nwda.gov.

in

{Only fo. use of NWDA Hqri ernproyeei)

TIMBURSEMTN T CI-AIM TORM

(To be filled up try the employee in BLOCK LITTERS)

1. (a) Name of the Employee Ar.vin

(b) Designation Lbc-
(c) Basic PaylPay Level {slosl-
(d)Employee code No osro
(elFullAddress
bh*n.A KHuls/ 'Hisl+f' e uqNrtp9
{flMobile telephone No. and e-mail address, if any

2. (a) Pati€nt's Name te/.-P

<l
(b) Relationship v,/ith the employee

3. Name & address of the hospital /diagnostic center/

lmaging center wher€ treatment is taken or tests done 'Aqrthq
1vp &tfiQrgE
CNetst\P-(hl/
4. Whetherthe hospital/diagnostic/imaging center
empaneled under cGHS
v."
Yes/No

5. Treatment for which reimbursement claimed

{a) OPD Treatment/Test & investigations
L,&flndoor Treatment

5. Whether treatment was taken in emergency .6

7. Whetherprior permission was taken for the treatment : ves/fi/
8. Whether subscribinB to any heath/medical insurance Yes/6-
scheme, lf yes, amount claimed received

9. Details of Medical Ad'/ance taken, if any

^/.
10. Total amount claimed
(a) OPD Treatment

\,(bflndoor Treatment
(c) Test/lnvestlgation
8t+scf-,

DECTARATION

I hereby declare that the statements made in the application are true to the best of my knowledge and belief
and the person for whom tnedical expenses were incurred is wholly dependent on me.

oater.-N,erhJ:

Pla ce
( o2-oS'2 {) lv*tr*
Signalure of the tmployee
 CERTIFICATE'B'

(fo be completed in the case ofpatient who are admitted to hospital for treatment)

Certifi cate granted to'\d;..; rralss......Af.Yj.

Wife/ SbiTDaughter of ur.... Dtr.^ura,rfx*-R..
Employed in the

PART'A'

( To be signed by the Medical Oficer Incharge of the.

..........:......... ,,............Case ofthe Hospital)
t. or...Slan.Tay...P*arvrnr,.,.Nilrrlnr<x.... ..................hereby certi! :-
(a) that the patient was admitted to hospital on the advice of..D-C*.. S^ frS^yt. .fuhadrr.r-........
.

.....H1.rs 1..,,v:r (name olthe medical officer) on my advice.

(b) that the patient has been under treatment ar ......64.f#ln*.....h-c{>.i+:r<( and
that the under mentioned medicines prescribed by me in this connection were essential for the
recovery/prevention of serious deterioration in the condition of the patient. The medicines are not
stocked in tt
"
....Aes[+.q..ho.tt i (name of the hospital) for supply to
private patient and do not include proprietary preparation for which cheaper substance of equal
therapeutics value are available nor preparation which are primarily foods, toilets or disinfectants.

Name oJ'medicine Price

I
)

FW
3

6 Bt.
(c) that the injection administered were/were not for immunising of prophylactic purposes.
(d)thatthepatientis/wassufferingrroaA.(L..?.Lk.L.?....-+....9p-.S...1..6.cot".c.t
-+.'..A.getUA.,OD:v,J.-
and is /was under treatmenr fio, .Q?"u-.o:f-..1e.3.-S....c-/c.-..6;.tS..6t:il.......
"....fr6.I.o.u[.:.r-s....e.*...$.].1..h.9.F.)
 (e) that the x-Ray, Laboratory tests, etc., for which an expenditure of Rs...&Jl...A.y.fz'-qk"-t ,

-rl was incurred were necessary and were undertaken on my advice at.
(name ofhospital or laboratory).

Special; consultations and that the necessary approval ofthe

(name ofthe Chief Administrative Medical Officer ofthe state) as required the rules, was obtained.

4n-r.1.N.\il'7....
Signature a'nd Designatibn of the Medical OJficer

Dj$$hvfii,',nx*rftsrtrA'
otvtc-zzzto
PART'B'
I certiry that the patient has been under treatment at the....AASh+S...hq\€i.,|lig
hospital and that the service of the special nurses for which an expenditure of Rs
,.................wzts incurred, vide bills and receipts aftached, were essential for the recovery/ prevention
ofserious deterioration in the condi fthe patient.

{*in It} w*w,-*..

Sign6ture'ofthe I\,ledical Oflicer
lncharge ofthe case at the Hospital
, Nsw Mahavir Nagar
New tlelhi-1100'l 8
ttBt--ffi]fiEtsffi'lE''l*
.Aasth. ..Hospital DMC-27210

Essentially Certificates,

I certify that patienr has been under treatment at the ..AgtS,l:'!aS.... .1O."#,
Hospital and that the facilities provided were the minimum which were essential for patient's treatment

rcr?^t
h ffiiar
h D.Di-llOtt
Prace.....!S0.LJ... s*1+s.....H.e. uk t.lv* Hospital
#aastha
rHospital IVF
C/.lrE lS cULTURE NAEH
TIUIII SPECIAIITY HOSPITAL
L +91 9250913363 L +91 8010008282

CLAIM ID....

PANEL NAME Ax.vlrn.

CARD HOLDERNAIVIE

CARD NO

ru osr Le N o...3.Y,e.6...e-.o.?3.L.s....
RooM No ..........G.E r.=.q?--

AADHAR r,ro ....S)- p-\ 3.6.11.3 Rl.

LETTER |SSUEDATE:- )1 /o\1202s

EMERGENCY CERTIFICATE
This is to certify that ffilrrtrs./tttts.......A.fx.i.

fl6,*rc, rto R.:..D age..3 o Years

fi{e / f em al e Wa s a d m itt ed w it h co m p I a i nts of .. H. r.

6l+ Crrrr\+: fxa,s}.-.e \ w
ysl...AU*a..I-So.g...q...Nr*+:,*.1^rira6. ..UUr.-gra...*tv"nrf.r5Cr-iega

.....t.S;4"er..an.0 "tt-t u*
ln Emergency at our hospital With tpD NO)€X.lXCUn.....>.tl.en[:.ot"S.......

ti me..06 :.S stu\, nder Or.9 ngn6..b+,r.mr,,lr.r e She is diagnosed as case of

....Af.ts..f.u..R.f.?.t..h4..:n-.rvqp...e.;s.lrr*ra.?....r}:an.ctrn"*{,..A sfuhqrr... f,
.l va*os

.6ew{'

[^''i1'{$"
e

ffnE{:m$frg$tlc""^ endent

O L-2l50, New Mahavir Nagar, +91 7303280666 I aasthahospilalnd@gmail.com

#rt
€)
Opp. Kangra Niketan Outer, +91 7303280777 aasthahospital200S@gmail.com
Ring Road, New Oelhi- 110018 +91 1145009230 O wwwaasthahospitalivtcentre.com
JRastha
rHospital IVF
CA,IE IS CULTURE NABH
tlULTl SPECIAIITY HOSPIT I
L +91 9250913363 I +91 8010008282

Patient Reg. No: 7025 t 19091 IPD No. : 2025 t 9663

Patient Name : MT.ARVIN Mobile No. : 9466007925
Mfe/o : Mr. DTIARA/PAL D.O.A/Time: 2l-04-2025 06:55 AM
Gender/Age: M/30 Y D.O.D/Time: 26-04-2025 0'l:30 PM
Assign Doctor : DT. SANJAY KUI'AAR MISHRA Doctor lncharge : DR. SANJAY KUMAR MISHA
Address: DHANA KHURD,
DHANA (128) HTSAR
HARYANA.125O33

Diagnosis : AFI WITH LRTI WITH RESPIRATORY DISTRESS ?BRONCHAIL ASTHI A WITH VIT D3 DEFICIENCY

Chief Complaints : 1 .High grade fever a/w chills and regors

2. SOB, Breathing diocutty
3. Vomiting 2-3 episodes
4.dyspnea on exertion

5.cold and cough with occasional sputum production

6.Bodyache
T.Generalised weakness

H/O Presenting illness : Patient taken treatment from other doctor in OPD basis but have no retief and symptoms
worsened then admitted for further management.

Vitals:
Pu lse: /r,tin Chest BP:mm/Hg cvs Tempi F cNs
64/min B/L AE+ with occ 146/90 mmHg s/s2 N 101.2.f coNsctous
creaPB+

R/R Saturation
5OFT, EPIGASTRIC TENDERNESS * 22/min ao%

Past History: NA

General Examination: TOXIC LOOK . DEHYDRATION ++

Course in Hospital : Pt was admitted with above mentioned complaints, started on lV fluids and lnjectabte /orat
medications, att retevant investigation performed, confirming final diagnosis, managed on conservative line and now
being discharged on medicines.

Treatment Given: lV fluids, Oxygen Support , lnj Esomeprazole, lnj Emeset, inj vit, inj oftox, inj pcm, in, targocid,
inj todaycef, syp atkasot, inj metrogyt, tab azipath, , RBS Charting, Physiotherapy and other supportive care

Condition at the time of Discharge : satisfactory/ maintains vitats without support.

accepting normat diet.

001E

O L-2l50, New Mahavir Nagar, o +91 7303280666 O aasthahospitalnd@gmail.com

Opp. Kangra Niketan Outer, +91 7303280777 aasthahospital200S@gmail.com
Ring Road, New Delhi- 1 10018 +91 1't45009230 O wwwaasthahospitalivfcentae.com ?1,D
92509tJ363
#aastha
rHospital IVF
cARE tS CULTURE NABH
BUL'I SPEolUtY HOSP|T t

I +91 9250913363 \ +91 8010008282

Patient Reg. No: 2025 / 19091 IPD No. : 2025 t9663

Patient Name : MT.ARVIN Mobile No. : 9466N7925
Wife/o : Mr- DIIARIIPAL D.O.A/Time: 21-04-2025 06:55 AM
Gender/Age: M/]O Y D.O.D/Time: 26-04-2025 01:30 PM
Assign Doctor : DT. SANJAY KUMAR MISHRA Doctor Incharge : DR, SANJAY KUMAR MISHA
Address: DHANA KHURD,
DHANA (12E) HISAR
HARYANA.125O33

Medicine Prescribed:
Type Salt Brand Dose Duration (Days) Frequency

ACOC EF TA8 5OO MG 5 TWICE A DAY AFTER MEALS

FURTHER.DSR TAB 5 TWICE A DAY BEFORE MEALS

LEVOTIZ M TAB 15 ONCE A DAY AFTER MEALS

BUDECORT RESPULE lMG 3 TWICE A DAY

DUOLIN RESPULE 1MG 3 TWICE A OAY 12 AN 12 MN

RAPID TAB 650 MG SOS IF FEVER

VILOA6ARD,M TAB 50/500 TWICE A DAY

TELMA.CT TAB ONCE A DAY

SHELCAL CT TAB TWICE A OAY

MATILDA.FORTE TAB ONCE A DAY

UPRISE 03 CAP 60K ONCE A WEEK

Review after 3 days

I have received att mylmy patient's documents

And I am satisfied with the treatment provided by Aastha Hospitat

PREVENTIVE MEASURES:
Normat Diet/no junk food/avoid sour,chitty.

WHEN TO OBTAIN EMERGENCY CARE

Breathing diocutty/Low oxygen saturation/Low urine output.

ln case Emergency , Ptease contact Hetptine NO. 9250913363

&ia\'H,**^^*,*
DI. SANJAY KUMAR MISHRA
MBBS, MD. MEDICINE
* * DMC-27210
t'l*6n

fr3
O L-2l50, New Mahavir Nagar, O +9'1 7303280666 O aasthahospitalnd@gmail.com
Opp. Kangra Niketan Outer, +91 7303280777 aasthahospital200S@gmail.com
Ring Road, New Delhi- 1100'18 +91 1145009230 @ wr|vi,aasthahospitalivfcentre.com
 #Rastha
rHospital IVF
c Alj: ls cULTURE NABH
IIUTTI SPECIATITY HOSPITAI

! +91 9250913363 L +9't 8010008282

Patient Name MR ARVIN 30Y/M Bill No. 9863 Bill Date 26/04/2s
Guardian Name MR DHARM PAL UHID No. 79O9U25 Adm Dt. & Time 2t/04/25 06:55
Address
R/O DHANA KHURD TEH,HANSI DISTT,HISAR IPD No. 9663 Dis Dt. & Time 26104125 13:3C
HARYANA-125033 Room No. GW-02 No Of Days 5
Mobile No. 946600792s Patient Status IM PROVED
Consultant Name DR SANJAY KUMAR MISHRA
Organisation CGHS CASH

FINAL BILL
s. No. DESCRIPTION AMOUNT
1 TREATMENT PROCEDURE ICU /ccu PRocEDURES 4176.O0
2 MEDICAL SU PERVISION 3850.00
3 LAB & INVESTIGATION 3575.00
4 MEDICINE & CONSUMABTES 64251.00
5 RAOIOTOGY CHARGES
875.00
6 PHYSIOTHERAPY CHARGES
348.00
Gross Amount 81785.00
Net Amount 81785.00
Payment Done 81785.00

Nel Amt. EIGHTY Ot\E THOUSANO SEVEN HUNORED EIGHTY FIVE ONTY
Balance, EIGHTY OI\E THOUSAND SEVEN HUNDR€D EIGHTY FIVE ONtY Balance 0.00

Name & Signature of patient / Attendant atory

Mobire No.qsia 6. CIs.?$Ls.......

O L-2l50, New Mahavir Nagar, O +9t 7303280666 O aasthahospitalnd@gmail.com

Opp. Kangra Niketan Outer,
Ring Road, New Delhi- 110018
+91 7303250777
+91 1145009230 O
aasthahospital2008@gmail.com
wwwaashahospitalivlcenlre,com fri3
c450913t63
 J}aastha
rHospital IVF
C AT3E IS CULTURE NABH
ULTI SPECIALITY HOSPITAL

! +91 9250913363 L +91 8010008282

Patient Name MR ARVIN 30Y/M Bill No 9863 Bill Date 26/04/2s

Guardian Name MR DHARMPAL UHID No. 19097/2s Adm Dt. & Time 21/04/2s 06:5:
R/O DHANA KHURD TEH,HANSI DISTT,HISAR IPD No. 9663 Dis Dt. & Time 26/04/25 13:3
Addres5
HARYANA-125033 Room No. GW-02 No Of Oays 5
Mobile No 9466007925 Patient Status IM PROVED
Consultant Name DR SANJAY KUMAR MISHRA
ni5ation CGHS CASH

BILt BREAKUP
s. No. DATE DESCRIPTION CODE UNIT RATE AMOUNT

1 21/04/2s
TRTATMENT PROCEDURE ICU/CCU PROCEDURES
6ENERAL ROOM CHARGF
L- cP0r.8c 1 1500.00 1500
2 21/04/2s OXYGEN CHARGES MDOO2A L2 58.00 696.0
3 22/04/2s GENERAL ROOM CHARGE cP018C 1 1500.00 1500.0
4 22/04/25 OXYGEN CHARGES MDOO2A 6 s8.00 348.0(
5 23/04/2s G€NERAL ROOM CHARGE cP018C 1 1500 1500
6 23/04/2s OXYGEN CHARGES MDOO2A 4 58.0 232.0(
7 24/04/25 GENERAL ROOM CHARGF cP018C 1 1s00.00 1500.0(
8 2s/04/2s GENERAL ROOM CHARGE cP018C 1 1500.00 1500
TREATMENT PROCEDUR€ ICU/CCU PROCEDURES 877 6.
MEDICAI. SUPERVISION -_l
I 21/04/2s DR VISII CHARGES ( OR. SAN.IAY XUMAR MISHRA
cP001A 350.00
) 2 700.0
10 22104/2s DR VISIT CHARGES ( DR, SANJAY KUMAR MISHRA ) cP001A 2 350.0 700.0(
11 23104/2s DR VISIT CHARGES DR, SAN,iAY KUMAR M ISHRA ) cP001A 2 3s0.00 700
t2 24/04/2s OR VISIT CHARGES (DR. SANJAY KUMAR MISHRA cP001A
) 2 350.00 700
13 25/04/2s DR VISIT CHARGES ( DR, SANJAY I(UMAR MISHRA
cP00la
) 2 350.00 700.0
14 26/04/2s DR VISIT CHARGES ( DR, SAN.]AY KUMAR MISHRA
cP001A
) 1 350.00 3s0.0
MTDICAL SUPERVISION 385
RAOIOI-OGY CHARGES
15 21/04/2s X Ray Chest PA /APl Obl ue view (one film) rG003A 1 195.0 195
16 27104/2s USG Whole Abdomen or (UB includi st'void residual rF002A 680.00 580
RADIOI.OGY CHARGEs 87s.
CONTINUE IN NEXT PAGE

DELHI

O L-2l50, New Mahavir Nagar, o +91 7303280666 -J aasthahospital nd@gmai l.com

Opp. Kangra Niketan Outec
Ring Road, New Delhi- 110018
+91 73032A0777
+91 1145009230
aasthahospital200S@gmail.com
@ www.aasthahospitalivfcentre.com frl3
92509'ti16X
 #Aastha
rHospital IVF
CAR.F IS CULTURE NABH
MULfl SPECIALIf Y HOSPITAL

Patient Name MR ARVIN 30Y/M Bill No. 9863 Bill Date 26/0412s
Guardian Name MR DHARMPAL UHIO No 19091/25 Adm Ot. & Time 21,/04/2s 06:55
R/O DHANA KHURD TEH,HANSI DISTT,HISAR IPD No 9663 Dis Dt. & Time 26/04/2s 13:30
Address
HARYANA-125033 Room No. GW-02 No Of Oays 5
Mobile No. 9466007925 Patient status IM PROVEO
Consultant Name
Organisation
DR SANIAY KUMAR M ISHRA
CGHS CASH
E l
5. NO DATE DESCRIPTION COD€ UNIT RATE AMOUNT
LA8 & INVESTIGATION -------r-----
17 2t/04l2s Calcidiol/ 25-hydroxycholecalciferol/ Vitamin D3 assay (Vit D3) oA004A 1 550.00 550.00
1E 21/04l2s KIDNEY FUNCTION TEST tB129A 1 223.00 225.00
19 21/04/25 CBC tB013A 1 135.00 135.00
20 21104/25 LIVER FUNCTION TEST tB130A 1 225.00 225.00
21 21.l04l2s Urine routine and microscopy tB002A 1 35.00 35.00
22 21/0412s C reactive Proteln {CRP) rB076A 1 160.00 160.00
23 22/04/25 KIDNEY FUNCTION TEST rB129A 1 225.00 225.00
24 22104/2s CBC tB013A 1 135.00 135.0C
25 ztlonlz:lcac rB013A 1 135.00 135.0C
26 23/04/2s (IONEY FUNCTION TEST J8129A 1 225.00 225.OC
23104/2s TIVER FUNCTION TEST 18130A 1 225.00 225.0C
2A 23104/2s Serum Sodium 18098A 1 50.00 50.0c
29 23104/25 Serum Potassium r8099A 1 50.00 50.0c
30 23/0412s Serum Calcium -Total rB083A 1 60.00 60.0c
31 23/04l2s Serum Ammonia rB100A 1 100.00 100.00
32 23/04l2s C reactive Protein (CRP) rB076A 1 160.00 160.00
33 23/04/2s Lipid Profile. (Total cholesterol, LDL, HDL, TriSlycerides) rB059A 1 200.00 200.00
34 2s/04/25 C reactive Protein {CRP} tB076A 7 160.00 160.00
35 25/04/2s KIDNEY FUNCTION TEST tB129A 1 225.00 225.04
36 2s/04/2s Calcidiol/ 25'hydroxycholecalciferol/ Vitamin 03 assay (Vit D3) oA004A 1 550.00 550.00
2s/04/25 CBC 18013A 1 135.00 135.00
2s104/2s LIVER FUNCTION TEST lB130A 1 225.00 225.04
39 25/04/2s Urine routine and microscopy r8002A 1 35.00 35.00

MEDICINE & CONSUMABI.ES -----r-----

I.AB & INVESTIGATION 3675.00

40 21/4/2s MEDICINE EILL 1 13778.00 13774.OO

41 22/4/25 MEDICIN E BITL 1 15578.00 15578.00
42 23/4125 MEDICIN E BITL 1 12550.00 12550.00
43 24/4/2t MEDICIN€ BILL 1 9885.00 9885.0C
44 2s/4/2s M EDICINE BILL 1 7512.00 151-2.0C
45 26/4/2s M EOICINE BILL 1 4958.00 4958.0C
MEDICINE & CONSUMABLES 64261..O0
CONTINUE IN NEXT PAGE

O L-2l50, New Mahavir Nagar, O +91 7303280666 : aasthahospitalnd@gmail.com

Opp. Kangra Niketan Outer,
Ring Road, New Oelhi- 110018
+917303280777
+9'1 't145009230 ^
aasthahospit!12008@gmail.com
www.aasthahospitalivfcentre.com #"D
9250913363
 #eastha
rHospital IVF
C A,E.E IS CULTURE NABH
t
lruLlt 5?E(rltlrY lrosPtr

Patient MR ARVIN lsov/r,,l Bill No 9863 Bill Date 26/04/25

Guardian Name MR DHARMPAL UHID No. 79091/2s Adm Dt. & li.ne 2L/04/2s 06r55
R/O DHANA KHURD TEH,HANSI OISTT,HISAR IPD No 9563 Dis Dt. & Time 26104/2s 13:30
Address
HARYANA.125O33 Room No. GW 02 No Of Oays
Mobile No. 9466007925 Patient Statu5 IM PROVED
Consultant Name DR SANJAY KUMAR MISHRA
Organisation CGI-IS CASH
s. No. DATE DESCRIPTION CODE UNIT RATE AMOUNT
PHYSIOTHERAPY
46 2t/0412s Breathing Exercises and Postural Draina ge MEO11A 1 58.00 58.00
47 22/04/2s Breathing Exercises and Postural Drainage MEO11A 1 58.00 58.00
48 23/04/25 Ereathing Exercises and Postural Draina ge MEO11A 1 58.00 58.00
49 24 25 Ereathing Exercises and Postural Drainage MEO11A 1 58.00 58 00
50 25/04 25 Ereathin Exercises and Postural Drainage M EO11A 1 58.00 58.00
51 26/04/25 Breathing Exercises and Postural Draina M EO11A 1 58.00 58.00
PHYSIOTHERAPY 348.00
Gross Amount 81785.0C
Net Amount 81785
Payment Done 81785.0C

Net Amt. EIGHTY OIiE THOUSAND SEVEN HUf{DRED EIGHTY TIVT ONI.Y
Salanc€. EIGHTY OI{E THOUSANO SEVEN HUNDREO EIGHTY fIVE ONI.Y Balance 0.00

Name & Signatu.e o, Patient / Attendant Signatory

,.0, -Q.\a ( (.c.r:.,}..9.>s...

" " ".
DELHI
't8

O L-2l50, New Mahavir Nagar, O +91 73032E0666 a

fr3
aasthahospitalnd@gmail.com
Opp. Kangra Niketan Outer, +917303240777 aasthahospital200S@gmail.com
Ring Road, New Delhi.l'10018 +91 1145009230 O www.aasthahospitalivfcenke.com
GsT NO.: 07AFVP.J5274M12M D.t.No.: DL-TLN-126803, TtN126804
RETATL TNVOICE/CASH MEMO

AASTHA HOSPITAT
1.2/50, NEW MAHAVIR NAGAR, OUTER RING ROAD, TILAK NAGAR,
NEW DELHI.11OO18

CASH MEMO NO 3938 DATE: 21/041202s

PATIENT'S NAME MR ARVIN
PATIENT ADD
PRESCRIBED BY AASTHA HOSPITAL
PARTICULARS PACK QTY BATCH No. EXP GST % RATE Amount
TODAYCEF 1.5GM 1, 2 D0362315A 6/2s 12.00 940.00 1880.00
xsoLEx(ESMoPRAZOLE) 40MG r 1 2 PGv27837 7L/2s 12.00 641 .00 1294.@
ZYSET INJ 1 3 GFPO257 sl2s 72.OO 74.52 43.56
M VTT IN] 1OML 1OS 1 1 MU-81 r0/2s 12.00 35.00 3s.00
OFUXIN lMML INJ lOOML I DE30087 9l2s 12.00 182.00 182.00
MALTDENS (PCM) 100M1 rV lOOML 3 ABJO175 6/2s 12.00 625.74 t877.221
AXA NS 0.9% 100M1 lOOML 5 TEHEEl2O 4/26 12.OO 22.O3 1 10 151

AXA RL U/H sOOML 5OOML 1, AK21124 70/25 12.00 12.15 72.15

AXA DNs U/H sOOML 5OOML 1, 4F30773 s/26 12.00 95.77 95.77

CANNULA IV 22G 1 1 G220970744 7 /26 12.00 716.OC 776.OO

r.v. sET (RoMSONS) 1 2 G230720872 6/28 12.00 180.0c 3@.00

2 WAY EXTENSION (RMS) 1 1 G230410604 3/28 12.00 430.0c 430.OO

IV CANNULA FIXATOR I 1 u10601 4/28 12.00 95.0C 9s.00

SYRINGE 10ML (ROl\,lSONS) 1 3 G230520837 4128 12.00 77.OO 51.00
SYRTNGE 2ML (ROMSONS) 1 3 G230S20706 4128 12.00 8.45 25.35
SYRTNGE 5ML (ROMSoNS) 1 2 G230420598 3/28 12.00 9.35 18.70
TEICOBIOTIC 4OOMG INJ 1 2 v651002 6/27 5.00 2962.00 5924.00
MICROCORT BD 1''2M L 2 K1090212 70/2s 12.00 27.31. 42.62
I
MICROSULES 1'2ML 2 K1060216 t0/2s 12.00 41,.4C 82.80
EXAM CARE GLOVES 1* 100 0.6 L-t220236797 1128 5.00 1800.0c 108.00
OXYGEN MASK (A) 1XPC5 1. G24H040537 7 /29 12.00 302.0c 302.00
NEEULIZER LII AD 1'l1 1 G24C040557 3/29 12.00 572.0C 572.OO

TOTAL AMOUNT : 13177.92

Net Amt .(R/O) 13778.00

Rupees :Thirteen Thousand Seven Hundred Seventy Eight Only E.& O.E
All disputes are subject to Delhi HA HOSPITAL
Jurisdiction. Prices of rvledicines are
inclusive of all taxes. Goods once sold will
not be taken back. (Computar Generated lnvoice)
GST NO.: o7AFVP.,5274M1ZM D.L.No.: DL TLN-126803, TlN126804

RETAIL INVOICE/CASH MEMO

AASTHA HOSPITAL
L-2l50, NEW MAHAVIR NAGAR, OUTER RING ROAD, TILAK NAGAR,
NEW DELHI-110018

CASH MEMO NO 4047 DArE: 22/04/2025

PATIENT's NAME MR ARVIN
PATIENT ADD
PRESCRIBE D BY AASTHA HOSPITAL
PARTICULARS PACK QTY BATCH No. EXP GST % RATE Amount
TODAYCEF 1.5GM 1 2 D0362315A sl2s t2. 940. 1880.

2 PGY21837 71./2s 12. 647.00 L294.

XSOLEX(ESMOPRAZOLE} 40MG I 1

1 3 GFPO257 6/2s 72. 74.52 43.56

ASET IN.J

1 1 MU-81 70/2s 72. 35. 35. 00

M VTT INI 1OML 1OS
OFUXIN 1OOML IN.I 1OOM L 2 DE30087 9125 t2. 182, 364.

lOOML 4 ABJO175 6/2s !2. 625. 74 2502.

MALIDENS (PCM) 1OOML IV
lOOML 6 TEHEEl2O 4126 12. 22 03 132 1
AXA N5 0.9% 100M1
5OOML 1 AK2I124 70l2s 72 72 75 72 75
AXA RL U/H 5OOML
A/.A DNS U/H 5OOML 5OOML 1 AF30773 5/26 \2 00 95 95 11

6 G230520837 4/28 72 17 00 102

SYRTNGE 10ML (ROMSONS) 7

2 G230520706 4/28 72 9 35 18
SYRTNGE 5ML (ROMSONS) 1

3 G230420598 3128 12 8 45 25 35
SYRTNGE 2ML (ROMSONS) 1

400MG lNl 1 3 v651002 6/27 5 2962 8886 00

TEtCOBIOTIC
MICROCORT BD 1*2ML 2 K1090212 10/2s t2 27.37 42 6?

1I2ML 2 K1060216 70/25 12 47.40 82

MICROSULES

TOTAL AMOUNT t5577 .69

Net Amt .(R/o) 15578

t 0nl E.& O.E.
Ru ees : Fifteen Thousand Five Hundred Seven
All disputes are subject to Delhi HA HOSPITAL
Jurisdiction. Prices of Medicines are
inclusive of all taxes. Goods once sold will * *
not be taken back. (Comp utar Generated lnvoice)
GST NO.: o7AFVPJ5274M12M D.t.No.: DL TLN-126803, T1N126804
RETAIL INVOICE/CASH MEMO
AASTHA HOSPITAL
L-2l50, NEW MAHAVIR NAGAR, OUTER RING ROAD, TILAK NAGAR,
NEW DELH I-110018

CASH MEMO NO, 4269 DATE: 231041202s

PATIENT'S NAME MR ARVIN
PATIENT ADD
PRESCRIBED BY AASTHA HOSPITAL
o/. Amount
PARTICULARS PACK QW BATCH No. EXP GSr RATE

XSOLEX(ESMOPRAZOLE) 40MG I 1 2 PGY21837 t7/2s 12.00 647.m] 1294.

ZYSEI INJ 1 3 GFPO257 6/25 12.OO 74.\2 43.5
M VTT INJ 1OML 1OS 1 1 MU-81 t0/25 12.00 35.00 35.
MALTDENS (PCM) 100M1 rV lOOML 2 ABJO175 6l2s 12.00 625.74 7257.
lOOML 4 TEHEEl2O 4/26 12.O0 22.O3 aa 1
AXA NS 0.9% 100M1
AXA RL U/H 5OOML 5OOML 2 AK27724 70/25 12.00 72.75 L45.
AXA DNs U/H SOOML 5OOML 2 A'F30773 s126 12.00 95.77 191.s41

SYRTNGE 10ML (ROMSONS) 1 7 G230520837 4128 12.OO 17-00 11gOO

SYRTNGE 5ML (ROMSONS) 1 2 G230520706 4128 12.OO 9.35 18.70

SYRINGE 2ML (ROMSONS) 7 4 G230420598 3/28 12.00 8.45 33.80

NUROKIND INI 1ML 1ML 1 D31WOo1 6/2s 12.00 27.98 21.98

AZIPATH 5OO TABLET 35 3 2 sGT-22708 77126 12.00 85.00 56.67
TEICOBIOTIC 4OOMG INJ 1 2 v651002 6/25 5.00 2952.@ 5924.@
FLEMIPEN-M1GM INJ 1 273F@1 7125 12.00 1067.00 3201.00
MICROCORT BD 1''2ML 2 K1090212 70/2s 12.00 27.31 42.62
MICROSULES 1*2 t\4 L 2 K1060216 70/2s 12.00 4L.40 82.80

TOTAL AMOUNT : t2549.77

Net Amt .(R/O) 12550.00

Rupees : Twelve Thousand Five Hundred Fifty 0nly E.& O.E.
All disputes are subject to Delhi For PITAL
JurisdiCtion. Prices of Medicines are
inclusive of all taxes. Goods once sold will
not be taken back. (Computar Generated lnvoice)
GSI NO.: 074FVP.l52 74M 1ZM D.L.No.: Dl,'TLN-126803, TtN126804

RETAIL INVOICE/CASH MEMO

AASTHA HOSPITAL
1.2/50, NEW MAHAVIR NAGAR, OUTER RING ROAD, TILAK NAGAR,
NEW DELHI-110018

CASH MEMO NO, 4532 DATE: 24/04/2s

PATIENT'S NAME MR ARVIN
PATIENT ADD
PRESCRIBED BY AASTHA HOSPITAL
PARTICULARS PACK QTY BATCH No. EXP GST % RATE Amou nt
TODAYCEF 1.5GM 1 1 00362315A sl2s 12.00 940 ool 94,0.0O

XSOLEX(ESMOPRAZOLE) 4OMG I 1 2 PGY21837 1L/2s 1,2.OO 647 001 7294.N

ZYSET INJ 1 3 GFP0257 s/25 12.0C 74.52 43.56
M VTT IN.J 1OML 105 7 1 MU.81 70/25 12.OC 35 00 35.00
MALTDENS (PCM) 100M1 rV 100Mt 4 ABl0175 6l2s 12.0C 625.74 2502.96
AXA N5 0.9% 100M1 lMML 5 TEHEEl2O 4/26 12.0C 22.O3 110.15
AXA RL U/H 5OOML 500Mt 2 4K27724 70l2s 12.0C 12.15 145.50
AXA DNS U/H 5OOML 5OOML 2 4F30773 s/26 72.O( 95.17 191.54
r.v. 5ET (ROMSONS) 1 2 G230720a72 6128 1) .OO 180.00 350.00
SYRTNGE 10ML (ROMSONS) 1 6 G230520837 4128 1r.oo 17.00 102.00

SYRINGE 5ML (ROMSONS) 7 2 G230520706 4/28 12.00 9.35 18.70

SYRTNGE 2ML (ROMSONS) 1 4 G230420598 3/28 12.00 8.45 33.80
NUROKIND INJ 1Mt 1ML 1 D31W001 6lzs 72.OO 27.98 )198.
AZIPAIH 5@ TABLET 35 3 2 sGT-22708 t7/2s 12.00 85.00 56.67
TETCOBtOT|C 400MG tNl 1 1 v651002 6l2s 5.00 2962.N 2962.@
FLEMIPEN-M1GM INJ r 7 273F@7 s/2s 12.00 1067.00 1067.00

TOTAL AMOUNT : 9884.86

Net Amt .(R/O) 9885.00

Rupees : Nine Thousand Eight Hundred Eighty Five only E.& 0.E.
All disputes are subject to Delhi For A HOSPITAL
lurisdiction. Prices of Medicines are
inclusive of all taxes. Goods once sold will
not be taken back. (Computar Generated lnvoice
*
GST NO.: o7AFVPJ5274M1ZM D.L.No.: DL-T[N-126803, T1N126804
RETAIL INVOICE/CASH MEMO
AASTHA HOSPITAT
1.2/50, NEW MAHAVIR NAGAR, OUTER RING ROAD, TILAK NAGAR,
NEW DELHI.11OO18

CASH MEMO NO. 4891 DATE: 2s104/2s

PATIENT,S NAME MR ARVIN
PATIENT ADD
PRESCRIBED BY AASTHA HOSPITAL
PARTICUTARS PACK QTY BATCH No EXP GST % RATE Amount
TODAYCEF 1.5GM I 2 D0362315A 5l2s 72.OO 940.00 1880.00
XSOLEX(ESMOPRAZOTE) 4OMG I r 2 PG\27837 77/2s 12.00 647.@ 7294.W
ZYSET IN,I 1 3 GFPO257 6/2s 12.00 74.52 43.56
M VTI INJ 1OML 105 1 1 MU-81 t0/25 12.00 35.00 35.00
OFUXIN lOOML INJ lOOML 2 DE30087 9l2s 12.00 182.00 364.00
MALIDENS (PCM) 1OOML IV TOOML L ABJO175 6l2s 12.00 A)<'tL 625.74
AXA NS 0.9% 1OOML lOOML 2 TEHEEl20 4126 12.00 22.O3 44.06
AXA RL U/H sOOML 5OOML I 4K27724 1,0/2s 12.00 72.75 12.15
AXA DNS U/H 5OOML 5OOML 1 AF30173 s/26 12.00 95.77 95.77
SYRTNGE 10ML (ROMSONS) 1 3 G230s20831 4/28 12.00 17.00 51.00
SYRTNGE 5ML (ROMSONS) 1 2 G230S20706 4/28 12.00 9.35 18-70
SYRtNGE 2ML (ROMSONS) 1 3 G230420598 3/28 12.00 8.45 25.35
TEICOBIOTIC 4OOMG INJ 1 1 v651002 6l2s 5.00 2962.N 2962.@

TOTAL AMOUNT : 7511.93

Net Amt .(R/O) 7512.00

Rupees : Seven Thousand Five Hundred Twelve 0nly ,.-* & o.E
All disputes are subject to Delhi P TA L
Jurisdiction. Prices of Medicines are
inclusive of all taxes. Goods once sold will OELHI
not be taken back. (Computar Generated lnvoice * I *
GST NO.: 07AFVPi52 74M 1ZM D.L.No.: DL-TLN-125803, T1N126804
RETAIL INVOICE/CASH MEMO
AASTHA HOSPITAT
L-2l50, NEW MAHAVIR NAGAR, OUTER RING ROAD, TILAK NAGAR,
NEW DELHI-110018
CASH MEMO NO. 5012 DATE: 26/04l2s
PATIENT'S NAME MR ARVIN
PATIENT ADD
PRESCRIBED BY AASTHA HOSPITAL
PARTICULARS PACK QTY BATCH No EXP GSr % RATE Amount
XSOLEX(ESMOPRAZOLE) 4OMG I I 1, PGY21837 lr/2s 12.00 647.O0 647.OO
ZYSET INJ 1 1 GFP0257 5/25 12.00 14.52 14.52
AXA NS 0.9% 100M1 lOOML 4 TEHEEl2O 4126 12.00 22.O3 88.12
AXA RL U/H 5OOML SOOML 1 4K27724 rol2s 12.00 72.75 72.75
SYRTNGE 10ML (ROMSONS) I 2 G230s20837 4/28 12.00 t7.oo 34.00
SYRTNGE 2ML (ROMSONS) 1 1 G230420s98 3128 1,2.00 8.45 8.45
NUROKIND INJ 1Mt 1ML 1 D31W001 6/27 12.00 21.98 27.98
AZIPATH 5OO TABLET 35 3 1 5GT-22708 11125 12.00 85.00 28.33
TETCOB|OTTC 400MG rNl 1 1 v5s1002 6/27 s.00 2962.OO 2962.@
FLEMIPEN-M1GM INI 1 1 273F001 s/2s 12.00 1067.00 1067.00
PARICR 12.5 10s 1 GT300621 7 /2s 12.00 140.00 14.00

TOTAL AMOUNT : 4958.15

Net Amt .(R/o) 4958.00

Rupees : Four Thousand Nine Hundred Fifty Eight Only E.& 0.E.
All disputes are subject to Delhi THA HOSPITAL
Jurisdiction- Prices of Medicines are
inclusive of all taxes. Goods once sold will
not be taken back. (Computar Generated lnvoice)
JRastha
rHospital IVF
CAR; !S CULTURE NABH
ULTI gPE(IALITY TIOSPITAL

L +91 9250913363 ! +gl 8010008282

Name of padent :
Lab Request lD :
Age/Gender: A5THAOO2555E
M/30 Y
Sample Received Oate
Refd by 0.. ; OR SANJAY XUATAR
: 21-04-2025 Ot:25ip^.r
Test Reported On
AlISHRA : 21 U 2025 O5t16tpl/'

VITAMIN D3
Parameter
Result Unit
VITAMIN D3 Reference Range
21.84 ng/ml
Expected vatues
Range Adutt
Paediatric Deficiency RangePaediatric
.20 ng/ mL
lnsuociency < l5 nglml
20.<30 ng/mL
Suociency l5-<20 ng/mL
30.100 nghl
20-1OO ng/mL
Note: lt shoutd be taken into co
nsideration that differences
ge ographicat latrrude in Vit amin 0 (25-OH) tevets
and eth;j c groLrps. Comments may exist with re,pect to gender, aqe, sea5on.
adults. Vitamin D is ac quired Vitamin D Totat assay is used
either by exposure as an aid in the assessment
hydroxy in the liver in the first to sunl ight or ingestion o, food of Vitamin D suDci ency
s tep by vit D,25 con taining vitamin D. lt is
kidney to vit D 1,25 di hydroxy hydroxylase system. A 5maI m etabolized to vit 0,25
Since vit D, 25 hvd roxy is alnoun t of it further gets metabol
considered to be the most reLiabte the predominant circu la ting form ized by hyd roxytation rn
index of vitDs tatus. Vitamin ot Vit D in norm at popLrta tion, it
bone-malforrnation, known O is essential fo r bon€ is
as rickets. /uilder deg rees heatth. ln chitdren. severe
catcium. The measu rement of of insuEciecy are beli eved to cause deicien cy teads to
25-OH-D is beco lnr'ng increasingly reduced eociency in the utitization
calcium metabolism associated importa nt in the management o f dietary
with Rickets , neonatat hypocatcemia. of patients with various di sorders
hypoparathyroidrsm and postmeno
, preg nancy, nutritional of
pausal s tate.lncreased and ren at osteodtatrophy,
Rickets, osteomat acia, secondary levels are found in Vit D intoxr'catjon.
h yperparathyroidism, malabso rption of vit D (e.g. Dec reased levets are dete. ted
increase Vrt D me tabolism (viz. tiver djseases, cholestasis), in
Tub erculosis, sarcoidosis, prima and diseas es that
ry hyperp arathyroidism)

H
CLLU.
Dr Malvika Gaur * *
'ffiffiffia'"'r
of unexpect.<t resrt
only 'Not lot hedi.6
Powered by Ast ha Hospital

0 L-250, New Mahavir Nagar, o +91 7303280666 ,3 aasthahospitalnd@gmail.com

Opp. Kangra Niketan OuteG
Ring Road, New Oelhi-'l'10018
+9't 7303280777
+91 1145009230 O
aasthahospital200S@gmail.com
www.aaslhahospitalivfcentre.com #,?3
9250t1r34t
#Rastha
rHospital IVF
CAR5. IS CULTURE NABH
ULII gPE(IALITY HOSPIIAI
L +91 9250913363 L +91 8010008282

Name of Patient : Lab Request lD : ASTHA0025558

Age/Gender : M/30 Y Sample Received Date :

21 04 2025 01125:PM
Refd by Dr. : DR SANJAY XUMAR Tert Reported On : 21'04.2025 05:16:PM
MISHRA

KFT (KION EY NCTION TEST )

Parameter Resutt Unit Reference Range

BLOOD UREA 30.16 mg/dL 15.0 - 45.0
SERUM CREATININE 0.99 mg% 0.6 - 1.4
SERUM URIC ACID 7.47 (Hishl mg% 2.6-7.2
TOTAL PROTEIN 6.23 (Low) g /dt 6.6 - 8.3
ALBUMIN 3.67 gt dl 3.5-5.2
GLOEULIN 2.56 g/dl 2.3 - 3.5
A/G RATIO 1.43

&
Dr. Malvika Gaur
*
H

NEW OELHI
rQod

"ilffiry;*,.,,
ln cose ol une xpe.red .esults , Xindty .onto.t the tob .This p.rusot ol Doctots @ty'Not for t4edico legot pu.potes."
Powered by Astha Hospital

O L-2l50, New Mahavir Nagar, O +91 ?303280666 O aasthahospitalnd@gmail.com

Opp. Xangra Niketan Outer,
Ring Road, New Delhi- 1'10018
+91 7303280777
+91 1145009230
aasthahospital200S@gmail
@ wwr.aasthahospitalivf centrc.com
com
#,?3
92509r316'
Jaastha
rHospital IVF
CARE IS CULTURE NABX
rutr tp:ctttttv xosptret
L +91 9250913363 ! +91 8010008282

Name of Patient : Mr ARVIN Lab Request lO : ASTHAOO2555E

Age/Gender : M/]O Y Sample Received Date : 2 t'04 2025 01:25:PM

Refd by D.. : Dr- SANJAY Kl.Ji4AR Test Reported On : 21-04'2025 05:16:Pfi

MISHRA

cBc (cBc)

Parameter Re5ult Unit Reference Range

HAE,IOGLOBIN 12.8 gtdl 11.5'16.5

Total Hernoglobin (HBb or Hb) - A Low hemogtobin levet indicates anemia. Hemoglobin in the body is dependent uPon amounts of
iron. A lack of avaitable iron causes one type of anemia, due to the reduced production of hemogtobin. A tow tevel of Hemogtobin is a
sign of anemia.
TOTAL LEUCOCYTE COUNT(TLC) 2195o(High) /cumm '1000 ' 11000

D.L.c <:-
NEUTROPHI: 87 (High) % 40 - 75
LYMPHoCYTE5 'rfir-rrt % 20 ' 45
-_-,.)--
EOSTNOPHTLS 01 % 01 '06
MONOCYTES o7 % 02' 10
BASOPH|LS 00 % 0'0
E.S.R. (WE5TEGREN'S)
-l:JI]8h) mm/1sthr- 0'20
EsR(Erythrocyte Sedlmentation Rate)-The ESR measures the time requi.ed for erythrocytes from a whole btood sampte to settte
to the bottom of a verticat tube.
RBC COUNT 4.56 Mittions/cmm 3'5 - 5'5
Red cells-The number of red cells is given as an absolute number per titre.lron deficiency Anemia shows up as a
Low RBC count. A
count of actual (or estimated) number of RBC's per cubic mm of whote blood.

P.C.V/ HAEMATOCRIT 39.7 % 15'45

HAE$oGLOBIN CHROMATOGRAPHY, HPLC

MCV 87-O fl 80 - 100

I CV- lrtean Corpuscular Volume . The of the red ceLls, measured in femtotitr6.Anemia is ctas5ified as microcytic if
average volume
the MCV vat.re is above or below the expected normal range; anemias are cta5sified as normocytic if the MCv is within the expected
range
?8.2 pg 27 .O 31.0 -
MC H
llcH- l ean Corpuscutar HemogLobin: (Weight of hemoglobin in each cett).The average amount of hemogtobin per red btood cett, in
picograms.
MCH C 32.4 (Low) GM/DL 33 - 37
per red bLood cett, in
CHC- Mean Corpuscutar HemoStobin: (Weigtrt of nemoJ-tiEii-ln each cetl).The average amount of hemogtobin
picograms.
purerfttuHt 135000 takh/cmm ) 150000 - 450000

Ub H
a
,"ffi'ffiffr:,, *(
NSH)EIHr r

ln <ote ol unexpe.ted r.suttt , Kindty.@to.t the tob'This tepo.t is tor ahe P..!sol of Oo.to.t @ly Not tot ,.lQ.lico l.gdl PurPoset.,
Powered by Astha HosPital

(D +91 7303280666 ,3 aasthahospitalnd@gmall.com

O L-2l50, New Mahavir Nagar,
+91 7303280777 aasthahospital2008@gmail.com
Opp. Kangra Niketan Outer,
Ring Road, New Oelhi- 1'10018 +9'1 1145009230 O www.aaslhahospit livfcent e.com ?1,,D
9250913363
Jaastha
rHospital IVF
NAEH
:i.I5i,::^:,llt',,i^:
! +9'1 9250913363 L +91 8010008282

Name of Patient: Mr ARVIN Lab Request lD : ASTHA0025558

Age/Gender: i,l/30 Y Sample Received Date :

21 -M-2O25 01 125'.PM
Refd by Dr. : DR SANJAY KUII'AAR Test Report€d On :
r,^tsHRA 21-04.2025 05:16: Prtt

LFT (LIVER FUNCTION TESD

Parameter Result Unit Reference Range

BILIRUBIN TOTAL 1.59 (Hiqh) mg/dL 0.2-1.1

CONJUGATCD (D. Bitirubin) 0.45 (Hiqh) mg/dL 0.0-0.25
UNCONJUGATED (l.D.Bitirubin) 1 .24 (Hiqh) mg/dL 0.4 - 1 .2.

s. G.o.T 248.1 (Hi8h) IU /L 00-40

S. G. P.T 461.5 (High) IU /L 0.40
ALKALINE PHOSPHATASE 207.0 U/L 53 - 141

TOTAL PROTEIN 6.23 (Low) gtdl 6.6-8.3

ALBUMIN 1.67 g /dt 3.5-5.2
GLOBULIN 2.56 gldl 2.3-3.5
Ai G B}TIO 0.7

7
NEW DELHI Lt"
* $ota t
cu/,t-
Dr Malvika G:r,,.
'ttH.'ffiffi,*,;:,

tn.ose of aexpecae.r .esults , Kin.lly coatoct the lob'Thi. rePort is lo. the p erusol of Doctors only No.lor l erlico tegot PurPoses.'
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O L-2l50, New Mahavir Nagar,

Opp. Kangra Niketan Outer,
Ring Road, New Delhi 110018
G) +9t 7303280666
+91 7303280777
+91 1'145009230
O
O
aasthahospitalnd@gmail.com
aasthahospital200S@gmail.com
www.aaslhahospitalivtcentre.com fr3
JRastha
rHospital IVF
CAR,E IS CULTURE NABH
IIULTI 9'ECIALIIY HOSPITAL
L +Sl 9250913353 L +91 8010008282

Name of Patient: Lab Request lD : A5THA0025558

Age/Gender: r,^/ 30 Y Sample Received oate : z 1-04-2025 01:25:PM

Test Reported On 2 l -M-2025 05:16:PlYi
Refd by Dr. : DR SANJAY KUMAR :
MISHRA

URINE EXAMINATION (URINE EXATTiINATION}

Parameter ResuLt Unit Reference Range

PHYSICAL EXAMINATION
QUANTITY 30 mt.

Cotour PALE YELLOW

TRANSPARENCY S.TURBID CLEAR

SPECIFIC GRAVITY 1 .015 1.001 - 1.030

PH 7.O 5.0- 8.0

CHEI,tICAL EXAMINATION
ALBUMIN TRACE Nit

REDUCING SUGAR NIL NIL

I ICROSCOPIC EXAT,iINATION 0
PU5 CELLS 8- 10 /HPF 0 - 5 wBc/hpf

RBC'S NIL /HPF 0.0 - 2.0 RBc/hpf

CASTS NIL NIL

C RYSTALS NIL NIL

/ HPF 0.0 - 5.0 Epi cett5/hpf
EPITHELIAL CELLS J,8_
BACTERIA ABSENT ABSENT

H
7f-
a.Llr * *

dffi:,,
lab'fhis .eport h fot the p. rusot ot
ln .ose ot unexpe.t.d rcsultt , Kindly conto.t .he Docaors oaly Not tot t edico tegot Purpos...
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O L-2l50, New Mahavir Nagar,

Opp. Kangra Niketan Outer,
Ring Road, New Delhi- 110018
O +91 7303280666
+91 7303280777
+91 1145009230
O aasthshospitalnd@gmail.com
aasthahospital200S@gmail.com
@ wtiw.aasthahospitalivfcenUe.com ffi
#aastha
rHospital IVF
CARF IS CULTURE NABH
tlULTT S'ECIAUTY ]TOSPIT L

L +91 9250913363 L +91 8010008282

Name of Patient: Mr ARVIN Lab Request lD : ASTH40025558

A8e/Gender: M/]O Y Sample Received Date 21 -04-2025 01 tzstPfi\

Refd by Dr. : OR SANJAY KUT.AAR Test Reported On ; 2'l-04-2025 05:16:PM
MISHRA

CRP

Parameter Unit Reference Range

CRP (QUANTITATIVE) 29.26 (Hish) 0.6-6.0

SU ITIAAR YE E X PLANAT IO N
hle thod : I mmunot uI bi di fi e t ric
Tech : Chamilumineseencee
CRP it ocute phot B - glubulin. CRP levels in setum plosmo may rise during general, nonspeciFc response to infetion & noninfectious
inflofimotory conditions such as rheumotoid orthritis , cordiovosculotdiseose & perphetol vosculor diseose. ln notn9l heolthy
indiiduols, CRP levels generolly do notexceed lO mgml L, CRP ploys o role in host defence ond tissue repoir. There is o lag tifie of 6
-10 hrs betv/een stimulus and dse in serum levels, os compored to o log time ol 24-72 hrs, for other ocute phose reoctonts.

NEW DELHI
* \PJ' *

a!/r'
Dr. Malvika Gaur
i'')
.+flPo€aiiElol
M.D[pi$oi&Vf rd:l
'upnfr
ln .ose of unexpe.ted rcsults , Kindly lor .he perusot of Doctots ottty
.ottto.t rhe lab'This teport is Not fo! tegol pu.Pos.s.'
^4e.ti.o
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O L-2l50, New Mahavir Nagar, (D +91 7303280666 O aasthahospitalnd@gmail,com

Opp. Kangra Niketan Oute(
Ring Road, New Oelhi- 110018
+9'173032a0777
+91 1145009230
aasthahospital200S@gmail.com
@ www.aaslhahospitalivfcentre,com #,r3
9250913363
.Deastha
rHospital IVF
CARE IS CULTURE NAEH
ULTI SPECIALIIY HOSPITAT

+ql 801oona2a?
Name of Patient: Lab Request lD : ASTHA0025720

Age/Gender: M/30 Y Sample Received Date : 22-04"202s 06:0o:aM

Refd by Dr. : DR SANJAY KUMAR Test Reported On : 22-04-2025 03: l8tPM
MISHRA

cBc

Parameter Resutt Unit Reference Range

HAEMOGLOBTN 12.8 g/dt 11.5 - 16.s
Total Hemoglobin (Hgb or Hb) - A Low hemo8tobin tevet indicates anemia. Hemogtobin in the body is dependent upon ahounts of
iron. A lack of availabte iron causes one type of anemia, due to the reduced production of hemogtobin. A low level of Hemogtobin is a
sign of anemia.
COUNT(TLC)
TOTAL LEUCOCYTE 19ooo (High) /cumm 4OOO.tlooo
D.L.c .-
NEUTROPHIL 87(Hish) % /( -75
LYMPHoCYTE5 g:onl % 70 - 4s
EOSINOPH|LS 01 % 01 _ 06
MONOCYTES 02 % 02 - 10
BASOPHTLS 00 % o-o
E.S.R. (WESTEGREN.S) 39 (HiSh) mm/1st hr. O - 20
ESR(Erythrocyte Sedimentation Rate)-The ESR measdf6ithe time required for erythrocytes from a whole btood sampte to settle
to the bottom of a vertical tube.
RBC COUNT 4.56 Miltions/cmm 3.5 - 5.s
Red .ells'Th. hunb.r ot ted celb it given ot an obsolut. nunber pcr litte.b@.teficiehcy Ahtuia shoet up as a Low RBC cou.,t- Acount of octuo! (or
estinote.t) n nb.r ol RBC s per.t-bic ntD of whot. btoo.l.

P.C.V/ HAEMAToCRTT 39.7 % 35 - 45

HAEMOGLOBIN CHROMATOGRAPHY, HPLC
Mcv at.b fl 80- 1oo
ticv , ean CorPut.utu Volume - The ovenge volme ol the rcd @lti, neoso.e.r in kntolitres.An io is ctassified ot ni.ro.yaic il the votue is
aboye t belo'| the expected nmol .onge; anenios dte .Iottified os nomo.ytic il the ,tCV h within the expecae.t runle- ^4Cv
Mc H 28.2 ps 27.0 - 31.o
hcH Ueon CorPusculor l Lhogtobin: (Weight of henoslobin iD eo.h ..tt) -The overogz omo@t ol hehoglobih pe. .e.t btood cetl, iD picog.oms -
MCH C 32.4 (Low) GM/DL 33 , 37
cHc' ttean co.Pusculor HenostobiD: (weisht of henogtobin in CiEauLtne overose omo@t of hnostobin per red btood .el , in picosrans.
PLATELET COUNT 1 35OOO (Low) takh/cmm 15OOOO - 450OOO

r
M st)
DMc No. 76184
,vtlN

O L-2l50, New Mahavir Nagar, or +91 7303280666 aasthahospitalnd@gmail.com

Opp. Kangra Niketan Outer, +91 7303280777 aasthahospital200S@gmail.com
Ring Road, New Oelhi- 110018 +91 ,i145009230 www.aasthahospitalivfcentre.coln {,,?3
9250t11,6'
#Rastha
rHospital IVF
cAR; !S CULTURE NAAH
llutll sP:oaLtTY HosPlllL
I +fttfl#ffffi{3nt : h iRtrflp10008282 Lab Request lD : ASTHA0025720

Age/Gender: M/]O Y Sample Received Date : 2Z.c/,-2025 06tc.:l,r

Refd by Or. : OR SANJAY KUMAR Test Reported On: 22-04-2025 03: lE:PM
MISHRA

KFT (KIDNEY FUNCTION TEST )

Parameter Resutt Unit Reference Range

BLOOD URiA 30.16 mg/dL 15.0 - 45.0
SERUM CREATININE 0.99 mg% 0.6 - 1.4
SERUM URIC ACID 7.12 (High) mg% 2.6-7.7
TOTAL PROTEIN 6.23 (Low) gl dl 6.6 - 8.3
ALBUMIN -1:6i' g/dt 3.5 - 5.2
GLOBULIN 2.56 g/dt 2.1 .3.5
A/G RATIO 1.43

D ka Gaur

'u1?,{itfd$Arm'u
td.'IXPbtl'Jr6E9l'
H

NEW OELHI
* lrdre *

ln cose ol @expect2.t results , Kindly.@toct the tob'This repo.t is fo. rhe pe^lsat of Doctors @ly"No. fo. t..ti.o tesot pu
u o:31;33ffi&ff9."v^,,.,"r.,",fr4;;g;1;1";,9";33%1ili]li:"H
b;T?j#.H[HtXH
110018
Ring Road, New Delhi- +91 1145009230 @ ww*aaslhahospitalivfcent e.com
fuz_\
I
urfrixe
JAastha
rHospital IVF
CARE IS CULTURE NAEH
TIULTI S'ECIALITY HOSPITAI

L +91 9250913363 L +91 8010008282

Name of Patient : Lab Request lD : 4STH40025801

Age/Gender : l /30 Y Sample Received Date : 23 04-2025 06:20:A.l
Refd by Dr. : Dr. SANJAY (IJMAR Test Reported On : 23.04-2025 08:04:AM
MISHRA

RINE EXAMINATI N URINE EXAMINA N

Parameter Result Unit Reference Range

PHYSICAL EXAIAINATION
QUANTITY 30 mt.
TRANSPARENCY S.TURBID CLEAR
SPECIFIC GRAVIry 1.000 (Low) 1.00r - 1.030
PH 9.0 (High) 5.0 - 8.0
CHEI ICAL EXAI,IINATION
ALBUMIN TRACE Nit
REDUCING SUGAR NIL NIL
r tcRoscoPtc Exa 0
PUS CELLS
^tNATtoN
4-5 / HPF 0, s wBc/hpf
RBC'S NIL /HPF 0.0-2.0 RBC/hpf
CASTS NIL NIL
CRYSTALS NIL NIL
EPITHETIAL CELLS 2-3 /HPF 0.0 - 5.0 Epi cetts/hpf
BACTERIA AESENT ABSENT

NEW OELHI
a Gaur * \rdls *
R
M ogis0
DMC No. 7 81 8.1

ln cose of unexpected resuttt , Kindly .onao.r rhe rob .This report is lor the p*usol of Do.to.t oaty'Not fo. t4.dico legol putposcs.'
Powered by Astha Ho6pital

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Opp. Kangra Niketan Outer,
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+gl 7303280777
+91 1145009230 O
aasthahospital2008@gmail.com
wwwaasthahospilalivtcentre.com {r3
925ort3J6'
#aastha
rHospital IVF
CAR; !S CULTURE NAEH
ULTT StfttALtTY HOtPltAr
L +91 9250913363 L +91 8010008282

Name of Patient : Lab Request lD : ASTHA0025801

Age/Gender : M/30 Y Sample Received Date: 2l 04-2025 06:20: A.^,,\

Refd by Dr. : Dr. S:.$UAY XUrMR l,tEHM Test Reported On : 21.04'2025 08:04:A 4

KFT (KIDNEY F UNCTION TEST )

Parameter Resutt Unit Reference Range

BLOOD UREA mg/dL 15.0 - 45.0
SERUM CREATININE 0.90 mg% 0.6 - 1.4
SERUM URIC ACID 7.17 mg% 2.6 . 7.2
TOTAL PROTEIN 6.52 (Low) g/dt 6.6 - 8.3
ALBUMIN 3.54 g/dt 3.5- 5.2
GLOBULIN 2.98 gtdl 2.3-
A/G RATIO 1.19

OELHI
ur * I *
MBBS, Md (PA ologist)
DMC No. 70181

ln.ose of unexpe.ted r.sults , Xindly conaa.t the tob.This .eport is fo. rhe p.rusol of Doctors onty ''Noa lot A4e.lico legot purposes.'
Powered by Astha Hospital

O L-2l50, New Mahavir Nagar, 0 +91 7303280666 O aasthahospitalnd@gmail.com

Opp. Kangra Niketan outec
Ring Road, New Oelhi- 110018
+91 7303280777
+91 1145009230 O
aasthahospital200S@gmail.com
www.aaslhahospitalivfcent e.com ?tl3
925A91116,
J}aastha
rHospital IVF
CARE IS CULTURE NAAH
TIULTI 3PECIALITY XOSPITAI.

L +91 9250913363 L +Sl 8010008282

Name of Patient Lab Request lD : ASTHA0025801

Age/Gender : M/]O Y Sample Received Date : 23'04-2025 06:20: Arvl

Refd by Dr, : Dr. SA{.IAY XU|MR Test Reported On : 2l-04.2025 08:04:Arl

MISHRA

LFT (LIVER FUNCTION TEST)

Parameter Resutt Unit Reference Range

BILIRUBIN TOTAL 1.65 lHichl mg/dL 0.2 - 1.1
CONJUGATED (D. Eitirubin) 0.23 mg/dL 0.0 - 0.25
UNC0NJUGATED (l.D.Bitirubin) 1.42 (High) m8/ dL 0.4 - 1.2
s.G.o.T 215.05 (High) IU /L 00-40
S. G. P.T 410.23 (Hi8h) IU/L 040
ALKALINE PHOSPHATASE 151.4 UIL 53 141
TOTAL PROTEIN 6.52 (Low) gl dl 6.6-8.3
ALBUMIN 3.54 gtdl 3.5 - 5.2
GLOBULIN 2.98 g/dt 2.3.3.5
A/G RATIO 0.84

H
D a Gaur
M gist) t$w oEr-Hr
* \ooro *
o

ln case ol unexp.cted r.sults , Kindly conto.t thc lob.This .epoft is for the petusol ol Do.tots oaly Not for l4edi.o tegot purposes.'
Powered by Astha Hospital

O o
fi3
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Ring Road, New Delhi-'1 10018 +91 1145009230 O www.aasthahospitalivfcenUe.com
trtutlt 63
#Rastha
rHospital IVF
CARS IS CULTURE NAAH
HULTI SPECIALITY HOSPITAI.
.- +9't 9250913363 !: +91 8010008282

Name of Patient : Lab Request lD : A5THA0025801

Age/Gender: M/30 Y Sample Received Date : 23-04-2025 06t70iNA
Refd by Dr. : DT.SANJAY KUMAR Test Report€d On : 2l-04-2025 08:04:AM
MISHRA

cBC (CBCI

Parameter Resutt Unit Reference Range

HAEMOGLOBIN 12.1 g/dt 't1.5,16.5
Total Hemoglobin (Hgb or Hb) - A Low hemogtobin [eve[ indicates anemia. Hemogtobin in the body is dependent upon amounts of
iron. A tack of avaitabte iron causes one type of anemia, due to the reduced production of hemogtobin. A low tevet of Hemoglobin is a
sign of anemia.
TOTAL LEUCOCYTE COUNT(TLC) 17600 (High) /cumm 4000 - I 1000
o.L.c :-
NEUTROPHIL 70 Y" 4 .75
LYMPHOCYTE5 24 Y" 20.45
EOS|NOPH|LS 02 y" 01 - 06
MONOCYTES 03 % 02 - 10
BA5oPHTLS 00 % 0-0
E.S.R. (WESTEGREN'S) QNS mm/1st hr. 0 - 20
ESR(Erythrocyte Sedimentation Rate)-The ESR measures the time required for erythrocytes from a whote btood sampLe to settte
to the bottom of a vertical tube.
RBC COUNT 3.92 Miltions/cmm 3.5 - 5.5
Red cells-The number of red celts is given as an absoLute number per litre.lron deficiency Anemia shows up as a Low RBC count. A
count of actual (or estimated) number of RBC s per cubic mm of whole btood.

P.C.V/ HAEI ATOCRTT 39.1 % 35 - 45

HAEMOGLOBIN CHROMATOGRAPHY, HPLC
MCV 86.4 fl 80.100
l.lCV- Mean :orpuscular Votume . The average votume of the red cetts, measured jn femtotitres.Anemia is ctassified a5 microcytic if
the MCV val're is above or betow the expected normal range; anemias are classified as normocytic if the MCV is \4.ithin the expected
range.
MC H Z8-1 pg 27.0 - 31 .0
ilCH- Mean Corpuscutar Hemogtobin: (WeiSht of hemogtobin in each cetl).The average amount of hemogtobin per red btood cett, in
picograms.
MCH C 32.5 (Low) GM/DL 33 - 37
IICHC- Mean Corpuscutar Hemoglobin: (Weight of hem;G;;; in each cell).The average amount of hemogtobin per red btood celt, in
picograms.
PLATELET COUNT 143000 (Low) lakh/cmm 150000 - 450000
Platelets-Ptatelet numbers are given, as welt as inforrn6ti66i6out their size and the range of sizes in the b(ood.Mean ptatelet volume

H
fu*d*
u eEBI?r4$ffil,{brosistl
Bur
NTlN DELHI
* \6re *
DMC No. 70184

h case ol unexp.cted resutts , Kin.tty contoct the lab'This repott is for the perusot of Docto.s only "Not for A..ri.o
Powered by Astha Hospital

O L-2l50, New Mahavir Nagar, 0 +91 7303280666 aasthahospitalnd@gmail.com

Opp. Kangra Niketan Outer, +91 7303280777 aasthahospital200S@gmail.com
Ring Road, New Delhi- 110018 +91 1145009230 ' wwwaasthahospitalivfcentre.com #,?3
925091t,61
.Daastha
rHospital IVF
CARE- !S CULTURE NABH
ULTT S?tCtlUlY HOSflT I
L +91 9250913363 L +91 8010008282

Name of Patient : Lab Request lD : AsTHA0025927

Age/Gender : M/30 Y Sample Received Date : 25 04'2025 08:24:AM

Refd by Dr. : Dr. SANJAY KUMAR Test Reported On : 25-04'2025 01:41: PM

MISHRA

LFT (LIVER FUNCTION TEST)

Parameter Resutt Unit Reference Range

BILIRUBIN TOTAL 1.35 lHieh) mg/dL o.2 - 1.1

CONJUGATED (D. Bilirubin) 0.21 mg/dL 0.0 - 0.2s
UNCONJUGATED (l.D.Bitirubin) 1 .14 mg/dL 0.4-1.2
s. G. o.T 201.6 (High) IU/L 00-40
S. G. P.T 380.9 (High) IU/L 0-40
ALKALINE PHOSPHATASE 150.9 UIL 53 - 141
TOTAL PROTEIN 6.13 (Low) gldl 6.6-8.3
ALBUMIN '1,:6i- g/d t 1.5 - 5.2
GLOBULIN gtdl 2.3 - 1.5
A/G RATIO 0.7

,Sm*"ldnur *
ttflrrtHr
rra0b$(BaS@hbtosist; \'t 0018 *
DMC No. ?818.1

ln cose ol uaexpect.d results , Kindly c@td.t the lob 'Thit tcpott is lor the perusol ol Do<tors @ly'Not lot lle.lico legol PurPoses."
Powered by Astha Hospital

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Opp. Kangra Niketan Outer,
Ring Road, New Oelhi- 110018
+91 73032A077?
+91 1145009230
aasthahospital200S@gmail.com
www.aasthahospitalivfcentle.com fr"D
9250913363
#aastha
rHospital IVF
CARE IS CULTURE NAAH
UTII S'I(lALITY HOSPITAI

L +91 9250913363 \ +91 8010008282

Name of Patient : Mr ARVIN Lab Request lD : A5THA0025927

Age/Gender : M/30 Y Sample Received Date : 25 O4-2O25 O8:24:Nt\

Refd by Dr. : 0r. SAlt,AY lornAR TiEHRA Test Reported On : 25-c/,-7025 01.41:PM

KFT (KIDNEY FUNCTION TEST )

Parameter Resutt Unit Reference Range

BLOOD UREA 30.16 mg/dL 15.0 - 45.0

SERUM CREATININE 0.99 mg% 0.6 - 1.4
SERUM URIC ACID 5.36 mg% 2.6 - 7.2
TOTAL PROTEIN 6.13 {Low) gt dl 6.6 - 8.3
.
ALBUMIN 3.61 8/dt 3.5 - 5.2
GLOBULIN 2.51 gtdl 2.3-3.5
A/G RATIO 1.43

oftfr,G q
H

Yffia*,.,
",,. *
NEW OELHI
'itora *

tn.ose ol unexpected rosults , xin.tty.Mtact the lab'This t.port is fot the perusol of Doctorc aty "Not lor l cclico legol putPoses.'
Powered by A5tha Hospital

O L-2l50, New Mahavir Nagar, o +91 7303280666 a aasthahospitalnd@gmail.com

Opp. Kangra Niketan Outer, +91 73032A0777 aasthahospital200S@gmail.com
Ring Road, New oelhi- 110018 +91 1145009230 O www.aaslhahospit livfcent e.com ?#,?3
9250913J6.'
,Daastha
rHospital IVF
CAR; S CULTURE NABH
ULI gP:CIALITY HOSPIT I
L +9',1 9250913363 L +91 8010008282

Name of Patient : Lab Request lD : AsTHA0025927

Age/Gender: Mi3OY Sample Received Oate : 25'04-2025 08: 24:A,/t4

Refd by Dr. : Dr. STANJAY XLl^ AR l,tlSHRA Test Reported On : 23-04-2025 01:41tPM

URINE EXAMINATION (URINE EXAMINATION}

Parameter Resutt Unit Reference Range

PHYSICAL EXATAINATION
QUANTITY 2.5 mt
Co(our PALE YELLOW

TRANSPARENCY S.TURBID CLEAR

SPECIFIC GRAVITY 1.000 (Lo\ /) 1.001 -1.030

PH 9.0 (Hi8h) 5.0-8.0
CHEMICAL EXAMINATION
ALBUMIN TRACE Nit
.NIL NIL
REDUCING SUGAR
l rcRoscoPrc ExAl{lNATloN 0
PUS CELLS --6:C-- /HPF 0 - 5 WBC/hpf
RBC'S NIL I HPF 0.0 - 2.0 RBC/hpf
CASTS NIL NIL

CRYSTALS NIL NIL

EPITHELIAL CELLS 4)- IHPF 0.0 - 5.0 Epi cetts/hpf

BACTERIA ABSENT ABSENT

,} N\ffiELHr
* *
MBSO tftdttpubdosis0
Dillc No. ?8181

tn.ose of unexpect.d resultt , Kindly conaoct the lab'This ..por| it lot the petusol of Do.ao.s @ly Not lor lte.lico legal PurPoset.'
Powered by Astha H05pital

O
#b
L-2l50, New Mahavir Nagar, O +91 7303280666 O aasthahospitalnd@gmail.com
Opp. Kangra Niketan Outer, +91 7303280777 aasthahospital200S@gmail.com
Ring Road, New Oelhi- 1'10018 +91 1145009230 O www'aasthahospitalivtcenue.com
91509t3363
#aastha
rHospital IVF
CARLJ CULTURE NABH
TIULTI SPECIALITY HOSPITAI

L +91 92509.13363 l +91 8010008282

Name of Patient : Lab Request lD : A5THA0025927

Age/Gender: M/30 Y Sample Received Date : ZS 04 2025 08t24tlJ./.
Refd by Dr. : Dr. SA{JAY NITiAR Test Reported On : 25'04'2025 01:41:PM
MSIIRA

cBc (cBc)

Parameter Result Unit Reference Range

HAEMOGLOBIN 12.3 g/dt 11.5-16.5
Total Hemoglobin (Hgb or Hb) - A Low hemogtobjn [eve[ indicates anem]a. Hemogtobin in the body is dependent upon amounts of
iron. A lack of avaitabte iron causes one type of anemia, due to the reduced production of hemog(obin. A tow tevet of HemogLobin is a
sign of anemia.
TOTAL LEUCOCYTE COUNT(TLC) 1 59oo (High) /cumm 40OO - 11000
D.L.C --:-
NEUTROPHIL 78 (Hish) % & .75
LYMPHocYTEs -J!To*) % zo . 45
EOS|NOPH|LS -fi-- % 01 - 06
MONOCYTES 02 % o7 _ 10
BASOPHTLS 00 % 0-o
E.S.R. (WESTEGREN'S) 45 (Hish) mm/lst hr. O - 20
EsR(Erythrocyte sedimentation Rate)-The rsn .";ilffi ti.e required for eMhrocytes from a whote btood sampte to settte
to the bottc.n of a vertical tube.
RBC COUNT 4.33 Mittions/cmm 3.5 - 5.5
Red cells_The number of red cetls is given a5 an absolute number per titre.lron deficiency Anemia shows up as a Low RBC count. A
count of actual (or estimated) number of RBC s per cubic mm of whote btood.

P.C.V/ HAEA,TAToCR|T 37.8 % 35 - 45

HAEMOGLOBIN CHROMATOGRAPHY, HPLC
MCV 87.3 fl 80-100
*tCV_ L{ean Corpuscutar Volume .
The average votume of the red cells, measured in femtolitres-Anemia is classified as microcytic if
the MCV vatue is above or below the expected normal range; anemias are chssified as normocltic if the MCV is within the expected
range.
MC H 28.5 pC 27.O - 31.0
llCH- Mean Corpuscutar Hemogtobin: (Weight of hemogtobin in each ceLt).The average amount of hemogLobin per red btood cett, in
prcograms.
MCHC 32.6 ( GM/DL 33.37
IICHC- Mean Corpuscutar Hemogtobin: (Weight og bin in each cett) .The average amount of hemogtobin per red blood celt, in
picogram5.
PLATELET COUNT 146000 (Low) takh/cmm 150000 - 450000

o,ffiffi*,, *
NEW DELHI
titBagPMEqlBstfi olo g ist) \t-oora *
DMC No.7s18i

ln cose of udexp..ted resutts , Kindly .ontoct the lob 'This teport is fot the perusol of Do.tors onty Not fot t ecli.o
Powered by Astha Hospital

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+91 7303280777
+91 1145009230 O
aasthahospital200S@gmail.com
www.aasthahospitaliWcentre.com ?tl3
925091X36'
Jaastha
rHospital IVF
CART. '' CULTURE NABH
ttuttt spt(n LttY xosprtr
L +91 9250913363 ! +sl 8010008282

Name of Patient Lab Request lD : A5THA0025927

Age/Gender: M/30 Y S.mple Received Date : 25-04.2025 08:24].M
Refd by Dr. : Dr. SAUAY XJ,},^AR Test Reported On : 25.04 2025 01:41: PM
M6HM

CRP

Parameter Unit Reference Range

cRP (QUANT|TAIVE) 8.0 (High) 0.6,6.0

RY& TION
llethod : lmmunoturbidi met tic
fech : Chemi
cRP is ocute phose B' glubulin. cRP levets in serum plosmo may rise duting general, nonspecific response to infetion & noninfectious
inflotumotory conditions such at rheumotoid arthritis , cordiovosculordiieise & perpherol vosculor diseose.-ln norfiol heolthy
individuols, CRP levels generolly do nolexceed tO fitgml L. CRP plays o rcte in ho;t defence and tissue tepoir. There is o log tifie ol 6
-10 hts between stifiulus ond tise in serum levels, os com4red to a lo9 titte ol
21-72 hts, for othet ocute phose reactont;.

NEW DELHI
* *
yg$5P lfld(Plolv) .rist) w8
DMc No. ?: -.:
ln cose of unexPe.ted ..sult' , Kindly.ontact the lob 'rhi. .epo.? it for th. perEdl ol Do.aort only Noa fo. Ltedi.o tegol purposer..

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