Ms.
JESIKA YELVE Reference: VID: 112014440000988
global city, virar west Sample Collected At: Registered On:
Tel No : 9029134494 B/307, Avenue L1 Rustomjee, opp. club
one, global city road, virar west-401303 24/10/2023 11:14 PM
PIN No: 401303 Collected On:
PID NO: P112000507327 25/10/2023 09:20 AM
Age: 23.0 Year(s) Sex: Female PROCESSING LOCATION:- Metropolis Reported On:
Healthcare Ltd, Unit No. 409- 416, 4th
Floor, Commercial Building-1, Kohinoor 25/10/2023 03:14 PM
Mall, Mumbai-70
CBC Haemogram
Investigation Observed Value Unit Biological Reference Interval
Erythrocytes
Haemoglobin (Hb) 12.0 gm/dL 12.0-16
Erythrocyte (RBC) Count 4.44 mill/cu.mm 4.2-5.4
PCV (Packed Cell Volume) 37.5 % 37-47
MCV (Mean Corpuscular Volume) 84.5 fL 82-101
MCH (Mean Corpuscular Hb) 26.9 pg 27-34
MCHC (Mean Corpuscular Hb Concn.) 31.9 g/dL 31.5-36
RDW (Red Cell Distribution Width) 13.2 % 11.5-14.0
RBC Morphology
Remark Normochromic Normocytic
Leucocytes
Total Leucocytes (WBC) count 6,400 cells/cu.mm 4300-10300
Absolute Neutrophils Count 3776 /c.mm 2000-7000
Absolute Lymphocyte Count 2112 /c.mm 1000-3000
Absolute Monocyte Count 384 /c.mm 200-1000
Absolute Eosinophil Count 64 /c.mm 20-500
Absolute Basophil Count 64 /c.mm 20-100
Neutrophils 59 % 40-80
Lymphocytes 33 % 20-40
Monocytes 6 % 2.0-10
Eosinophils 1 % 1-6
Basophils 1 % 0-2
Platelets
Platelet count 393 10^3 / µl 140-440
MPV (Mean Platelet Volume) 7.9 fL 7.8-11
PCT ( Platelet crit) 0.309 % 0.2-0.5
PDW (Platelet Distribution Width) 16.1 % 9-17
Note:- Kindly note change in reference ranges.
EDTA Whole Blood-Tests done on Automated Five Part Cell Counter. (RBC and Platelet count by impedance/Hydrodynamic
focusing,WBC and differential by VCS technology/Impedance/Flow cytometry.Rest are calculated parameters).All Abnormal
Haemograms are reviewed confirmed microscopically.Differential count is based on approximately 10,000 cells.
Page 1 of 3 Dr. Talat Khan
MBBS, MD (PATHOLOGY)
Ms. JESIKA YELVE Reference: VID: 112014440000988
global city, virar west Sample Collected At: Registered On:
Tel No : 9029134494 B/307, Avenue L1 Rustomjee, opp. club 24/10/2023 11:14 PM
PIN No: one, global city road, virar west-401303 Collected On:
401303
PID NO: P112000507327 25/10/2023 09:20 AM
Age: 23.0 Year(s) Sex: Female PROCESSING LOCATION:- Metropolis Reported On:
Healthcare Ltd, Unit No. 409- 416, 4th
Floor, Commercial Building-1, Kohinoor 25/10/2023 03:14 PM
Mall, Mumbai-70
Investigation Observed Value Unit Biological Reference Interval
Blood Group ABO & Rh Typing
(EDTA Whole Blood.)
Blood group (ABO typing) O
RhD factor (Rh typing) POSITIVE
Method: Column agglutination technology (CAT) is an automated. System for blood grouping which is superior in sensitivity to
conventional tube method.
Glucose fasting 80 mg/dL Normal: 70-100
(Plasma-F,Hexokinase) Impaired Fasting Glucose(IFG):
100-125
Diabetes mellitus: >= 126
(on more than one occassion)
(American diabetes association
guidelines 2019)
TSH(Ultrasensitive) 1.80 µIU/mL 0.54-5.3
(Serum,ECLIA) First Trimester : 0.33-4.59
Second Trimester : 0.35-4.10
Third trimester : 0.21-3.15
Interpretation :
1. AS per published literature and internal verification studies, TSH values on Cobas by ECLIA method gives higher
values (~30%) than Abbott CMIA. Hence, suggested biological reference intervals for Roche ECLIA is 0.54–5.3 μIU/mL
Reference: Clinical Chemistry 50:12, 2338-2344 (2004) and Ind J Clin Biochem (Apr-June 2014) 29(2):189–195. AACE
(American association of clinical endocrinologist) recommends TSH BRI as 0.45 to 4.5
μIU/mL
2. TSH results between 5.3 to 15 show considerable physiologic & seasonal variation, suggest clinical correlation or
repeat testing with fresh sample
3. TSH results between 0.1 to 0.54 require correlation with patient age & clinical symptoms. As with increasing age, there
are marked changes in thyroid hormone production, metabolism & its actions resulting in an increased prevalence of
subclinical thyroid disease
4. TSH values may be transiently altered because of non thyroidal illness like severe infections,liver disease, renal and
heart failure,severe burns, trauma and surgery etc .
5. Drugs that decrease TSH values e.g:L-dopa,Glucocorticoid Drugs that increase TSH values e.g Iodine,Lithium,Amiodaro
Note :
Patients on Biotin supplement may have interference in some immunoassays. With individuals taking high dose Biotin (more than 5
mg per day) supplements, at least 8-hour wait time before blood draw is recommended.
Ref: Arch Pathol Lab Med—Vol 141, November 2017
Page 2 of 3 Dr. Talat Khan
MBBS, MD (PATHOLOGY)
Ms. JESIKA YELVE Reference: VID: 112014440000988
GLOBAL CITY, VIRAR WEST Sample Collected At: Registered On:
Tel No : 9029134494 B/307, Avenue L1 Rustomjee, opp. club 24/10/2023 11:14 PM
one, global city road, virar west-401303
PIN No: 401303 Collected On:
PID NO: P112000507327 25/10/2023 09:20 AM
Age: 23.0 Year(s) Sex: Female PROCESSING LOCATION:- Metropolis Reported On:
Healthcare Ltd, Unit No. 409- 416, 4th
Floor, Commercial Building-1, Kohinoor 25/10/2023 03:14 PM
Mall, Mumbai-70
Investigation Observed Value Unit Biological Reference Interval
Prolactin 20.5 ng/mL 4.79-23.3
(Serum,ECLIA) First Trimester : 9.95 - 101
Second Trimester : 17.2 - 270
Third Trimester : 67.9 - 419
Note : Change in Method &
Reference range
Interpretation:
Prolactin secretion from pituitary shows significant diurnal, episodic and cyclical variations.
Following is a suggested approach to hyperprolactinaemia in females -
Serum Prolactin levels Interpretation Remark "
4.79 to 23.3 ng/ml Normal Biological Reference Interval "
23.4 to 50 ng/ml Mild prolactin excess Often seen with physiological
conditions like physical/emotional
stress, exercise, pregnancy, lactation,
etc. This may not be associated with
clinical hyperprolactinaemia & needs
review after a month""
51 to 75 ng/ml Moderate prolactin excess Often associated with clinical
hyperprolactinaemia(short luteal
phase,oligomennorrhea),
hypothyroidism (often subclinical),
macroprolactinaemia.""
Above 100 ng/ml Marked prolactin excess Often associated with clinical
hyperprolactinaemia- hypogonadism,
amenorrhea, galactorrhea,
hypothyroidism (often subclinical),
macroprolactinaemia.""
Above 200 ng/ml Marked prolactin excess Often associated with pituitary
adenoma requiring further workup.
High levels may be repeated with
tripooled sample.
References :
1. Diagnosis & Treatment of hyperprolactinaemia. The endocrine society clinical practice guideline, 2011
2. Diagnosis & Management of hyperprolactinemia. Canadian Medical Association CMAJ .Sept.16, 2003;169(6)
-- End of Report --
Page 3 of 3 Dr. Talat Khan
MBBS, MD (PATHOLOGY)
