LPL - LPL-ROHINI (NATIONAL
REFERENCE LAB)
SECTOR - 18, BLOCK -E ROHINI
DELHI 110085
  Name            :   DUMMY DUMMY WM68                                            Collected: 21/4/2020 10:26:00AM Received: 21/4/2020
                  :                                                               Report Status : Final
  Lab No.         :   152286760     Age: 25 Years      Gender:Male
  A/c Status          P             Ref By :   SELF
Test Name                                                 Results                 Units                   Bio. Ref.
Interval Fever Advance Package
TYPHI DOT/ SALMONELLA TYPHI IgM                           Negative
(ICT)
Note
    1.    Low titre of IgM antibodies to S.typhi may persist for about 4 months post infection in endemic areas
    2.    All results to be clinically correlated
Comment
Accurate diagnosis of Typhoid fever at an early stage is not only important for etiological diagnosis, but also to
identify and treat potential carriers and prevent acute typhoid fever outbreaks. The conventional Widal test
detects antibodies to S.typhi in patient serum from the second week of onset of symptoms whereas early
rising antibodies predominantly IgM in nature detected by this assay serve as a marker for recent infection.
Detectable IgM response
|Onset of fever | Percent positive |
|----------------|------------------|
| 4-6 days       | 43.5             |
|----------------|------------------|
| 6-9 days       | 92.9             |
|----------------|------------------|
| >9 days        | 99.5             |
DENGUE FEVER ANTIGEN, NS1, EIA, SERUM                     1.00                    Index                   <0.90
(ELISA)
 Interpretation
 |RESULT IN INDEX | REMARKS
 |----------------|-------------------------------------------------------------------------------
 | Negative       |No detectable Dengue NS1 antigen.The Result does not rule out Dengue infection.
 | (<0.90)        |An additional sample should be tested for IgG & IgM serology in 7-14 days.
 |----------------|-------------------------------------------------------------------------------
 | Equivocal      |Repeat sample after 1 week
 | (0.90 - 1.10) |
 |----------------|-------------------------------------------------------------------------------
 | Positive       |Presence of detectable dengue NS1 antigen. Dengue IgG & IgM serology assay
 | (>1.10)        |should be performed on follow up samples after 5-7 days of onset of fever,to
 |                |confirm dengue infection.
 Note: Recommended test is NS1 Antigen by ELISA in the first 5 days of fever. After 7-10 days of fever, the
                                                                                                               Page 1
LPL - LPL-ROHINI (NATIONAL
REFERENCE LAB)
SECTOR - 18, BLOCK -E ROHINI
DELHI 110085
  Name          :   DUMMY DUMMY WM68                                               Collected: 21/4/2020 10:26:00AM Received: 21/4/2020
                :                                                                  Report Status : Final
  Lab No.       :   152286760      Age: 25 Years        Gender:Male
  A/c Status        P              Ref By :   SELF
Test Name                                                  Results                  Units                   Bio. Ref. Interval
 recommended test is Dengue fever antibodies IgG & IgM by ELISA
 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
C-REACTIVE PROTEIN; CRP, SERUM                             0.50                     mg/L                    <5.00
(Immunoturbidimetry)
 Comments
 CRP is an acute phase reactant which is used in inflammatory disorders for monitoring course and effect of
 therapy. It is most useful as an indicator of activity in Rheumatoid arthritis, Rheumatic fever, tissue injury or
 necrosis and infections. As compared to ESR, CRP shows an earlier rise in inflammatory disorders which
 begins in 4-6 hrs, the intensity of the rise being higher than ESR and the recovery being earlier than ESR.
 Unlike ESR, CRP levels are not influenced by hematologic conditions like Anemia, Polycythemia etc.
CHIKUNGUNYA VIRUS ANTIBODY, IgM                            Negative
(ICT)
Note:    1. Negative result does not exclude the possibility of exposure to Chikungunya virus
         2. False negative results are seen if IgM antibody is below the detectable limit or is absent
            during the stage of the disease in which specimen has been collected.
         3. All results to be clinically correlated
         4. Test conducted on serum
Comments
Chikungunya is a viral infection transmitted by the bite of an infected Aedes aegypti mosquito. Symptoms are
very similar to those of Dengue fever, but unlike Dengue there is no hemorrhagic or shock syndrome. The disease
is characterized by rash, fever and severe joint pain (arthralgia). Laboratory diagnosis is critical to establish the
cause and initiate specific public health response.
WIDAL TEST, SERUM
(Slide Agglutination)
Salmonella typhi O (TO)                                    Non Reactive
                                                                                                                Page 2
LPL - LPL-ROHINI (NATIONAL
REFERENCE LAB)
SECTOR - 18, BLOCK -E ROHINI
DELHI 110085
  Name         :    DUMMY DUMMY WM68                                              Collected: 21/4/2020 10:26:00AM Received: 21/4/2020
               :                                                                  Report Status : Final
  Lab No.      :   152286760       Age: 25 Years       Gender:Male
  A/c Status       P               Ref By :   SELF
Test Name                                                 Results                 Units                    Bio. Ref. Interval
Salmonella typhi H (TH)                                  Non Reactive
Salmonella paratyphi A, H (AH)                           Non Reactive
Salmonella paratyphi B, H (BH)                           Non Reactive
Note:    1. Titres 1:80 and above of “O” antigen & 1:160 and above of “H” antigen are significant
         2. Rising titres are significant
         3. The recommended Widal test is by Tube Agglutination Method
Comments
This test measures somatic O and flagellar H antibodies against Typhoid and Paratyphoid bacilli. The
agglutinins usually appear at the end of the first week of infection and increase steadily till third / fourth
week after which the decline starts. A positive Widal test may occur because of typhoid vaccination or
previous typhoid infection and in certain autoimmune diseases. Non specific febrile disease may cause
this titre to increase (anamnestic reaction). The test may be falsely negative in cases of Enteric fever
treated with antibiotics in the early stages. The recommended test specially in the first week after infection
is Blood Culture.
                                                                                                                 Page 3
LPL - LPL-ROHINI (NATIONAL
REFERENCE LAB)
SECTOR - 18, BLOCK -E ROHINI
DELHI 110085
  Name         :DUMMY DUMMY WM68                                               Collected: 21/4/2020 10:26:00AM Received: 21/4/2020
                                                                               Report Status : Final
  Lab No.      :   152286760   Age: 25 Years         Gender:Male
               :
  A/c Status       P           Ref By :SELF
Test Name                                             Results                  Units                   Bio. Ref. Interval
BLOOD PICTURE; PERIPHERAL BLOOD
SMEAR EXAMINATION                                         RBCs are normocytic normochromic,
(Microscopy)                                              WBCs are normal in number and morphology,
                                                          Platelets are adequate,
                                                          No abnormal cells/hemoparasite seen,
                                                          Imp: Normal Blood picture.
MALARIA PARASITE / BLOOD
                                                      No MP seen in smears
PARASITE IDENTIFICATION
                                                      examined.
(Microscopy)
Note: A Single negative smear does not rule out malaria
                                                                                                           Page 4
LPL - LPL-ROHINI (NATIONAL
REFERENCE LAB)
SECTOR - 18, BLOCK -E ROHINI
DELHI 110085
  Name           :DUMMY DUMMY WM68                                  Collected: 21/4/2020 10:26:00AM Received: 21/4/2020
                                                                    Report Status : Final
  Lab No.        :   152286760      Age: 25 Years     Gender:Male
                 :
  A/c Status         P              Ref By :   SELF
Test Name                                               Results          Units                Bio. Ref. Interval
HEMOGRAM
Hemoglobin                                              14.50            g/dL                  13.00 - 17.00
(Photometry)
Packed Cell Volume (PCV)                                42.00            %                     40.00 - 50.00
(Calculated)
RBC Count                                               5.00             mill/mm3              4.50 - 5.50
(Electrical Impedence)
MCV                                                     95.00            fL                    80.00 - 100.00
(Electrical Impedence)
MCH                                                     30.00            pg                    27.00 - 32.00
(Calculated)
MCHC                                                    32.00            g/dL                  32.00 - 35.00
(Calculated)
Red Cell Distribution Width (RDW)                       14.50            %                     11.50 - 14.50
(Electrical Impedence)
Total Leukocyte Count (TLC)                             7.50             thou/mm3              4.00 - 10.00
(Electrical Impedence)
Differential Leucocyte Count (DLC)
(VCS Technology)
 Segmented Neutrophils                                  60.00            %                     40.00 - 80.00
 Lymphocytes                                            30.00            %                     20.00 - 40.00
 Monocytes                                              5.00             %                     2.00 - 10.00
 Eosinophils                                            4.00             %                     1.00 - 6.00
 Basophils                                              1.00             %                     <2.00
Absolute Leucocyte Count
(Calculated)
 Neutrophils                                            4.50             thou/mm3              2.00 - 7.00
 Lymphocytes                                            2.25             thou/mm3              1.00 - 3.00
 Monocytes                                              0.38             thou/mm3              0.20 - 1.00
 Eosinophils                                            0.30             thou/mm3              0.02 - 0.50
 Basophils                                              0.08             thou/mm3              0.01 - 0.10
Platelet Count                                          300.0            thou/mm3              150.00 - 450.00
(Electrical impedence)
                                                                                                Page 5
LPL - LPL-ROHINI (NATIONAL
REFERENCE LAB)
SECTOR - 18, BLOCK -E ROHINI
DELHI 110085
  Name         :DUMMY DUMMY WM68                                                Collected: 21/4/2020 10:26:00AM Received: 21/4/2020
                                                                                Report Status : Final
  Lab No.      :   152286760     Age: 25 Years         Gender:Male
               :
  A/c Status       P             Ref By :   SELF
Test Name                                                 Results                     Units                 Bio. Ref. Interval
Mean Platelet Volume (MPV)                                12.00                       fL                    6.50 - 12.00
(Electrical Impedence)
ESR                                                       8                           mm/hr                 0 - 15
(Capillary photometry)
Note
1. As per the recommendation of International council for Standardization in Hematology, the differential
  leucocyte counts are additionally being reported as absolute numbers of each cell in per unit volume
  of blood
2. Test conducted on EDTA whole blood
                                                                                                             Page 6
LPL - LPL-ROHINI (NATIONAL
REFERENCE LAB)
SECTOR - 18, BLOCK -E ROHINI
DELHI 110085
  Name               :      DUMMY DUMMY WM68                                                                       Collected: 21/4/2020 10:26:00AM Received: 21/4/2020
                     :                                                                                             Report Status : Final
  Lab No.            :      152286760       Age: 25 Years                        Gender:Male
  A/c Status                P               Ref By : SELF
Test Name                                                                          Results                                     Units               Bio. Ref. Interval
  CULTURE AEROBIC BLOOD, RAPID
 Second
 (Rapid Automated
         interim report
                    Aerobic culture, Identification & Sensitivity)
 Type of Specimen : No Aerobic pyogenic organism grown after 48 hrs incubation at 37°C.
 First interim report
                                No Aerobic pyogenic organism grown after 24 hrs incubation at 37°C.
  Final report
                    No Aerobic pyogenic organism grown after 5 days incubation at 37°C.
Dr.Kamal Modi
                                          Dr Anand Chandrasekaran Annan               Dr Himangshu Mazumdar                      Dr Ritu Nayar
MD, Biochemistry
                                          MD (American Board of Pathology)            MD, Biochemistry                           MD, Microbiology
Consultant Biochemist
                                          PhD (Molecular & Cellular Pathology)        Senior Consultant - Clinical Chemistry     Deputy HOD - Microbiology & Serology
NRL - Dr Lal PathLabs Ltd
                                          HOD - Oncopathology                         & Biochemical Genetics                     NRL - Dr Lal PathLabs Ltd
                                                                                      NRL - Dr Lal PathLabs Ltd
Dr Nimmi Kansal                                                                                                                  Dr Parul Chopra
                                          Dr Shalabh Malik                            Dr Anil Arora
MD, Biochemistry                                                                                                                 MD, Laboratory Medicine
                                          MD, Microbiology                            MD, Pathology
National Head - Clinical Chemistry &                                                                                             Consultant
                                          National Head - Microbiology &              HOD Hematology &
Biochemical Genetics                                                                                                             NRL - Dr Lal PathLabs Ltd
                                          Serology                                    Immunohematology
NRL - Dr Lal PathLabs Ltd
                                          NRL - Dr Lal PathLabs Ltd                   NRL - Dr Lal PathLabs Ltd
Dr Sunanda
MD, Pathology
Consultant
NRL - Dr Lal PathLabs Ltd
                                                                                                                                                       Page 7
LPL - LPL-ROHINI (NATIONAL
REFERENCE LAB)
SECTOR - 18, BLOCK -E ROHINI
DELHI 110085
  Name              :    DUMMY DUMMY WM68                                                                              Collected: 21/4/2020 10:26:00AM Received: 21/4/2020
                    :                                                                                                  Report Status : Final
  Lab No.           :   152286760             Age: 25 Years                    Gender:Male
  A/c Status            P                     Ref By : SELF
Test Name                                                                          Results                                            Units                       Bio. Ref. Interval
                                        -------------------------------End of report --------------------------------
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                                                                               INSTRUCTIONS
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                                                                                                                                                                        Page 8