Report
Report
Ms Shreyushi
F 27
fa lse
Health Summary
BLOOD COUNTS
LIVER PROFILE
ANEMIA STUDIES
Hemoglobin 11.1
Please Watchout
Patient NAME : Ms Shreyushi
DOB/Age/Gender : 27 Y/Female Report STATUS : Final Report
Patient ID / UHID : 11393073/RCL10578426 Barcode NO : 23982065
Referred BY : Self Sample Type : Whole blood EDTA
....
Sample Collected : Feb 14, 2025, 12:23 PM Report Date : Feb 14, 2025, 04:55 PM.
Test Description Value(s) Unit(s) Reference Range
RBC Parameters
Hemoglobin 11.1 g/dL 12.0 - 15.0
Spectrophotometry
RBC Count 4.9 10^6/µl 3.8 - 4.8
Electrical impedance
PCV 34.1 % 36 - 46
Calculated
MCV 70.2 fl 83 - 101
Calculated
MCH 22.9 pg 27 - 32
Calculated
MCHC 32.6 g/dL 31.5 - 34.5
Calculated
RDW (CV) 17.8 % 11.6 - 14.0
Calculated
RDW-SD 34.5 fl 35.1 - 43.9
Calculated
WBC Parameters
TLC 3.2 10^3/µl 4 - 10
Electrical impedance and microscopy
Differential Leucocyte Count
Neutrophils 59 % 40-80
Flow-cytometry DHSS
Lymphocytes 29 % 20-40
Flow-cytometry DHSS
Monocytes 10 % 2-10
Flow-cytometry DHSS
Eosinophils 2 % 1-6
Flow-cytometry DHSS
Basophils 0 % <2
Flow-cytometry DHSS
Absolute Leukocyte Counts
calculated
Neutrophils. 1.89 10^3/µl 2-7
Lymphocytes. 0.93 10^3/µl 1-3
Calculated
Monocytes. 0.32 10^3/µl 0.2 - 1.0
Calculated
Eosinophils. 0.06 10^3/µl 0.02 - 0.5
Calculated
Basophils. 0 10^3/µl 0.02 - 0.5
Page 1 of 14
Patient NAME : Ms Shreyushi
DOB/Age/Gender : 27 Y/Female Report STATUS : Final Report
Patient ID / UHID : 11393073/RCL10578426 Barcode NO : 23982065
Referred BY : Self Sample Type : Whole blood EDTA
Sample Collected : Feb 14, 2025, 12:23 PM Report Date : Feb 14, 2025, 04:55 PM.
Test Description Value(s) Unit(s) Reference Range
Calculated
Platelet Parameters
Platelet Count 196 10^3/µl 150 - 410
Electrical impedance and microscopy
Mean Platelet Volume (MPV) 9 fL 9.3 - 12.1
Calculated
PCT 0.2 % 0.17 - 0.32
Calculated
PDW 16.5 fL 8.3 - 25.0
Calculated
P-LCR 29.4 % 18 - 50
Calculated
P-LCC 58 10^9/L 44 - 140
Calculated
Mentzer Index 14.33 % > 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.
Page 2 of 14
Patient NAME : Ms Shreyushi
DOB/Age/Gender : 27 Y/Female Report STATUS : Final Report
Patient ID / UHID : 11393073/RCL10578426 Barcode NO : 23982065
Referred BY : Self Sample Type : Whole blood EDTA
....
Sample Collected : Feb 14, 2025, 12:23 PM Report Date : Feb 14, 2025, 05:42 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.
Page 3 of 14
Patient NAME : Ms Shreyushi
DOB/Age/Gender : 27 Y/Female Report STATUS : Final Report
Patient ID / UHID : 11393073/RCL10578426 Barcode NO : 23982065
Referred BY : Self Sample Type : Whole blood EDTA
....
Sample Collected : Feb 14, 2025, 12:23 PM Report Date : Feb 14, 2025, 05:47 PM.
Test Description Value(s) Unit(s) Reference Range
Interpretation:
1. Malaria is a serious parasitic diseases characterized by fever, chills, and anemia and is caused by a parasite that is transmitted human to
human by the bite of infected female Anopheles mosquitoes.
2. Malarial Parasite test is performed on the blood sample to find out the level of Malaria Parasite in the blood.
3. It is conducted to conclude on Malaria and also during the treatment and after the treatment of Malaria.
4. Most people will have symptoms within 14 days of being bitten by an infected mosquito. But symptoms can show up as soon as seven days
afterward or can take as long as a year to appear.
5. Clinical decision should not be based on the results of this test, but should be made by the physician after all clinical and laboratory findings
have been evaluated.
Page 4 of 14
Patient NAME : Ms Shreyushi
DOB/Age/Gender : 27 Y/Female Report STATUS : Final Report
Patient ID / UHID : 11393073/RCL10578426 Barcode NO : 23982065
Referred BY : Self Sample Type : Whole blood EDTA
....
Sample Collected : Feb 14, 2025, 12:23 PM Report Date : Feb 14, 2025, 05:47 PM.
Test Description Value(s) Unit(s) Reference Range
Page 5 of 14
Patient NAME : Ms Shreyushi
DOB/Age/Gender : 27 Y/Female Report STATUS : Final Report
Patient ID / UHID : 11393073/RCL10578426 Barcode NO : 23854558
Referred BY : Self Sample Type : Serum
....
Sample Collected : Feb 14, 2025, 12:23 PM Report Date : Feb 14, 2025, 05:12 PM.
Test Description Value(s) Unit(s) Reference Range
Interpretation:
Adults and children
Increased total bilirubin that is mainly unconjugated (indirect) bilirubin may be a result of:-
Newborns
An elevated bilirubin level in a newborn may be temporary and resolve itself within a few days to two weeks. However, if the bilirubin level is
above a critical threshold or increases rapidly, an investigation of the cause is needed so appropriate treatment can be initiated. Increased
bilirubin concentrations may result from the accelerated breakdown of red blood cells due to:
SGOT / AST
SGOT/AST 29 U/L 5 - 34
Enzymatic {NADH (without P5P)}
Interpretation:
Serum AST is used for differential diagnosis of diseases of hepatobiliary system and pancreas. Increased values are seen in liver diseases
like acute viral hepatitis, cirrhosis, biliary obstruction, primary or metastatic cancer, granuloma, hepatic ischaemia.
SGPT / ALT
SGPT/ALT 28 U/L 0 to 55
Enzymatic {NADH (without P5P)}
Interpretation:
Serum ALT is used for differential diagnosis of diseases of hepatobiliary system and pancreas. Increased in alcohalic hepatitis, cirrhosis,
hepatocellular carcinoma, chronic hepatitis. Decreased in genito-urinary tract infection, malignancy, pyridoxal phosphate deficiency states
(malnutrition, pregnancy, alcoholic liver disease).
Page 6 of 14
Patient NAME : Ms Shreyushi
DOB/Age/Gender : 27 Y/Female Report STATUS : Final Report
Patient ID / UHID : 11393073/RCL10578426 Barcode NO : 23854558
Referred BY : Self Sample Type : Serum
....
Sample Collected : Feb 14, 2025, 12:23 PM Report Date : Feb 14, 2025, 05:12 PM.
Test Description Value(s) Unit(s) Reference Range
Interpretation:
Increased CRP level:
1. A high or increasing amount of CRP in the blood suggests the presence of inflammation but will not identify its location or the cause.
2. Suspected bacterial infection—a high CRP level can provide indication that patient has an infection.
3. Chronic inflammatory disease—high levels of CRP suggest a flare-up if you have a chronic inflammatory disease or that treatment has not
been effective.
If the CRP level is initially elevated and drops, it means that the inflammation or infection is subsiding and/or responding to treatment.
Page 7 of 14
Patient NAME : Ms Shreyushi
DOB/Age/Gender : 27 Y/Female Report STATUS : Final Report
Patient ID / UHID : 11393073/RCL10578426 Barcode NO : SE23854558
Referred BY : Self Sample Type : Serum
....
Sample Collected : Feb 14, 2025, 12:23 PM Report Date : Feb 14, 2025, 05:55 PM.
Test Description Value(s) Unit(s) Reference Range
METHOD-(Slide Agglutination)
1.Titres >1:80 of “O” antigen & >1:160 of “H” antigen for Salmonella typhi and titres >1:80 of “H” antigen for Salmonella paratyphi A & B are
reactive.
2. Rising titres in paired samples taken 7-10 days apart are more significant than a single test.
3. Reactive results indicates ongoing or recent infection by Salmonella spp. and the diagnosis should be confirmed by gold standard test such
as Blood culture.
4. The reactivity will vary with stage of the disease with appearance in 1st week to increase in titres till end of 4th week post which it starts
decreasing.
5. In TAB vaccinated patients, high titres of H antibody of ≥1:160 to each of Salmonellae is observed. They tend to persist for many months and
even years while O antibody shows lower titres and disappears within 6 months.
6. Antibiotic treatment during 1st week before the appearance of antibodies tend to supress the immune response in the form of no or
decreasing antibody levels.
7. False positive results/anamnestic response may be seen in patients with past enteric infection and during unrelated fevers like Malaria,
Influenzae etc. in the form of transient rise in H antibody in Widal test.
8. False negative results may be due to processing of sample collected early in the course of disease (1st week) and immunosuppression.
9. Test conducted on serum.
Uses
To diagnose infection due to Salmonella spp. (Enteric fever).
To monitor the progression of disease.
To assess the response to therapy (decreasing titres) in patients being treated for Enteric fever
Page 8 of 14
Patient NAME : Ms Shreyushi
DOB/Age/Gender : 27 Y/Female Report STATUS : Final Report
Patient ID / UHID : 11393073/RCL10578426 Barcode NO : SE23854558
Referred BY : Self Sample Type : Serum
Sample Collected : Feb 14, 2025, 12:23 PM Report Date : Feb 14, 2025, 05:55 PM.
Test Description Value(s) Unit(s) Reference Range
Interpretation:
RESULTS REMARKS
Positive Indicates presence of IgM antibodies against Salmonella typhi.
Negative Indicates absence of IgM antibodies against Salmonella typhi.
Note:
1.Its positivity in serum indicates ongoing or recent infection by Salmonella typhi and the diagnosis should be confirmed by gold standard test
such as Blood culture prior to start of antibiotics.
2.IgM antibodies are typically detectable 5-7 days post symptom onset, peaking in 2nd week and frequently remain elevated for 2-4 months
following infection.
3.False positive results may be due to cross reactivity with other Salmonella spp., Dengue virus infection & in patients with high levels of
Rheumatoid factor.
4. False negative reaction may be due to processing of sample collected early in the course of disease, antibiotic treatment during 1st week and
immunosuppression.
5. Test conducted on serum.
Use
To diagnose infection due to Salmonella typhi (Enteric fever).
Page 9 of 14
Patient NAME : Ms Shreyushi
DOB/Age/Gender : 27 Y/Female Report STATUS : Final Report
Patient ID / UHID : 11393073/RCL10578426 Barcode NO : SE23854558
Referred BY : Self Sample Type : Serum
....
Sample Collected : Feb 14, 2025, 12:23 PM Report Date : Feb 14, 2025, 07:45 PM.
Test Description Value(s) Unit(s) Reference Range
Note: As per regulation, specimen collecting Laboratory is responsible for reporting positive Dengue cases to Municipal corporation.
Indication: The Dengue (NS1) Antigen assay is a Enzyme linked immunoassay (EIA) for the detection of Dengue virus NS1 Antigen in human serum or
plasma(heparin).
The serological detection of the highly specific dengue virus NS1antigen in patients with a dengue virus infection is possible at the onset of clinical symptoms in
primary as well as secondary infections. Thus determination of Dengue (NS1) Antigen is an important supportive aid for diagnosis of acute dengue virus
infections.
Clinical background: Dengue virus (serotypes Den 1, Den 2, Den 3, Den 4) is a flavivirus with global distribution and is transmitted by mosquitoes ( Aedes
aegyptii, Aedes albopictus etc). It may cause Dengue fever, Dengue haemorrhagic fever or Dengue Shock syndrome.
Following the dengue infection, an incubation period of 3 to7 days, some infections maybe asymptomatic. Symptomatic patients develop fever with or without
rash, severe musculoskeletal pain, headache, retro-orbital pain, petechiae etc. In most individuals there is resolution of illness without complications. In some
individuals the Dengue fever may progress to Dengue haemorrhagic fever or Dengue Shock syndrome especially during repeat infection with a new Dengue
Virus serotype.
Dengue virus antigen usually appears in blood within 24 hours of onset of symptoms to symptoms till 9 days post onset of symptoms.
Positive: The presence of Dengue nonstructural protein 1 (NS1) antigen is consistent with acute infection with dengue virus. The NS1 antigen is typically
detectable within 1 to 2 days following infection and up to 9 days following symptom onset. NS1 antigen may also be detectable during secondary dengue virus
infection, but for a shorter duration of time (1-4 days following symptom onset).
Negative: The absence of dengue NS1 antigen is suggestive of absence of acute phase of the infection. The NS1 antigen may be negative if specimen is
collected too early such as immediately following dengue virus infection (<24-48 hours) or is collected following 9 to 10 days of symptoms. Results should always
be interpreted in conjunction with clinical presentation and exposure history.
Limitations: Uncommonly, false positive Dengue NS1 antigen results may be seen in individuals with other flaviviruses west nile virus as well as Yellow fever.
Negative NS1 antigen results may occur if the specimen was collected greater than 7 days following symptom onset. Serologic testing for the presence of IgM
and IgG antibodies to Dengue Virus is recommended in such cases.
Page 10 of 14
Patient NAME : Ms Shreyushi
DOB/Age/Gender : 27 Y/Female Report STATUS : Final Report
Patient ID / UHID : 11393073/RCL10578426 Barcode NO : SE23854558
Referred BY : Self Sample Type : Serum
....
Sample Collected : Feb 14, 2025, 12:23 PM Report Date : Feb 14, 2025, 07:45 PM.
Test Description Value(s) Unit(s) Reference Range
NOTE-
1. The test should be used for detection of IgM antibodies of dengue in human serum/plasma.
2. This is only a screening test and will only indicate the presence or absence of Dengue antibodies in the specimen. All reactive sample
should be confirmed by confirmatory test. Therefore for a definitive diagnosis, the patients clinical history , symptomatology as well as
serological data should be considered. The results should be reported only after complying with the above prrocedure.
3. False positive results can be obtained due to cross reaction with Epstein-BARR virus, RA, Leptospira, Malaria, hepatitis-A, Infuenza A & B,
S.typhi Japanese encephatlites, westnile virus diseased. This occurs in less then 1% of the sample tested.
4. Immuno-despressive treatments presumably after the immune response to infection, inducing negative results in IgM in dengue patients.
Comments
Dengue viruses belong to the family Flaviviridae and have 4 subtypes (1-4). Dengue virus is transmitted by the mosquito Aedes aegypti and
Aedes albopictus, widely distributed in Tropical and Subtropical areas of the world. Dengue is considered to be the most important arthropod
borne viral disease due to the human morbidity and mortality it causes. The disease may be subclinical, self limiting, febrile or may progress to
a severe form of Dengue hemorrhagic fever or Dengue shock syndrome.
Page 11 of 14
Patient NAME : Ms Shreyushi
DOB/Age/Gender : 27 Y/Female Report STATUS : Final Report
Patient ID / UHID : 11393073/RCL10578426 Barcode NO : SE23854558
Referred BY : Self Sample Type : Serum
Sample Collected : Feb 14, 2025, 12:23 PM Report Date : Feb 14, 2025, 07:45 PM.
Test Description Value(s) Unit(s) Reference Range
NOTE-
1. The test should be used for detection of IgG antibodies of dengue in human serum/plasma.
2. This is only a screening test and will only indicate the presence or absence of Dengue antibodies in the specimen. All reactive sample
should be confirmed by confirmatory test. Therefore for a definitive diagnosis, the patients clinical history , symptomatology as well as
serological data should be considered. The results should be reported only after complying with the above prrocedure.
3. False positive results can be obtained due to cross reaction with Epstein-BARR virus, RA, Rubella, Anti-nulcear antibody, Japanese
encephatlites, westnile virus diseased. This occurs in less then 1% of the sample tested.
4. Immuno-despressive treatments presumably after the immune response to infection, inducing negative results in IgG in dengue patients.
Comments
Dengue viruses belong to the family Flaviviridae and have 4 subtypes (1-4). Dengue virus is transmitted by the mosquito Aedes aegypti and
Aedes albopictus, widely distributed in Tropical and Subtropical areas of the world. Dengue is considered to be the most important arthropod
borne viral disease due to the human morbidity and mortality it causes. The disease may be subclinical, self limiting, febrile or may progress to
a severe form of Dengue hemorrhagic fever or Dengue shock syndrome.
Page 12 of 14
Patient NAME : Ms Shreyushi
DOB/Age/Gender : 27 Y/Female Report STATUS : Final Report
Patient ID / UHID : 11393073/RCL10578426 Barcode NO : 24584448
Referred BY : Self Sample Type : Spot Urine
....
Sample Collected : Feb 14, 2025, 12:25 PM Report Date : Feb 14, 2025, 04:56 PM.
Test Description Value(s) Unit(s) Reference Range
Physical Examination
Volume 20 mL
visual
Colour Pale Yellow Pale yellow
visual
Transparency Clear Clear
visual
Deposit Absent Absent
visual
Chemical Examination
Reaction (pH) 6.0 5.5-8.0
Double Indicator
Specific Gravity 1.010 0 1.010 - 1.030
Ion Exchange.
Urine Glucose (sugar) Negative Negative
Oxidase / Peroxidase
Urine Protein (Albumin) Negative Negative
bromophenol blue
Urine Ketones (Acetone) Negative Negative
Legals Test
Blood Negative Negative
Peroxidase Hemoglobin
Leucocyte esterase Negative Negative
amino acid aster
Bilirubin Urine Negative Negative
Diazotized dicholoroaniline
Nitrite Negative Negative
Griless Test
Urobilinogen Normal Normal
Ehrlichs Test
Microscopic Examination
Pus Cells (WBCs) 4-5 /hpf 0-5
WET MOUNT
Epithelial Cells 3-4 /hpf 0-4
WET MOUNT
Red blood Cells Absent /hpf Absent
WET MOUNT
Crystals Absent Absent
WET MOUNT
Cast Absent Absent
WET MOUNT
Yeast Cells Absent Absent
WET MOUNT
Page 13 of 14
Patient NAME : Ms Shreyushi
DOB/Age/Gender : 27 Y/Female Report STATUS : Final Report
Patient ID / UHID : 11393073/RCL10578426 Barcode NO : 24584448
Referred BY : Self Sample Type : Spot Urine
Sample Collected : Feb 14, 2025, 12:25 PM Report Date : Feb 14, 2025, 04:56 PM.
Test Description Value(s) Unit(s) Reference Range
Amorphous deposits Absent Absent
WET MOUNT
Bacteria Absent Absent
WET MOUNT
Protozoa Absent Absent
WET MOUNT
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
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.
Page 14 of 14
Name Patient ID Gender Age
fa lse
Ms Shreyushi 11393073 F 27
Health Advisory
Normal (N) Low (L) Borderline (BL) High (H)
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.
Hemoglobin is present in the Red Blood Cells and it carries oxygen to the tissues. If Hb is less it causes anemia. Anemia
because of low hemoglobin and is more common in women.
Anemia.
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
ESR (Erythrocyte Sedimentation Rate) is the speed at which RBCs in your sample settle down at the bottom of the test
tube. If there is inflammation in the body then ESR value is high.
NORMAL HIGH
< 12 > 12
You: 29