.
Name : Ms. UMA SHARMA
Lab No. : 189080742 Age : 58 Years
Ref By : BHUVAN CHUGH Gender : Female
Collected : 15/3/2025 2:00:00PM Reported : 16/3/2025 10:39:58AM
A/c Status : P Report Status : Final
Collected at : WELLNESS WAGON PVT LTD Processed at : LPL-NATIONAL REFERENCE LAB
R3-028, M3M URBANA, SECTOR-67, GURGAON National Reference laboratory, Block E,
- 122001 Sector 18, Rohini, New Delhi -110085
Test Report
Test Name Results Units Bio. Ref. Interval
IMMATURE PLATELET FRACTION (IPF)
(Fluorescent Flow cytometry)
IPF 47.40 % 1.00 - 7.00
Platelet Count 162.00 thou/mm3 150.00 - 450.00
Comments
Immature Platelet Fraction (IPF) is indicative of a regenerating bone marrow. This assay is useful in
diagnosing Idiopathic thrombocytopenia (ITP), Thrombotic Thrombocytopenic purpura (TTP), suppressed
bone marrow in Aplastic anemia. It is also used for monitoring therapy in consumptive thrombocytopenia. An
increasing or high IPF is indicative of successful treatment. This assay also helps to monitor patients on
radiotherapy & chemotherapy, stem cell or bone marrow transplants & Dengue patients with low platelet
counts.
Dr Ajay Gupta Dr Sarita Kumari Lal Dr Sunanda
MD, Pathology MD, Pathology MD, Pathology
Technical Director - Hematology & Consultant Pathologist Sr. Consultant Pathologist -
Immunology Dr Lal PathLabs Ltd Hematology & Immunology
NRL - Dr Lal PathLabs Ltd NRL - Dr Lal PathLabs Ltd
*189080742*
Page 1 of 4
.
Name : Ms. UMA SHARMA
Lab No. : 189080742 Age : 58 Years
Ref By : BHUVAN CHUGH Gender : Female
Collected : 15/3/2025 2:00:00PM Reported : 16/3/2025 10:39:58AM
A/c Status : P Report Status : Final
Collected at : WELLNESS WAGON PVT LTD Processed at : LPL-GURGAON
R3-028, M3M URBANA, SECTOR-67, GURGAON - C1/B, Clear View Building Old DLF Colony,
122001 Sector-14 Gurgaon, Haryana-122001
Test Report
Test Name Results Units Bio. Ref. Interval
FOLATE (FOLIC ACID), SERUM 6.17 ng/mL >5.38
(CLIA)
Interpretation
--------------------------------------
|RESULT IN ng/mL |REMARKS |
|----------------|---------------------|
| <3.37 |Deficient |
|----------------|---------------------|
| 3.38-5.38 |Indeterminate |
|----------------|---------------------|
| >5.38 |Normal |
--------------------------------------
Note
1. Drugs like Methotrexate & Leucovorin interfere with folate measurement
2. To differentiate vitamin B12 & folate deficiency, measurement of Methyl malonic acid in urine & serum
Homocysteine level is suggested
3. Risk of toxicity from folic acid is low as it is a water soluble vitamin regularly excreted in urine
Comments
Folate plays an important role in the synthesis of purine & pyrimidines in the body and is important for the
maturation of erythrocytes. It is widely available from plants and to a lesser extent organ meats, but more
than half the folate content of food is lost during cooking. Folate deficiency is commonly prevalent in alcoholic
liver disease, pregnancy and the elderly. It may result from poor intestinal absorption, nutrition deficiency,
excessive demand as in pregnancy or in malignancy and in response to certain drugs like Methotrexate &
anticonvulsants.
Decreased Levels
Megaloblastic anemia, Infantile hyperthyroidism, Alcoholism, Malnutrition, Scurvy, Liver disease, B12
deficiency, dietary amino acid excess, adult Celiac disease, Tropical Sprue, Crohn’s disease, Hemolytic
anemias, Carcinomas, Myelofibrosis, vitamin B6 deficiency, pregnancy, Whipple’s disease, extensive
intestinal resection and severe exfoliative dermatitis .
VITAMIN B12; CYANOCOBALAMIN, SERUM 462.00 pg/mL 211.00 - 911.00
(CLIA)
Notes
1. To differentiate vitamin B12 & folate deficiency, measurement of Methyl malonic acid
& Homocysteine levels in serum is suggested
PatientReportSCSuperPanel.SP_GENERAL_TEMPLATE01_SC (Version: 7)
*189080742*
Page 2 of 4
.
Name : Ms. UMA SHARMA
Lab No. : 189080742 Age : 58 Years
Ref By : BHUVAN CHUGH Gender : Female
Collected : 15/3/2025 2:00:00PM Reported : 16/3/2025 10:39:58AM
A/c Status : P Report Status : Final
Collected at : WELLNESS WAGON PVT LTD Processed at : LPL-GURGAON
R3-028, M3M URBANA, SECTOR-67, GURGAON - C1/B, Clear View Building Old DLF Colony,
122001 Sector-14 Gurgaon, Haryana-122001
Test Report
Test Name Results Units Bio. Ref. Interval
2. The diagnosis of B12 deficiency cannot be solely based on serum B12 levels. Further testing for folic
acid, intrinsic factor blocking antibodies, holotranscobalamin (active B12), homocysteine, and/or
methylmalonic acid is suggested for symptomatic patients with hematological or neurological
abnormalities
3. The concentration of Vitamin B12 obtained with different assay methods cannot be used
interchangeably due to differences in assay methods and reagent specificity
Comments
Vitamin B12 performs many important functions in the body, but the most significant function is to act as
co-enzyme for reducing ribonucleotides to deoxyribonucleotides, a step in the formation of genes. Inadequate
dietary intake is not the commonest cause for cobalamine deficiency. The most common cause is
malabsorption either due to atrophy of gastric mucosa or diseases of terminal ileum. Cobalamine deficiency
leads to Megaloblastic anemia and demyelination of large nerve fibres of spinal cord. Normal body stores are
sufficient to last for 3-6 years. Sources of Vitamin B12 are liver, shellfish, fish, meat, eggs, milk, cheese &
yogurt.
Decreased Levels
· 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
Increased Levels
Chronic renal failure, Congestive heart failure, Acute & Chronic Myeloid Leukemia, Polycythemia vera,
Carcinomas with liver metastasis, Liver disease, Drug induced cholestasis & Protein malnutrition
PatientReportSCSuperPanel.SP_GENERAL_TEMPLATE01_SC (Version: 7)
*189080742*
Page 3 of 4
.
Name : Ms. UMA SHARMA
Lab No. : 189080742 Age : 58 Years
Ref By : BHUVAN CHUGH Gender : Female
Collected : 15/3/2025 2:00:00PM Reported : 16/3/2025 10:39:58AM
A/c Status : P Report Status : Final
Collected at : WELLNESS WAGON PVT LTD Processed at : LPL-GURGAON
R3-028, M3M URBANA, SECTOR-67, GURGAON - C1/B, Clear View Building Old DLF Colony,
122001 Sector-14 Gurgaon, Haryana-122001
Test Report
Test Name Results Units Bio. Ref. Interval
Dr. Nimisha Gupta Dr Rachna Malik
MBBS, MD Pathology MD, Pathology
Chief of Laboratory Consultant Pathologist
Dr Lal PathLabs Ltd Dr Lal PathLabs Ltd
-------------------------------End of report --------------------------------
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HHHHHHHPHPPPHPPHPPHHPPPHPPPPPPPPPPPHHPHPPHHHPHPHHHHHHHPHP
IMPORTANT INSTRUCTIONS
ŸTest results released pertain to the specimen submitted .ŸAll test results are dependent on the quality of the sample received by the Laboratory .
ŸLaboratory investigations are only a tool to facilitate in arriving at a diagnosis and should be clinically correlated by the Referring Physician .ŸReport
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 Courts/Forum
at Delhi shall have exclusive jurisdiction in all disputes /claims concerning the test(s) & or results of test(s).ŸTest results are not valid for medico legal
purposes.ŸThis is computer generated medical diagnostic report that has been validated by Authorized Medical Practitioner /Doctor.ŸThe report does
not need physical signature.
(#) Sample drawn from outside source.
If Test results are alarming or unexpected, client is advised to contact the Customer Care immediately for possible remedial action.
Tel: +91-11-49885050,Fax: - +91-11-2788-2134, E-mail: lalpathlabs@lalpathlabs.com
PatientReportSCSuperPanel.SP_GENERAL_TEMPLATE01_SC (Version: 7)
*189080742*
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