.
Name : Ms. NISHEE GUPTA
Lab No. : 487213924 Age : 25 Years
Ref By : DR RENU MAHINDRU Gender : Female
Collected : 13/7/2025 10:50:00AM Reported : 13/7/2025 5:41:48PM
A/c Status : P Report Status : Final
Collected at : FPSC ADHYAPAK NAGAR Processed at : LPL-NATIONAL REFERENCE LAB
A-4, GROUND FLOOR, NAJAFGARH National Reference laboratory, Block E,
ROAD,ADHYAPAK NAGAR,OPP. BKD Sector 18, Rohini, New Delhi -110085
NAJAFGARG ROAD,NANGLOI,NEW DELHI,WEST
DELHI110041DEL ,IND
NEW DELHI
Test Report
Test Name Results Units Bio. Ref. Interval
BILE ACIDS TOTAL, SERUM 10.80 µmol/L <19.00
(Enzymatic)
Note
1. Normal values for serum bile acids and transaminases may occasionally be seen, women with
persisting pruritus and normal bile acids / ALT should have repeat tests every 1-2 weeks
2. Results should be interpreted with caution in Ursodeoxycholic acid (UDCA) treated patient as UDCA
itself is a bile acid and may get measured by this assay
3. For patients treated with UDCA - LCMS/MS is recommended method for monitoring response to
treatment
Comments
Total bile acids are metabolized in the liver and can serve as a marker for normal liver function. Increases in
serum bile acids are seen in patients with Acute Hepatitis, Chronic Hepatitis, Liver Sclerosis, Liver Cancer,
and Intrahepatic Cholestasis of Pregnancy (ICP). ICP can lead to increased risk of fetal distress, preterm
delivery and even still birth. Itching of normal skin, liver dysfunction and elevated bile acid concentrations are
non-specific and have a wide range of causes. A healthcare professional should carry out a structured
history and examination, and consider other potential diagnoses: these may be pregnancy specific (including
pre-eclampsia) or coincidental to the pregnancy.
*487213924* Page 1 of 3
.
Name : Ms. NISHEE GUPTA
Lab No. : 487213924 Age : 25 Years
Ref By : DR RENU MAHINDRU Gender : Female
Collected : 13/7/2025 10:50:00AM Reported : 13/7/2025 5:41:48PM
A/c Status : P Report Status : Final
Collected at : FPSC ADHYAPAK NAGAR Processed at : LPL-NATIONAL REFERENCE LAB
A-4, GROUND FLOOR, NAJAFGARH National Reference laboratory, Block E,
ROAD,ADHYAPAK NAGAR,OPP. BKD Sector 18, Rohini, New Delhi -110085
NAJAFGARG ROAD,NANGLOI,NEW DELHI,WEST
DELHI110041DEL ,IND
NEW DELHI
Test Report
Test Name Results Units Bio. Ref. Interval
LIVER PANEL 1; LFT,SERUM
AST (SGOT) 74.0 U/L 13.00 - 35.00
(IFCC without P5P)
ALT (SGPT) 115.0 U/L 10.00 - 49.00
(IFCC without P5P)
AST:ALT Ratio 0.64 <1.00
(Calculated)
GGTP 10.0 U/L 0 - 38
(IFCC,L-y-glutamyl-3-carboxy-4-nitroanilide)
Alkaline Phosphatase (ALP) 275.00 U/L 30.00 - 120.00
(IFCC-AMP)
Bilirubin Total 0.53 mg/dL 0.30 - 1.20
(Oxidation)
Bilirubin Direct 0.13 mg/dL <0.3
(Oxidation)
Bilirubin Indirect 0.40 mg/dL <1.10
(Calculated)
Total Protein 7.00 g/dL 5.70 - 8.20
(Biuret)
Albumin 3.90 g/dL 3.20 - 4.80
(BCG)
Globulin(Calculated) 3.10 gm/dL 2.0 - 3.5
A : G Ratio 1.26 0.90 - 2.00
(Calculated)
Note
1. In an asymptomatic patient, Non alcoholic fatty liver disease (NAFLD) is the most common cause of
increased AST, ALT levels. NAFLD is considered as hepatic manifestation of metabolic syndrome.
2. In most type of liver disease, ALT activity is higher than that of AST; exception may be seen in Alcoholic
Hepatitis, Hepatic Cirrhosis, and Liver neoplasia. In a patient with Chronic liver disease, AST:ALT
ratio>1 is highly suggestive of advanced liver fibrosis.
3. In known cases of Chronic Liver disease due to Viral Hepatitis B & C, Alcoholic liver disease or NAFLD,
Enhanced liver fibrosis (ELF) test may be used to evaluate liver fibrosis.
4. In a patient with Chronic Liver disease, AFP and Des-gamma carboxyprothrombin (DCP)/PIVKA II can
be used to assess risk for development of Hepatocellular Carcinoma.
*487213924* Page 2 of 3
.
Name : Ms. NISHEE GUPTA
Lab No. : 487213924 Age : 25 Years
Ref By : DR RENU MAHINDRU Gender : Female
Collected : 13/7/2025 10:50:00AM Reported : 13/7/2025 5:41:48PM
A/c Status : P Report Status : Final
Collected at : FPSC ADHYAPAK NAGAR Processed at : LPL-NATIONAL REFERENCE LAB
A-4, GROUND FLOOR, NAJAFGARH National Reference laboratory, Block E,
ROAD,ADHYAPAK NAGAR,OPP. BKD Sector 18, Rohini, New Delhi -110085
NAJAFGARG ROAD,NANGLOI,NEW DELHI,WEST
DELHI110041DEL ,IND
NEW DELHI
Test Report
Test Name Results Units Bio. Ref. Interval
Dr Anjalika Goyal Dr Himangshu Mazumdar Dr Nimmi Kansal Dr.Richa Sirohi
MD,Biochemistry MD, Biochemistry MD, Biochemistry MD, Biochemistry
Consultant Biochemist Sr. Consultant Biochemist Technical Director - Clinical Chemistry Senior Consultant Biochemist
NRL - Dr Lal PathLabs Ltd NRL - Dr Lal PathLabs Ltd & Biochemical Genetics NRL - Dr Lal PathLabs Ltd
NRL - Dr Lal PathLabs Ltd
-------------------------------End of report --------------------------------
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delivery may be delayed due to unforeseen circumstances. Inconvenience is regretted .ŸCertain tests may require further testing at additional cost
for derivation of exact value. Kindly submit request within 72 hours post reporting.ŸTest results may show interlaboratory variations .ŸThe
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Tel: +91-11-49885050,Fax: - +91-11-2788-2134, E-mail: [email protected]
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*487213924* Page 3 of 3
