : 10640398/RCL9543744 Barcode NO : YB496149
Referred BY : Self Sample Type : Spot Urine
Sample Collected : Dec 03, 2024, 07:37 AM Report Date : Dec 03, 2024, 09:39 PM.
Test Description Value(s) Unit(s) Reference Range
Glucose: Uncontrolled diabetes mellitus can lead to presence of glucose in urine. Other causes include pregnancy, hormonal disturbances,
liver disease and certain medications.
Ketones: Uncontrolled diabetes mellitus can lead to presence of ketones in urine. Ketones can also be seen in starvation, frequent vomiting,
pregnancy and strenuous exercise.
Blood: Occult blood can occur in urine as intact erythrocytes or haemoglobin, which can occur in various urological, nephrological and bleeding
disorders.
Leukocytes: An increase in leukocytes is an indication of inflammation in urinary tract or kidneys. Most common cause is bacterial urinary tract
infection.
Nitrite: Many bacteria give positive results when their number is high. Nitrite concentration during infection increases with length of time the
urine specimen is retained in bladder prior to collection.
pH: The kidneys play an important role in maintaining acid base balance of the body. Conditions of the body producing acidosis/ alkalosis or
ingestion of certain type of food can affect the pH of urine.
Specific gravity: Specific gravity gives an indication of how concentrated the urine is. Increased specific gravity is seen in conditions like
dehydration, glycosuria and proteinuria while decreased specific gravity is seen in excessive fluid intake, renal failure and diabetes insipidus.
Bilirubin: In certain liver diseases such as biliary obstruction or hepatitis, bilirubin gets excreted in urine.
Urobilinogen: Positive results are seen in liver diseases like hepatitis and cirrhosis and in cases of haemolytic anaemia.
(*) Parameter(s) are outside the scope of tests recognized under the NABL M(EL)T Scheme.
Page 13 of 13
Name Patient ID Gender Age
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Health Advisory
Normal (N) Low (L) Borderline (BL) High (H)
Blood Counts
Blood is a specialized bodily fluid that supplies essential substances like sugars, oxygen, hormones - around the
body and also removes waste from the cells.
Solid part of your blood (roughly 45%): RBCs (red blood cells), WBCs (white blood cells) and platelets
Liquid part of your blood (roughly 55%, usually called plasma): Water, Salts and Proteins
Thyroid
This panel is used to check the imbalance in your thyroid gland. A healthy thyroid gland is very important for
metabolism, controlling body temperature, regulation of mood, muscle strength and regulation of body weight
T3(Triiodothyronine) is an active
hormone secreted by Thyroid gland
Hormonal changes from use of Autoimmune disorders such Removal of a lobe of the
oral contraceptive pills. as Hashimoto’s thyroiditis. thyroid gland.
Kidney Profile
This panel is used to check healthy functioning of your kidneys. Kidneys filter blood in your body to remove waste
products - these waste products are produced when breakdown of proteins (present in food, muscles and other
cells) occurs in the body to generate energy
Lipid Profile
A panel of tests that measures the amount of fat or lipid in your blood.
HDL particles have antioxidant, anti-inflammatory, anti-thrombotic properties, which may contribute to
their ability to inhibit atherosclerosisNCBI-Books. HDL are called protective lipoproteins.
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Anemia Profile
Anemia is the condition where your body has less RBCs (red blood cells) or the RBCs don't have enough
haemoglobin. Haemoglobin is the protein present in RBCs that help carry oxygen to your body's tissues.
Anemia.
Liver Profile
One of the main functions of your liver is to make proteins that are secreted in your blood. It also makes enzymes
which convert food into energy, and processes old muscles and cells. When your liver is damaged, enzymes leak
into your blood and appear in the blood test
Increase serum level of ALP usually found in a patient with blockage of biliary duct and liver diseases.
It can be a sign of bile duct obstruction or alcohol use disorder or liver disorder.
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Enzymes
Enzymes found in your liver are responsible for various processes that maintain body functions. These enzymes are leaked into
your blood when your liver suffers dysfunction.
If both AST and ALT are increased, it may indicate liver dysfunction. If only AST is elevated while ALT is
normal, dysfunction in other organs needs to be ruled out.
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If both AST and ALT are increased, it may indicate liver dysfunction. If only AST is elevated while ALT is
normal, dysfunction in other organs needs to be ruled out.
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Minerals
Minerals are those elements on the earth and in foods that our bodies need to develop and function normally. This
profile measures vital minerals in your body, including calcium, zinc, iodine, iron, and magnesium. These tests screen
for mineral deficiencies and toxicities, helping you maintain a healthy balance