Nagaraj S Reported on

28 Year(s) Male March 29, 2025

Index
Glycated Hemoglobin (HbA1C)
Glucose, Random
Liver Function Test (LFT)
Kidney Function Test (KFT)
Rated 4.9/5 on Google
(25,000+ Reviews) Lipid Profile
Complete Blood Count (CBC)
Thyroid Function Test (TFT)
Vitamin D, 25-Hydroxy
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Page 1/13

Orchard Healthcare Pvt. Ltd.

www.orangehealth.in [email protected] +91 9008 11 11 44
2nd floor, #912, GKR Towers, 80 ft road, Koramangala 6th block, Bengaluru 560095
 101251031LB
Nagaraj S Collected : 29/03/2025 11:33 AM Visit ID : BL130152101
28 Year(s)/Male Received : 29/03/2025 01:21 PM Patient ID : OH1301521
Ref. by : - Reported : 29/03/2025 04:36 PM Partner : GS Clinic

Test Results Units Biological Reference

BIOCHEMISTRY
Glycated Hemoglobin (HbA1C)
Whole Blood

Glycated Hemoglobin (HbA1C) Normal: < 5.7

High-Performance Liquid Chromatography 4.7 % Pre-Diabetes: 5.7-6.4
(HPLC) Diabetes: => 6.5
MC-6367

Mean Blood Glucose 88 mg/dL < 117

MC-6367
Calculated

HbA1C is used to monitor fluctuations in blood glucose concentration in the past 8 to 12 week's period.
The reference interval defined as per American Diabetes Association guidelines 2016:
Less than 5.7%: Non Diabetic
5.7 to 6.4%: at increased risk of developing diabetes in the future
More than 6.5%: Diabetic
Therapeutic glycemic target
Adults: less than 7%
Children with Type 1 diabetes: less than 7%
Pregnant diabetic patients: less than 6.5%
Note: Targets may be individualized based on: Age/life expectancy, Comorbid conditions, Diabetes duration, Hypoglycemia status,
Individual patient considerations
Reference: American Diabetes Association. Standards of medical care in diabetes - 2021.
Mean Blood Glucose is average Blood glucose which directly correlates with A1C, reported in the same units as blood sugar levels (mg/dl).
Thus it reflects the average glucose concentration in the past 8 to 12 weeks period. This should not be compared with Fasting or Post
prandial or random blood sugar which measures glucose concentration at that point of time of testing.

Glucose, Random
Fluoride Plasma,Glucose Oxidase-Peroxidase 79 mg/dL 70 - 140
(GOD-POD)

Page 2/13

Orchard Healthcare Pvt. Ltd.

www.orangehealth.in [email protected] +91 9008 11 11 44
2nd floor, #912, GKR Towers, 80 ft road, Koramangala 6th block, Bengaluru 560095
 101251031LB
Nagaraj S Collected : 29/03/2025 11:33 AM Visit ID : BL130152101
28 Year(s)/Male Received : 29/03/2025 01:21 PM Patient ID : OH1301521
Ref. by : - Reported : 29/03/2025 04:36 PM Partner : GS Clinic

Test Results Units Biological Reference

Clinical Significance:
Blood Sugar also known as Blood glucose test is commonly performed to diagnose and monitor Diabetes Mellitus. In common practice the
blood sugar is measured and reported as 3 different tests based on the meal intake status of an individual.
Low blood glucose level may be due to Overdose Insulin, Insulinomas, Starvation, Adrenal insufficiency, Drinking excessive alcohol, Severe
liver disease,Hypopituitarism, Hypothyroidism, Severe infections.
High blood glucose level most frequently indicate diabetes, but many other diseases and conditions can also cause elevated blood
glucose.e.g.Acromegaly, Acute stress (response to trauma, heart attack, and stroke for instance),Cushing syndrome, Hyperthyroidism,
Pancreatic cancer, Pancreatitis.
The reference interval has been referred from the American diabetes Association (https://www.diabetes.org/a1c/diagnosis). Kindly
consider the reference range of blood sugar according to the fasting status or post meal status.
Name of Test Meal Status Reference Range
Fasting Blood Sugar Overnight Fasting 70-99
Random Blood Sugar Sample taken irrespective of meal status 70-140
Post Prandial Sugar Sample taken after 2 Hrs of meal consumption 70-140

Liver Function Test (LFT)

Serum
Bilirubin, Total 0.91 mg/dL 0.2 - 1.3
MC-6367
Diazo Method
Bilirubin, Direct 0.37 mg/dL 0 - 0.3
MC-6367
Calculated
Bilirubin, Indirect 0.54 mg/dL 0.1 - 1.1
MC-6367
Reflectance Spectrophotometry
Aspartate Aminotransferase (AST)
Multipoint-Rate/UV with Pyridoxal-5-Phosphate 27 U/L 17 - 49
(P-5-P)
MC-6367

Alanine Transaminase (ALT) 25 U/L <50

MC-6367
LDH, UV Kinetic
Aspartate Aminotransferase/Alanine
Transaminase (AST/ALT) Ratio 1.0 0.7 - 1.4
Calculated
Alkaline Phosphatase (ALP)
Multipoint-Rate/UV with Pyridoxal-5-Phosphate 42 U/L 38 - 126
(P-5-P)
MC-6367

Gamma-Glutamyl Transpeptidase
(GGT) 15 U/L 15 - 73
SZAZ Carboxylated Substrate
MC-6367

Page 3/13

Orchard Healthcare Pvt. Ltd.

www.orangehealth.in [email protected] +91 9008 11 11 44
2nd floor, #912, GKR Towers, 80 ft road, Koramangala 6th block, Bengaluru 560095
 101251031LB
Nagaraj S Collected : 29/03/2025 11:33 AM Visit ID : BL130152101
28 Year(s)/Male Received : 29/03/2025 01:21 PM Patient ID : OH1301521
Ref. by : - Reported : 29/03/2025 04:36 PM Partner : GS Clinic

Test Results Units Biological Reference

Protein 6.60 g/dL 6 - 8.3
MC-6367
Biuret
Albumin 4.17 g/dL 3.5 - 5
MC-6367
Bromo-Cresol Green
Globulin 2.43 g/dL 2.3 - 3.5
MC-6367
Calculated
Albumin/Globulin (A/G) Ratio 1.7 0.8 - 2
MC-6367
Calculated

In certain individuals, total bilirubin up to 2.0 mg/dl is considered normal. High bilirubin values can be due to jaundice.
Total bilirubin is invariably increased in jaundice. Causes of jaundice are prehepatic, resulting from various hemolytic diseases; hepatic,
resulting from hepatocellular injury or obstruction; and posthepatic, resulting from obstruction of the hepatic or common bile ducts.
Increased direct bilirubin levels can occur in hepatobiliary disorders, including intrahepatic and extrahepatic biliary tree obstruction, liver
cell damage, Dubin-Johnson syndrome, and Rotor syndrome.
High indirect bilirubin levels can occur in hemolytic disorders, Gilbert’s syndrome, Crigler-Najjar syndrome, neonatal jaundice, and
ineffective erythropoiesis.
High Aspartate Aminotransferase values can occur in Myocardial infarction, pulmonary emboli, skeletal muscle trauma, alcoholic cirrhosis,
viral hepatitis, or drug-induced hepatitis.
Elevated Alanine Aminotransferase levels are seen in liver cell necrosis, hepatitis, hepatic cirrhosis, liver tumours, obstructive jaundice,
Reye’s syndrome, extensive trauma to skeletal muscle, myositis, myocarditis, or myocardial infarction.
High alkaline phosphatase levels can be be due to primary and secondary hyperparathyroidism, Paget’s disease of bone, carcinoma
metastatic to the bone, osteogenic sarcoma, Hodgkin’s disease, Hepatobiliary diseases involving cholestasis, inflammation, or cirrhosis.
ALP levels can also be elevated in fever and increased bone metabolism(e.g., in adolescents and during the healing of a fracture), in renal
infarction and failure and in pregnancy complications.
Low ALP levels may occasionally be seen in hypothyroidism.
Gamma-glutamyl transferase (GGT) is a sensitive indicator of hepatobiliary disease. It is useful in the diagnosis of obstructive jaundice
and chronic alcoholic liver disease, in the follow-up of chronic alcoholics undergoing treatment, and in the detection of hepatotoxicity. GGT
is more responsive to biliary obstruction than AST, ALT, or ALP.
Total protein levels can be used to evaluate nutritional status.
High protein concentrations can be due to dehydration, Waldenström’s macroglobulinemia, multiple myeloma, hyperglobulinemia,
granulomatous, and some tropical diseases.
Low protein concentrations can be due to pregnancy, excessive intravenous fluid administration, cirrhosis or other liver diseases, chronic
alcoholism, heart failure, nephrotic syndrome, glomerulonephritis, neoplasia, protein-losing enteropathies, malabsorption, and severe
malnutrition.
Increased albumin levels may indicate dehydration or hyperinfusion with albumin.
Decreased albumin levels are found in rapid or over-hydration, severe malnutrition and malabsorption, severe diffuse liver necrosis,
chronic active hepatitis, and neoplasia.
Albumin is commonly reduced in chronic alcoholism, pregnancy, renal protein loss, thyroid dysfunction, peptic ulcer disease, and chronic
inflammatory diseases.
Globulin includes carrier proteins, enzymes, complement, and immunoglobulins. Most of these are synthesised in the liver, although
immunoglobulins are synthesised by plasma cells.
Increased globulin level usually results from an increase in immunoglobulins.

Page 4/13

Orchard Healthcare Pvt. Ltd.

www.orangehealth.in [email protected] +91 9008 11 11 44
2nd floor, #912, GKR Towers, 80 ft road, Koramangala 6th block, Bengaluru 560095
 101251031LB
Nagaraj S Collected : 29/03/2025 11:33 AM Visit ID : BL130152101
28 Year(s)/Male Received : 29/03/2025 01:21 PM Patient ID : OH1301521
Ref. by : - Reported : 29/03/2025 04:36 PM Partner : GS Clinic

Test Results Units Biological Reference

Malnutrition and congenital immune deficiency can decrease globulin levels due to decreased synthesis. Nephrotic syndrome can cause
decreased globulin levels due to protein loss through the kidney.
AST/ALT Ratio > 2:1 (AST is two times higher than ALT) is indicative of alcoholic liver disease.
AST/ALT Ratio < 1:1 (ALT is higher than AST) indicates non-alcoholic fatty liver disease.

Kidney Function Test (KFT)

Serum
Urea 28 mg/dL 19 - 43
MC-6367
Urease
Creatinine 0.8 mg/dL 0.66 - 1.25
MC-6367
Twopoint-Rate-Creatinine Aminohydrolase
Blood Urea Nitrogen (BUN) 13.1 mg/dL 6 - 20
MC-6367
Calculated
Blood Urea Nitrogen (BUN)/Creatinine
Ratio 16.38 Ratio 10 - 20
Calculated
Uric Acid 4.1 mg/dL 3.5 - 8.5
MC-6367
Uricase
Calcium 8.8 mg/dL 8.4 - 10.2
MC-6367
Arsenazo Method
Phosphorus 5.3 mg/dL 2.5 - 4.5
MC-6367
Phosphomolybdate Formation
Comments Kindly correlate clinically and suggest follow up.

Normal: => 90
Estimated Glomerular Filtration Rate Mild decrease: 60-89
(eGFR) 124 ml/min/1.73m² Mild moderate decrease: 45-59
Twopoint-Rate-Creatinine
Severe decrease: 15-29
MC-6367

Aminohydrolase/Calculation
End stage kidney disease: < 15
Electrolytes
Sodium 136 mmol/L 137 - 145
MC-6367
Direct ISE
Potassium 3.8 mmol/L 3.5 - 5.5
MC-6367
Direct ISE
Chloride 99 mmol/L 98 - 107
MC-6367
Direct ISE

High sodium levels can be caused by dehydration, disorder of the adrenal glands, diarrhoea, diuretics, kidney disease, and diabetes
insipidus.

Page 5/13

Orchard Healthcare Pvt. Ltd.

www.orangehealth.in [email protected] +91 9008 11 11 44
2nd floor, #912, GKR Towers, 80 ft road, Koramangala 6th block, Bengaluru 560095
 101251031LB
Nagaraj S Collected : 29/03/2025 11:33 AM Visit ID : BL130152101
28 Year(s)/Male Received : 29/03/2025 01:21 PM Patient ID : OH1301521
Ref. by : - Reported : 29/03/2025 04:36 PM Partner : GS Clinic

Test Results Units Biological Reference

Low sodium levels are caused by diarrhoea, vomiting, kidney disease, liver failure, Addison's disease, and malnutrition.
High potassium levels may be due to low aldosterone, kidney failure, metabolic or respiratory acidosis.
Low potassium levels may be due to diarrhoea, vomiting, diuretics, and high aldosterone.
Chloride is used to help diagnose conditions related to an imbalance of acids or fluids in the body. Certain medicines, such as antacids,
can also cause abnormal results.
High chloride levels may be due to Addison's disease, metabolic acidosis, respiratory alkalosis, and renal tubular acidosis.
Low chloride levels may be due to burns, CHF, metabolic alkalosis, vomiting, dehydration, and respiratory acidosis(compensated).
High urea and BUN levels are suggestive of poor kidney function due to acute or chronic kidney diseases, decreased blood flow to the
kidneys as in congestive heart failure, shock, stress, recent heart attack or severe burns, bleeding from the gastrointestinal tract,
conditions that obstruct urine flow or dehydration.
Low urea and BUN levels are uncommon and are not usually a cause for concern. They can be seen in severe liver disease or malnutrition
but are not used to diagnose or monitor these conditions. Low urea levels are also seen in normal pregnancy.
Creatinine is elevated in kidney disease, damage, infection, urinary tract obstruction, reduced blood flow to the kidneys in case of shock,
congestive heart failure, complications of diabetes.
High levels of uric acid are seen in kidney disease, pre-eclampsia, purine-rich food, alcoholism, and side effects of cancer treatment.
Low calcium levels may be due to hypoparathyroidism, kidney failure, pancreatitis, malnutrition, or a disorder in calcium absorption.
High calcium levels may be due to hyperparathyroidism, hyperthyroidism, sarcoidosis, drugs like diuretics, and excessive calcium
supplementation.
High phosphorus levels can be due to dehydration, hypoparathyroidism, hypervitaminosis D, metastases to bone, sarcoidosis, pulmonary
embolism, renal failure, or diabetes mellitus with ketosis.
Low phosphorus levels can be caused by hyperparathyroidism, high calcium levels, sepsis, vitamin D deficiency, renal tubular disorders,
chronic hemodialysis, vomiting, or occasionally decreased dietary phosphate intake.
Chronic Kidney Disease often has no symptoms until the later stages. So, reliable estimates of GFR are important for identifying the disease
as early as possible.
Factors that can affect eGFR include pregnancy, being over the age of 70, unusual muscle mass, cirrhosis, nephrotic syndrome, a past
solid organ transplant, and some medications.

Lipid Profile
Serum
Cholesterol, Total
Cholesterol Esterase/Cholesterol 110 mg/dL < 200
Oxidase/Peroxidase
MC-6367

Triglycerides 47 mg/dL < 150

MC-6367
Cholesterol Oxidase
High-Density Lipoprotein (HDL)
Cholesterol 36 mg/dL > 50
MC-6367
Cholesterol Esterase/Cholesterol
Oxidase/Peroxidase
Non-High Density Lipoprotein (Non-
HDL) Cholesterol 74 mg/dL < 130
Calculated

Page 6/13

Orchard Healthcare Pvt. Ltd.

www.orangehealth.in [email protected] +91 9008 11 11 44
2nd floor, #912, GKR Towers, 80 ft road, Koramangala 6th block, Bengaluru 560095
 101251031LB
Nagaraj S Collected : 29/03/2025 11:33 AM Visit ID : BL130152101
28 Year(s)/Male Received : 29/03/2025 01:21 PM Patient ID : OH1301521
Ref. by : - Reported : 29/03/2025 04:36 PM Partner : GS Clinic

Test Results Units Biological Reference

Low-Density Lipoprotein (LDL)
Cholesterol 64 mg/dL < 100
Calculated
MC-6367

Very Low-Density Lipoprotein (VLDL)

Cholesterol 9 mg/dL < 30
Calculated
Cholesterol/High Density Lipoprotein
(HDL) Ratio 3.0 3.3 - 4.4
Calculated
Low-Density Lipoprotein/High-
Density Lipoprotein (LDL/HDL) Ratio 1.8 0.5 - 3
Calculated
High-Density Lipoprotein/Low-
Density Lipoprotein (HDL/LDL) Ratio 0.6 > 0.4
Calculated

Remarks Total Cholesterol (mg/dL) Triglycerides (mg/dL) LDL Cholesterol (mg/dL)

Optimal <200 <150 <100
Above Optimal - - 100-129
Borderline 200-239 150-199 130-159
High ≥ 240 200-499 160-189
Very High - ≥ 500 ≥ 190

Lipid profile is a group test consisting of various lipids. Lipid profiles are generally collected with overnight fasting. However, recent
guidelines have recommended non fasting samples for lipid profile for assessment of cardiovascular risk. The details for the study can be
checked at https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2733560
In certain instances measurements in the same patient can show physiological and analytical variations. In such cases three serial samples
at an interval of 1 week each are recommended for Total cholesterol, TG, HDL and LDL.
Cholesterol levels are increased in primary hypercholesterolemia; secondary hyperlipoproteinemia, including nephrotic syndrome; primary
biliary cirrhosis; hypothyroidism; and in some cases, diabetes mellitus. Low cholesterol levels may be found in malnutrition, malabsorption,
advanced malignancy, and hyperthyroidism.
Triglyceride levels are used in the diagnosis and treatment of patients with diabetes mellitus, nephrosis, liver obstruction, other diseases
involving lipid metabolism, or various endocrine disorders.
High Density Lipoprotein (HDL) cholesterol levels is used to evaluate the risk of developing coronary heart disease (CHD). The risk of CHD
increases with lower HDL cholesterol concentrations.
LDL (low-density lipoprotein) cholesterol level, sometimes called "bad" cholesterol, makes up most of our body’s cholesterol. High levels
of LDL cholesterol raise your risk for heart disease and stroke.
Very-low-density lipoprotein (VLDL) cholesterol is produced in the liver and released into the bloodstream to supply body tissues with
triglycerides. High levels of VLDL cholesterol have been associated with the development of plaque deposits on artery walls, which narrow

Page 7/13

Orchard Healthcare Pvt. Ltd.

www.orangehealth.in [email protected] +91 9008 11 11 44
2nd floor, #912, GKR Towers, 80 ft road, Koramangala 6th block, Bengaluru 560095
 101251031LB
Nagaraj S Collected : 29/03/2025 11:33 AM Visit ID : BL130152101
28 Year(s)/Male Received : 29/03/2025 01:21 PM Patient ID : OH1301521
Ref. by : - Reported : 29/03/2025 04:36 PM Partner : GS Clinic

Test Results Units Biological Reference

the passage and restrict blood flow.

Page 8/13

Orchard Healthcare Pvt. Ltd.

www.orangehealth.in [email protected] +91 9008 11 11 44
2nd floor, #912, GKR Towers, 80 ft road, Koramangala 6th block, Bengaluru 560095
 101251031LB
Nagaraj S Collected : 29/03/2025 11:33 AM Visit ID : BL130152101
28 Year(s)/Male Received : 29/03/2025 01:21 PM Patient ID : OH1301521
Ref. by : - Reported : 29/03/2025 03:10 PM Partner : GS Clinic

Test Results Units Biological Reference

HAEMATOLOGY
Complete Blood Count (CBC)
Whole Blood
Red Blood Cells (RBC) Count 4.55 mill/mm³ 4.5 - 5.5
MC-6367
DC Impedance Method
Hemoglobin (Hb) 12.5 g/dL 13 - 17
MC-6367
Cyanide-free SLS method
Comments Kindly correlate clinically and suggest follow up.

Hematocrit (HCT) | Packed Cell

Volume (PCV) 39.1 % 40 - 50
Calculated
MC-6367

Mean Corpuscular Volume (MCV) 86.0 fL 83 - 101

MC-6367
Calculated
Mean Corpuscular Hemoglobin
(MCH) 27.5 pg 27 - 32
Calculated
MC-6367

Mean Corpuscular Hemoglobin

Concentration (MCHC) 32.0 g/dL 31.5 - 34.5
Calculated
MC-6367

Red Cell Distribution Width (RDW) CV 13.7 % 11.6 - 14

Calculated

Mentzer Index 18.9 Beta Thalassemia trait: < 14

Calculated Iron deficiency anaemia: >= 14
Sehgal Index 1625.5 Beta Thalassemia trait: < 972
Calculated Iron deficiency anaemia: => 972
Total White Blood Cell Count (TC) 8530 cells/mm³ 4000 - 10000
MC-6367
Flow Cytometry

Differential Count
Neutrophils 83.0 % 40 - 80
MC-6367
Flow Cytometry
Lymphocytes 10.7 % 20 - 40
MC-6367
Flow Cytometry
Monocytes 6.0 % 2 - 10
MC-6367
Flow Cytometry

Page 9/13

Orchard Healthcare Pvt. Ltd.

www.orangehealth.in [email protected] +91 9008 11 11 44
2nd floor, #912, GKR Towers, 80 ft road, Koramangala 6th block, Bengaluru 560095
 101251031LB
Nagaraj S Collected : 29/03/2025 11:33 AM Visit ID : BL130152101
28 Year(s)/Male Received : 29/03/2025 01:21 PM Patient ID : OH1301521
Ref. by : - Reported : 29/03/2025 03:10 PM Partner : GS Clinic

Test Results Units Biological Reference

Eosinophils 0.2 % 1-6
MC-6367
Flow Cytometry
Basophils 0.1 % 0-2
MC-6367
Flow Cytometry
Absolute Neutrophil Count (ANC) 7080 /mm³ 2000 - 7000
MC-6367
Calculated
Absolute Lymphocyte Count (ALC) 913 /mm³ 1000 - 3000
MC-6367
Calculated
Absolute Monocyte Count (AMC) 512 /mm³ 200 - 1000
MC-6367
Calculated
Absolute Eosinophil Count (AEC) 17 /mm³ 20 - 500
MC-6367
Calculated
Absolute Basophil Count (ABC) 9 /mm³ 0 - 100
MC-6367
Calculated
Neutrophil Lymphocyte Ratio (NLR) 7.8 1-3
Calculated
Platelet Count 201 10^3/µL 150 - 450
MC-6367
DC Impedance Method
Platelet Hematocrit 0.230 % 0.2 - 0.5
MC-6367
Calculated
Mean Platelet Volume (MPV) 11.4 fL 7 - 13
Calculated

Reference Ranges are in accordance with Dacie & Lewis Practical Hematology International Edition (12th).
As per International Council for Standardization in Hematology's recommendations Differential Leucocyte counts are additionally
reported in Absolute numbers in each cell per unit volume of blood.

Page 10/13

Orchard Healthcare Pvt. Ltd.

www.orangehealth.in [email protected] +91 9008 11 11 44
2nd floor, #912, GKR Towers, 80 ft road, Koramangala 6th block, Bengaluru 560095
 101251031LB
Nagaraj S Collected : 29/03/2025 11:33 AM Visit ID : BL130152101
28 Year(s)/Male Received : 29/03/2025 01:21 PM Patient ID : OH1301521
Ref. by : - Reported : 29/03/2025 05:21 PM Partner : GS Clinic

Test Results Units Biological Reference

IMMUNOLOGY
Thyroid Function Test (TFT)
Serum
Triiodothyronine (T3), Total 1.47 ng/mL 0.97 - 1.69
MC-6367
Chemiluminescent Immunoassay
Thyroxine (T4), Total 6.24 µg/dL 5.53 - 11
MC-6367
Chemiluminescent Immunoassay
Thyroid Stimulating Hormone
(TSH) 0.9824 µIU/mL 0.4 - 4.049
Chemiluminescent Immunoassay
MC-6367

Thyroid Stimulating Hormone (TSH), also called Thyrotropin is a hormone secreted into the blood by the Pituitary gland (a gland present in
the brain). It signals the thyroid gland to make and release the thyroid hormones (T3 & T4) into the blood.
High TSH level indicates that the thyroid gland is not making enough thyroid hormone (primary hypothyroidism). Low TSH level usually
indicates that the thyroid is producing too much thyroid hormone (hyperthyroidism).

Factors influencing TSH levels

TSH level shows a significant decline after meal intake in comparison to fasting values. If the patient is taking any thyroid medication
different times each day, they may sometimes be taking the thyroid hormone on an empty stomach, and sometimes with or after having
food. This may have clinical implications in the diagnosis and management of hypothyroidism, especially Subclinical hypothyroidism.
Circadian Rhythm: TSH levels follow a circadian variation, reaching peak levels between Morning 2 - 4 am and at a minimum between
Evening 6-10 pm. The above graph considers a sleep window of 11:00 PM to 7:30 AM. The variation is of the order of 50%. There are
studies which quote variations up to 70 % depending on when the sample is drawn during which time of the day. Hence time of sample
collection during a day can significantly influence on the measured serum TSH concentrations.
Other Factors: It is important to recognize that TSH is a labile hormone and is subject to non-thyroidal pituitary influences
(glucocorticoids, somatostatin, dopamine etc.), stress, activity, that can disrupt the TSH/FT4 relationship. Genetics, Poisonous
substances and radiation exposure, Inflammation of the thyroid gland, Deficiency or excess of iodine in the diet, Pregnancy, Certain
medications – antidepressants, cholesterol lowering drugs, chemotherapy drugs, steroids, Thyroid cancer.
In pregnant females the reference range of TSH differs. Please refer the table below for the same:-

Page 11/13

Orchard Healthcare Pvt. Ltd.

www.orangehealth.in [email protected] +91 9008 11 11 44
2nd floor, #912, GKR Towers, 80 ft road, Koramangala 6th block, Bengaluru 560095
 101251031LB
Nagaraj S Collected : 29/03/2025 11:33 AM Visit ID : BL130152101
28 Year(s)/Male Received : 29/03/2025 01:21 PM Patient ID : OH1301521
Ref. by : - Reported : 29/03/2025 05:21 PM Partner : GS Clinic

Test Results Units Biological Reference

Pregnancy TSH Reference Range (µIU/mL)
1st Trimester 0.100-2.500
2nd Trimester 0.200-3.00
3rd Trimester 0.300-3.00
References:
Indian Journal of Endocrinology and Metabolism 18(5):p 705-707, Sep-Oct 2014.
http://www.pnei-it.com/1/upload/thyrotropin_secretion_patterns_in_health_and_disease.pdf

Deficient: < 20
Vitamin D, 25-Hydroxy 13.8 ng/mL Insufficient: 20-30
MC-6367
Serum,Chemiluminescent Immunoassay Sufficient: 30-100
Toxicity: > 100
Clinical Significance:
For the diagnosis of vitamin D deficiency, it is recommended that there be a clinical correlation with serum 25(OH)vitamin D, calcium,
parathyroid hormone, and alkaline phosphatase.
While monitoring oral vitamin D therapy, serum 25(OH)vitamin D should be tested after 3 months of treatment. However, the required
dosage of vitamin D supplements and time to achieve target vitamin D levels show seasonal and individual variability depending on age,
body fat, sun exposure, physical activity, genetic factors (especially variable vitamin D receptor responses), associated liver or renal
disease, malabsorption syndromes, and calcium or magnesium deficiency influencing the metabolism of vitamin D.

Vitamin B12, Cyanocobalamin <159 pg/mL 239 - 931

MC-6367 Serum,Chemiluminescent Immunoassay
Clinical Significance:
Lower value: Lack of intrinsic factor, total or partial gastrectomy, atrophic gastritis, intrinsic factor antibodies, malabsorption: regional
ileitis, resected bowel, tropical sprue, celiac disease, pancreatic insufficiency, bacterial overgrowth & achlorhydria, loss of ingested
vitamin B12, fish tapeworm, dietary deficiency: vegetarians, congenital disorders: orotic aciduria & transcobalamine deficiency,
increased demand: pregnancy specially last trimester.
Higher value: Chronic renal failure, congestive heart failure, acute & chronic myeloid leukemia, polycythemia vera, carcinomas with
liver metastasis, liver disease, drug induced cholestasis & protein malnutrition
An associated increase in homocysteine levels is an independent risk marker for cardiovascular disease and deep vein thrombosis.
HoloTranscobalamin II levels is a more accurate marker of active Vit B12 component.

Page 12/13

Orchard Healthcare Pvt. Ltd.

www.orangehealth.in [email protected] +91 9008 11 11 44
2nd floor, #912, GKR Towers, 80 ft road, Koramangala 6th block, Bengaluru 560095
 101251031LB
Nagaraj S Collected : 29/03/2025 11:33 AM Visit ID : BL130152101
28 Year(s)/Male Received : 29/03/2025 01:21 PM Patient ID : OH1301521
Ref. by : - Reported : 29/03/2025 05:21 PM Partner : GS Clinic

Test Results Units Biological Reference

Dr. Sayantani Sarkar Dr. Sanchit Singhal Dr. Anushree R

MBBS, MD (Pathology) MBBS, MD (Pathology) MBBS, MD (Pathology)
Pathologist Pathologist Pathologist

CONDITIONS OF LABORATORY TESTING & REPORTING

Tests marked with NABL symbol are accredited by NABL vide certificate no MC-6367
It is presumed that the test sample belongs to the patient named or identified in the test requisition form. Test results released pertain to
the specimen submitted.
Laboratory investigations are only a tool to facilitate arriving at a diagnosis and should be clinically correlated by the Referring Physician.
All tests are performed and reported as per the turnaround time stated in the Orange Health Labs Directory of Services (DOS).
Orange Health Labs confirms that all tests have been performed or assayed with the highest quality standards, clinical safety & technical
integrity.
All test results are dependent on the quality of the sample received by the Laboratory and the assay technology.
Report delivery may be delayed due to unforeseen circumstances. Inconvenience is regretted.
A requested test might not be performed if:
The specimen received is insufficient or inappropriate, or the specimen quality is unsatisfactory
Incorrect specimen type
Request for testing is withdrawn by the ordering doctor or patient
There is a discrepancy between the label on the specimen container and the name on the test requisition form
Test results may show interlaboratory variations.
Test results are not valid for medico-legal purposes.
This is a computer-generated medical diagnostic report that has been validated by an Authorized Medical Practitioner/Doctor. The report
does not need a physical signature.

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Orchard Healthcare Pvt. Ltd.

www.orangehealth.in [email protected] +91 9008 11 11 44
2nd floor, #912, GKR Towers, 80 ft road, Koramangala 6th block, Bengaluru 560095