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Sehgal Book

The laboratory report for H. B. Singh, a 68-year-old male, indicates several abnormal results including low platelet count, low HDL cholesterol, and elevated LDL cholesterol. Additionally, plasma glucose levels are slightly high, and the HbA1C level is at the threshold of normal. The report suggests correlating these findings with clinical data for further evaluation.

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0% found this document useful (0 votes)
34 views14 pages

Sehgal Book

The laboratory report for H. B. Singh, a 68-year-old male, indicates several abnormal results including low platelet count, low HDL cholesterol, and elevated LDL cholesterol. Additionally, plasma glucose levels are slightly high, and the HbA1C level is at the threshold of normal. The report suggests correlating these findings with clinical data for further evaluation.

Uploaded by

Manish
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 14

LABORATORY REPORT

Name : H. B. SINGH Sex/Age : Male / 68 Years Case ID : 50503607875


Ref. By : Sanjivani clinic - ved road Dis. At : Pt. ID :
Bill. Loc. : GSF LABS PAL SURAT Pt. Loc :
Reg Date and Time : 10-May-2025 15:49 Sample Type : Mobile No. :
Sample Date and Time : Sample Coll. By : non NAL Ref Id1 :
Report Date and Time : Acc. Remarks : Ref Id2 :

Abnormal Result(s) Summary


Test Name Result Value Unit Reference Range
Haemogram (CBC)
MCHC (Calc) 31.2 g/dL 31.50 - 34.50
Platelet Count 130000 /µL 150000.00 - 410000.00
MPV 13.10 fL 6.5 - 12
PDW 18.5 % 9 - 16
Platelet Reduced in number
Test Remark: Large Platelets seen
Service Remarks: Correlate clinical data

Lipid Profile
HDL Cholesterol 31.0 mg/dL 40 - 60
Chol/HDL 6.39 0 - 4.1
LDL Cholesterol 143.40 mg/dL <100 Optimal
100-129 Near optimal/above
optimal
130-159 Borderline High
160-189 High
>190 Very high
Plasma Glucose - F 102.00 mg/dL 70.0 - 100
Abnormal Result(s) Summary End

Note:(LL-VeryLow,L-Low,H-High,HH-VeryHigh ,A-Abnormal)

Printed On : 10-May-2025 19:41

Page 1 of 14
LABORATORY REPORT

Name : H. B. SINGH Sex/Age : Male / 68 Years Case ID : 50503607875


Ref. By : Sanjivani clinic - ved road Dis. At : Pt. ID :
Bill. Loc. : GSF LABS PAL SURAT Pt. Loc :
Reg Date and Time : 10-May-2025 15:49 Sample Type : Whole Blood EDTA Mobile No. :
Sample Date and Time : 10-May-2025 15:49 Sample Coll. By : non NAL Ref Id1 :
Report Date and Time : 10-May-2025 17:52 Acc. Remarks : Ref Id2 :

TEST RESULTS UNIT BIOLOGICAL REF. INTERVAL REMARKS


HAEMOGRAM REPORT
HB AND INDICES
Haemoglobin 13.4 g/dL 13.00 - 17.00
RBC (Electrical Impedance) 4.69 x 10^6 /uL 4.50 - 5.50
PCV(Calc) 42.9 % 40.00 - 50.00
MCV (RBC histogram) 91.5 fL 83.00 - 101.00
MCH (Calc) 28.6 pg 27.00 - 32.00
MCHC (Calc) L 31.2 g/dL 31.50 - 34.50
RDW (RBC histogram) 13.90 % 11.00 - 16.00
TOTAL AND DIFFERENTIAL WBC COUNT (Flowcytometry)
Total WBC Count 4580 /µL 4000.00 - 10000.00
[%] EXPECTED VALUES [ Abs ] EXPECTED VALUES
Neutrophil 56 % 40.00 - 70.00 2565 /µL 2000.00 - 7000.00
Lymphocyte 33 % 20.00 - 40.00 1511 /µL 1000.00 - 3000.00
Eosinophil 04 % 1.00 - 6.00 183 /µL 20.00 - 500.00
Monocytes 07 % 2.00 - 10.00 321 /µL 200.00 - 1000.00
Basophil 00 % 0.00 - 2.00 0 /µL 0.00 - 100.00

Band Cell 00 % 0-5


Neut/Lympho Ratio (NLR) 1.70 0.78 - 3.53
Premature Cells
Premature Cells Absent % Absent
PLATELET COUNT
Platelet Count L 130000 /µL 150000.00 - 410000.00
MPV H 13.10 fL 6.5 - 12
PDW H 18.5 % 9 - 16
Platelet Reduced in number Large Platelets seen
Parasite Malarial Parasite not seen on smear.

Note:(LL-VeryLow,L-Low,H-High,HH-VeryHigh ,A-Abnormal)

Dr. Akshita Khurana Dr. Prashant Naik Printed On : 10-May-2025 19:41

M.D Pathology M.D.(Path),D.C.P.


Page 2 of 14
LABORATORY REPORT

Name : H. B. SINGH Sex/Age : Male / 68 Years Case ID : 50503607875


Ref. By : Sanjivani clinic - ved road Dis. At : Pt. ID :
Bill. Loc. : GSF LABS PAL SURAT Pt. Loc :
Reg Date and Time : 10-May-2025 15:49 Sample Type : Whole Blood EDTA Mobile No. :
Sample Date and Time : 10-May-2025 15:49 Sample Coll. By : non NAL Ref Id1 :
Report Date and Time : 10-May-2025 17:52 Acc. Remarks : Ref Id2 :

Remarks: Correlate clinical data

Note:(LL-VeryLow,L-Low,H-High,HH-VeryHigh ,A-Abnormal)

Dr. Akshita Khurana Dr. Prashant Naik Printed On : 10-May-2025 19:41

M.D Pathology M.D.(Path),D.C.P.


Page 3 of 14
LABORATORY REPORT

Name : H. B. SINGH Sex/Age : Male / 68 Years Case ID : 50503607875


Ref. By : Sanjivani clinic - ved road Dis. At : Pt. ID :
Bill. Loc. : GSF LABS PAL SURAT Pt. Loc :
Reg Date and Time : 10-May-2025 15:49 Sample Type : Plasma Fluoride F Mobile No. :
Sample Date and Time : 10-May-2025 15:49 Sample Coll. By : non NAL Ref Id1 :
Report Date and Time : 10-May-2025 16:33 Acc. Remarks : Ref Id2 :

TEST RESULTS UNIT BIOLOGICAL REF RANGE REMARKS

Plasma Glucose - F H 102.00 mg/dL 70.0 - 100


Photometric,Hexokinase

Note:(LL-VeryLow,L-Low,H-High,HH-VeryHigh ,A-Abnormal)

Dr. Prashant Naik Printed On : 10-May-2025 19:41

M.D.(Path),D.C.P.
Page 4 of 14
LABORATORY REPORT

Name : H. B. SINGH Sex/Age : Male / 68 Years Case ID : 50503607875


Ref. By : Sanjivani clinic - ved road Dis. At : Pt. ID :
Bill. Loc. : GSF LABS PAL SURAT Pt. Loc :
Reg Date and Time : 10-May-2025 15:49 Sample Type : Whole Blood EDTA Mobile No. :
Sample Date and Time : 10-May-2025 15:49 Sample Coll. By : non NAL Ref Id1 :
Report Date and Time : 10-May-2025 17:20 Acc. Remarks : Ref Id2 :

TEST RESULTS UNIT BIOLOGICAL REF RANGE REMARKS


Glycated Haemoglobin Estimation
HbA1C 5.70 % of total Hb <5.7: Normal
HPLC 5.7-6.4: Prediabetes
>=6.5: Diabetes
As per ADA
2021Guidelines
Estimated Avg Glucose (3 Mths) 116.89 mg/dL Not available
Calculated

Please Note change in reference range as per ADA 2021 guidelines.


Interpretation :
HbA1C level reflects the mean glucose concentration over previous 8-12 weeks and provides better indication of long term glycemic control.
Levels of HbA1C may be low as result of shortened RBC life span in case of hemolytic anemia.
Increased HbA1C values may be found in patients with polycythemia or post splenectomy patients.
Patients with Homozygous forms of rare variant Hb(CC,SS,EE,SC) HbA1c can not be quantitated as there is no HbA.
In such circumstances glycemic control can be monitored using plasma glucose levels or serum Fructosamine.
The A1c target should be individualized based on numerous factors, such as age, life expectancy,comorbid conditions, duration of diabetes,
risk of hypoglycemia or adverse consequences from hypoglycemia, patient motivation and adherence.

Note:(LL-VeryLow,L-Low,H-High,HH-VeryHigh ,A-Abnormal)

Dr. Prashant Naik Printed On : 10-May-2025 19:41

M.D.(Path),D.C.P.
Page 5 of 14
LABORATORY REPORT

Name : H. B. SINGH Sex/Age : Male / 68 Years Case ID : 50503607875


Ref. By : Sanjivani clinic - ved road Dis. At : Pt. ID :
Bill. Loc. : GSF LABS PAL SURAT Pt. Loc :
Reg Date and Time : 10-May-2025 15:49 Sample Type : Serum Mobile No. :
Sample Date and Time : 10-May-2025 15:49 Sample Coll. By : non NAL Ref Id1 :
Report Date and Time : 10-May-2025 16:49 Acc. Remarks : Ref Id2 :

TEST RESULTS UNIT BIOLOGICAL REF RANGE REMARKS

BIOCHEMICAL INVESTIGATIONS
Lipid Profile
Cholesterol 198.0 mg/dL <200 Desirable
Enzymatic 200-239 Borderline
>240 High
HDL Cholesterol L 31.0 mg/dL 40 - 60
Accelerator Selective Detergent

Triglyceride 118.00 mg/dL < 150 Normal


Glycerol Phosphate Oxidase 150 - 199 Borderline High
200 - 499 High
>=500 Very High
VLDL 23.60 mg/dL 10 - 40
Calculated

Chol/HDL H 6.39 0 - 4.1


Calculated

LDL Cholesterol H 143.40 mg/dL <100 Optimal


CALC 100-129 Near
optimal/above optimal
130-159 Borderline High
160-189 High
>190 Very high
LDL/HDL Cholesterol 4.63

Note:(LL-VeryLow,L-Low,H-High,HH-VeryHigh ,A-Abnormal)

Dr. Akshita Khurana Dr. Prashant Naik Printed On : 10-May-2025 19:41

M.D Pathology M.D.(Path),D.C.P.


Page 6 of 14
LABORATORY REPORT

Name : H. B. SINGH Sex/Age : Male / 68 Years Case ID : 50503607875


Ref. By : Sanjivani clinic - ved road Dis. At : Pt. ID :
Bill. Loc. : GSF LABS PAL SURAT Pt. Loc :
Reg Date and Time : 10-May-2025 15:49 Sample Type : Serum Mobile No. :
Sample Date and Time : 10-May-2025 15:49 Sample Coll. By : non NAL Ref Id1 :
Report Date and Time : 10-May-2025 16:49 Acc. Remarks : Ref Id2 :

Note:(LL-VeryLow,L-Low,H-High,HH-VeryHigh ,A-Abnormal)

Dr. Akshita Khurana Dr. Prashant Naik Printed On : 10-May-2025 19:41

M.D Pathology M.D.(Path),D.C.P.


Page 7 of 14
LABORATORY REPORT

Name : H. B. SINGH Sex/Age : Male / 68 Years Case ID : 50503607875


Ref. By : Sanjivani clinic - ved road Dis. At : Pt. ID :
Bill. Loc. : GSF LABS PAL SURAT Pt. Loc :
Reg Date and Time : 10-May-2025 15:49 Sample Type : Serum Mobile No. :
Sample Date and Time : 10-May-2025 15:49 Sample Coll. By : non NAL Ref Id1 :
Report Date and Time : 10-May-2025 16:34 Acc. Remarks : Ref Id2 :

TEST RESULTS UNIT BIOLOGICAL REF RANGE REMARKS

BUN (Blood Urea Nitrogen) 11.2 mg/dL 8.40 - 25.70


GLDH

Uric Acid 5.70 mg/dL 3.5 - 7.2


Uricase

Creatinine 0.83 mg/dL 0.70 - 1.30


Kinetic Alkaline Picrate

Calcium 8.80 mg/dL 8.4 - 10.2


OCPC

Electrolytes
Sodium 141.00 mmol/L 136 - 145
ISE, Indirect

Potassium 4.50 mmol/L 3.5 - 5.1


ISE, Indirect

Chloride 107.00 mmol/L 98 - 107


ISE, Indirect

Note:(LL-VeryLow,L-Low,H-High,HH-VeryHigh ,A-Abnormal)

Dr. Prashant Naik Dr. Akshita Khurana Printed On : 10-May-2025 19:41

M.D.(Path),D.C.P. M.D Pathology


Page 8 of 14
LABORATORY REPORT

Name : H. B. SINGH Sex/Age : Male / 68 Years Case ID : 50503607875


Ref. By : Sanjivani clinic - ved road Dis. At : Pt. ID :
Bill. Loc. : GSF LABS PAL SURAT Pt. Loc :
Reg Date and Time : 10-May-2025 15:49 Sample Type : Serum Mobile No. :
Sample Date and Time : 10-May-2025 15:49 Sample Coll. By : non NAL Ref Id1 :
Report Date and Time : 10-May-2025 16:34 Acc. Remarks : Ref Id2 :

TEST RESULTS UNIT BIOLOGICAL REF RANGE REMARKS

BIOCHEMICAL INVESTIGATIONS

Bilirubin Total 0.43 mg/dL 0.30 - 1.20


Colorimetric Diazo Method

Bilirubin Conjugated 0.18 mg/dL 0 - 0.50


Colorimetric Diazo Method

Bilirubin Unconjugated 0.25 mg/dL 0 - 0.8


Calculated

S.G.O.T. 22.00 U/L 11 - 34


NADH (Without P-5-P)

S.G.P.T. 12.00 U/L 0.0 - 45


NADH (Without P-5-P)

Protein With A/G Ratio


Proteins (Total) 7.20 gm/dL 6.4 - 8.3
Biuret

Albumin 4.40 gm/dL 3.2 - 4.6


(BCG)

Globulin 2.80 gm/dL 2 - 4.1


Calculated

A/G Ratio 1.57 1.0 - 2.1


Calculated

Note:(LL-VeryLow,L-Low,H-High,HH-VeryHigh ,A-Abnormal)

Dr. Akshita Khurana Dr. Prashant Naik Printed On : 10-May-2025 19:41

M.D Pathology M.D.(Path),D.C.P.


Page 9 of 14
LABORATORY REPORT

Name : H. B. SINGH Sex/Age : Male / 68 Years Case ID : 50503607875


Ref. By : Sanjivani clinic - ved road Dis. At : Pt. ID :
Bill. Loc. : GSF LABS PAL SURAT Pt. Loc :
Reg Date and Time : 10-May-2025 15:49 Sample Type : Serum Mobile No. :
Sample Date and Time : 10-May-2025 15:49 Sample Coll. By : non NAL Ref Id1 :
Report Date and Time : 10-May-2025 19:36 Acc. Remarks : Ref Id2 :

TEST RESULTS UNIT BIOLOGICAL REF RANGE REMARKS

R.A. Test < 10.0 IU/mL 0 - 30


Immunoturbidimetric
RHEUMATOID FACTOR :
Nephelometry is a gold standard, accurates, reliable, quantitative and specific method in comparision with other method.
- Gives useful objectives evidence of RA, but a negative result does not rule out RA Negative in one-third of patients with definite RA. Positive result in <50% during first 6
mos of disease.
- Titre may decrease during remission but rarely becomes negative. Progressive increases in titer during the first 2 yrs. decide a more severe course.
- Positive in 5-10% of of healthy population
- Positive in 5% of rheumatoid variants
- Positive in 5% of cases of scleroderma, connective, Polymyositis, Polymyalgia rheumatica.
- Positive in 90% of patients with primary sjogren syndrome or cryoglobulinemic purpura.
- By this method we can detect RF from pleural fluid and synovial fluid also which are usually all the tie false positive by Latex Agglutination.

Note:(LL-VeryLow,L-Low,H-High,HH-VeryHigh ,A-Abnormal)

Dr. Prashant Naik Printed On : 10-May-2025 19:41

M.D.(Path),D.C.P.
Page 10 of 14
LABORATORY REPORT

Name : H. B. SINGH Sex/Age : Male / 68 Years Case ID : 50503607875


Ref. By : Sanjivani clinic - ved road Dis. At : Pt. ID :
Bill. Loc. : GSF LABS PAL SURAT Pt. Loc :
Reg Date and Time : 10-May-2025 15:49 Sample Type : Serum Mobile No. :
Sample Date and Time : 10-May-2025 15:49 Sample Coll. By : non NAL Ref Id1 :
Report Date and Time : 10-May-2025 17:39 Acc. Remarks : Ref Id2 :

TEST RESULTS UNIT BIOLOGICAL REF RANGE REMARKS

Triiodothyronine (T3) 101.41 ng/dL 40 - 181


CMIA

Thyroxine (T4) 7.10 µg/dL 5 - 10.7


CMIA

TSH 2.546 µIU/mL 0.4 - 4.94


CMIA
INTERPRETATIONS
• Circulating TSH measurement has been used for screening for euthyroidism, screening and diagnosis for
hyperthyroidism & hypothyroidism. Suppressed TSH (<0.01 µIU/mL) suggests a diagnosis of hyperthyroidism
and elevated concentration (>7 µIU/mL) suggest hypothyroidism. TSH levels may be affected by acute illness
and several medications including dopamine and glucocorticoids. Decreased (low or undetectable) in Graves
disease. Increased in TSH secreting pituitary adenoma (secondary hyperthyroidism), PRTH and in
hypothalamic disease thyrotropin (tertiary hyperthyroidism). Elevated in hypothyroidism (along with decreased
T4) except for pituitary & hypothalamic disease.
• Mild to modest elevations in patient with normal T3 & T4 levels indicates impaired thyroid hormone reserves &
incipent hypothyroidism (subclinical hypothyroidism).
• Mild to modest decrease with normal T3 & T4 indicates subclinical hyperthyroidism.
• Degree of TSH suppression does not reflect the severity of hyperthyroidism, therefore, measurement of free
thyroid hormone levels is required in patient with a supressed TSH level.
CAUTIONS
Sick, hospitalized patients may have falsely low or transiently elevated thyroid stimulating hormone.
Some patients who have been exposed to animal antigens, either in the environment or as part of treatment or
imaging procedure, may have circulating antianimal antibodies present. These antibodies may interfere with the
assay reagents to produce unreliable results.
TSH ref range in pregnancy Reference range (microIU/ml)
First trimester 0.24 - 2.00
Second trimester 0.43-2.2
Third trimester 0.8-2.5

Note:(LL-VeryLow,L-Low,H-High,HH-VeryHigh ,A-Abnormal)

Dr. Prashant Naik Printed On : 10-May-2025 19:41

M.D.(Path),D.C.P.
Page 11 of 14
LABORATORY REPORT

Name : H. B. SINGH Sex/Age : Male / 68 Years Case ID : 50503607875


Ref. By : Sanjivani clinic - ved road Dis. At : Pt. ID :
Bill. Loc. : GSF LABS PAL SURAT Pt. Loc :
Reg Date and Time : 10-May-2025 15:49 Sample Type : Serum Mobile No. :
Sample Date and Time : 10-May-2025 15:49 Sample Coll. By : non NAL Ref Id1 :
Report Date and Time : 10-May-2025 17:39 Acc. Remarks : Ref Id2 :

Note:(LL-VeryLow,L-Low,H-High,HH-VeryHigh ,A-Abnormal)

Dr. Prashant Naik Printed On : 10-May-2025 19:41

M.D.(Path),D.C.P.
Page 12 of 14
LABORATORY REPORT

Name : H. B. SINGH Sex/Age : Male / 68 Years Case ID : 50503607875


Ref. By : Sanjivani clinic - ved road Dis. At : Pt. ID :
Bill. Loc. : GSF LABS PAL SURAT Pt. Loc :
Reg Date and Time : 10-May-2025 15:49 Sample Type : Spot Urine Mobile No. :
Sample Date and Time : 10-May-2025 15:49 Sample Coll. By : non NAL Ref Id1 :
Report Date and Time : 10-May-2025 16:49 Acc. Remarks : Ref Id2 :

TEST RESULTS UNIT BIOLOGICAL REF RANGE REMARKS


URINE EXAMINATION (STRIP METHOD AND FLOWCYTOMETRY)
Physical examination
Colour Yellow
Appearance Clear
Chemical Examination By Sysmex UC-3500
Sp.Gravity 1.011 1.005 - 1.030
pH 5.5 4.6 - 8
Leucocytes (ESTERASE) Negative Negative
Protein Negative Negative
Glucose Negative Negative
Ketone Bodies Urine Negative Negative
Urobilinogen Negative Negative
Bilirubin Negative Negative
Blood Negative Negative
Nitrite Negative Negative
Flowcytometric Examination
Leucocyte 1-2
Red Blood Cell Nil /HPF Nil
Epithelial Cell Few squamous /HPF Present(+)
& transitional
Cast Nil /HPF Nil
Crystals Nil /HPF Nil

Note:(LL-VeryLow,L-Low,H-High,HH-VeryHigh ,A-Abnormal)

Dr. Akshita Khurana Printed On : 10-May-2025 19:41

M.D Pathology
Page 13 of 14
LABORATORY REPORT

Name : H. B. SINGH Sex/Age : Male / 68 Years Case ID : 50503607875


Ref. By : Sanjivani clinic - ved road Dis. At : Pt. ID :
Bill. Loc. : GSF LABS PAL SURAT Pt. Loc :
Reg Date and Time : 10-May-2025 15:49 Sample Type : Spot Urine Mobile No. :
Sample Date and Time : 10-May-2025 15:49 Sample Coll. By : non NAL Ref Id1 :
Report Date and Time : 10-May-2025 16:49 Acc. Remarks : Ref Id2 :

------------------ End Of Report ------------------

# For test performed on specimens received or collected from non-NSRL locations, it is presumed that the specimen belongs to the patient named
or identified as labeled on the container/test request and such verification has been carried out at the point generation of the said specimen by the
sender. NSRL will be responsible Only for the analytical part of test carried out. All other responsibility will be of referring Laboratory.

Note:(LL-VeryLow,L-Low,H-High,HH-VeryHigh ,A-Abnormal)

Dr. Akshita Khurana Printed On : 10-May-2025 19:41

M.D Pathology
Page 14 of 14

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