Patient Name            : NIMISHA PACHAURY                                       Collected    : 02/Jun/2025 08:40AM
Age/Gender              : 33 Years/F
   UHID/MR No              : LSHHI2132493                                           Reported     : 02/Jun/2025 02:03PM
   Visit ID                : 192506020021                                           Status       : Final Report
   Ref By                  : Dr.DUNGAR SINGH GURJAR                                 Panel Name   : CGHS (CASH)
   IP/OP NO                :                                                        Barcode      : HC10103723
                                     DEPARTMENT OF CLINICAL BIOCHEMISTRY & IMMUNOLOGY
     Test Name                                                         Result                     Unit            Bio. Ref. Interval
  IMMUNOGLOBULIN IgE, SERUM , Serum
   IgE, Total                                                         286.2                      IU/mL            0.0 - 378.0
    Chemiluminescence Immunoassay
 Comment:
          Elevated IgE concentrations can be found in patients with allergic diseases such as hay fever, atopic bronchitis and dermatitis. Normal
          IgE values do not, however, mean that an allergic disease can be ruled out.
          The quantitative determination of serum IgE concentrations is useful for clinical differentiation between atopic (i.e. Predisposition to
          excessive IgE reaction) and non atopic (non–IgE mediated) allergic diseases only in combination with other clinical findings.
          Elevated serum IgE concentration can also occur in non-allergic diseases eg. Congenital immunodeficiency syndromes, HIV infections,
          severe burns and parasitic disease.
                                                                                                                  02-Jun-2025 02:37 PM    Page 1 of 6
Processing Lab: SDA LAB Address: C-6/8, Safdarjung Development Area, Delhi-110016
   Patient Name            : NIMISHA PACHAURY                                       Collected               : 02/Jun/2025 08:40AM
   Age/Gender              : 33 Years/F
   UHID/MR No              : LSHHI2132493                                           Reported                : 02/Jun/2025 02:27PM
   Visit ID                : 192506020021                                           Status                  : Final Report
   Ref By                  : Dr.DUNGAR SINGH GURJAR                                 Panel Name              : CGHS (CASH)
   IP/OP NO                :                                                        Barcode                 : HC10103723
                                     DEPARTMENT OF CLINICAL BIOCHEMISTRY & IMMUNOLOGY
     Test Name                                                         Result                                   Unit          Bio. Ref. Interval
  KIDNEY PANEL KFT BASIC , Serum
   Urea                                                               10.7                                      mg/dL         12.84 - 42.80
    Calculated
   Creatinine Serum                                                   0.46                                      mg/dL         0.6 - 1.0
    Modified Jaffe Kinetic
   Uric Acid                                                          3.65                                      mg/dL         2.6 - 6.0
    Uricase/Peroxidase
   Potassium                                                          4.1                                       mEq/L         3.5 - 5.1
    ISE Indirect
   Sodium                                                             137                                       mEq/L         136 - 145
    ISE Indirect
   Chloride                                                           102                                       mEq/L         98 - 107
    ISE Indirect
   Blood Urea Nitrogen                                                5                                         mg/dL         6.0 - 20.0
    Urease GLDH
   Calcium, Total                                                     8.8                                       mg/dL         9.0 - 10.1
    O-cresolphthalein complexone
 Comment:
          As markers of renal function creatinine, urea, uric acid and electrolytes are for routine analysis.
          Plasma urea or creatinine should be done as a guide to check the progression and disease prognosis if there is severe renal damage or obstruction.
          Examination of urine is most important initial test for suspected renal damage, particularly glomerular diseases.
                                                                                                                              02-Jun-2025 02:37 PM    Page 2 of 6
Processing Lab: SDA LAB Address: C-6/8, Safdarjung Development Area, Delhi-110016
   Patient Name            : NIMISHA PACHAURY                                       Collected            : 02/Jun/2025 08:40AM
   Age/Gender              : 33 Years/F
   UHID/MR No              : LSHHI2132493                                           Reported             : 02/Jun/2025 02:27PM
   Visit ID                : 192506020021                                           Status               : Final Report
   Ref By                  : Dr.DUNGAR SINGH GURJAR                                 Panel Name           : CGHS (CASH)
   IP/OP NO                :                                                        Barcode              : HC10103723
                                     DEPARTMENT OF CLINICAL BIOCHEMISTRY & IMMUNOLOGY
     Test Name                                                         Result                             Unit                Bio. Ref. Interval
  LIPID PROFILE, BASIC , Serum
   Cholesterol Total                                                  124                                mg/dL               < 200
    CHO-POD
   Triglycerides                                                      149                                mg/dL               < 150
    Enzymatic with glycerol Blank
   HDL Cholesterol                                                    66                                 mg/dL               > 50
    Direct enzymatic, calorimetric
   VLDL Cholesterol                                                   29.8                               mg/dL               < 30
    Calculated
   LDL/HDL Ratio                                                      0.58                               Ratio
    Calculated
   Total Cholesterol/HDL Cholesterol Ratio                            1.88                               Ratio
    Calculated
   LDL Cholesterol                                                    38                                 mg/dL               < 100
    Direct measure
 Comment:
  NATIONAL LIPID ASSOCIATION RECOMMENDATIONS                 TOTAL CHOLESTERO in       TRIGLYCERIDE in    LDL CHOLESTEROL in
  (NLA-2014)                                                 mg/dL                     mg/dL              mg/dL
  Optimal                                                    <200                      <150               <100
  Above Optimal                                              -                         -                  100- 129
  Borderline High                                            200-239                   150-199            130-159
  High                                                       >=240                     200-499            160-189
  Very High                                                  -                         >=500              >=190
 *Measurements in the same patient can show physiological & analytical variations. Three serial samples 1 week apart are recommended for Total Cholesterol,
 Triglycerides, HDL & LDL Cholesterol.
 *Lipid Association of India (LAI) recommends screening of all adults above the age of 20 years for Atherosclerotic Cardiovascular Disease (ASCVD) risk
 factors especially lipid profile. This should be done earlier if there is family history of premature heart disease, dyslipidemia, obesity or other risk factors.
 *Indians tend to have higher triglyceride levels & Lower HDL cholesterol combined with small dense LDL particles, a pattern known as atherogenic
 dyslipidemia.
 * Non HDL Cholesterol comprises the cholesterol carried by all atherogenic particles, including LDL, IDL, VLDL & VLDL remnants, Chylomicron remnants &
 Lp(a).
 * LAI recommends LDL cholesterol as primary target and Non HDL cholesterol as co-primary treatment target 6. Apolipoprotein B is an optional, secondary
 lipid target for treatment once LDL & Non HDL goals have been achieved.
 *Additional testing for Apolipoprotein B, hsCRP, Lp(a ) & LP-PLA2 should be considered among patients with moderate risk for ASCVD for risk refinemen.
 Risk Stratification of ASCVD by Lipid Association of India 2016
                                                                                                                             02-Jun-2025 02:37 PM      Page 3 of 6
Processing Lab: SDA LAB Address: C-6/8, Safdarjung Development Area, Delhi-110016
   Patient Name            : NIMISHA PACHAURY                                        Collected            : 02/Jun/2025 08:40AM
   Age/Gender              : 33 Years/F
   UHID/MR No              : LSHHI2132493                                            Reported             : 02/Jun/2025 02:27PM
   Visit ID                : 192506020021                                            Status               : Final Report
   Ref By                  : Dr.DUNGAR SINGH GURJAR                                  Panel Name           : CGHS (CASH)
   IP/OP NO                :                                                         Barcode              : HC10103723
                                       DEPARTMENT OF CLINICAL BIOCHEMISTRY & IMMUNOLOGY
     Test Name                                                         Result                               Unit                 Bio. Ref. Interval
                           Major ASCVD Risk Factors
  1. Age >= 45 years in males and >= 55 years females.
  2. Family h/o premature ASCVD(< 55 years of age in a male first degree relative or | | <65        years of age in a female first
  degree relative).
  3. Current Cigarette smoking or tobacco use.
  4. High blood pressure.
  5. Low HDL
    ASCVD Risk Categories
  Risk                                                                                           Non-Conventional Risk markers
           Conventional Risk markers
  Category                                                                                       (Optional)
            1. Established ASCVD
  Very High 2. Diabetes with 2 or more major ASCVD risk factors and/or evidence of end
                                                                                                 None
  Risk      organ damage
            3. Familial Homozygous hypercholesterolemia
            1. >=3 major ASCVD risk factors
            2. Diabetes with 0-1 major risk factor and no evidence of end organ damage.
                                                                                                 1. Coronary artery calcium,CAC
            3. CKD stage 3 B or 4
                                                                                                 score >=300 AU.
  High Risk 4. Familial Hypercholesterolemia( other than Familial Homozygous
                                                                                                 2. Lp(a)> = 50 mg/dL
            hypercholesterolemia).
                                                                                                 3. Non stenotic carotid plaque
            5. Extreme of a single factor e.g. LDL Cholesterol >190 mg/dL,Heavy
            smoker, strong family h/o premature ASCVD.
                                                                                                 1. Coronary artery calcium,CAC
  Moderate                                                                                       score 100-299 AU.
           Any 2 major ASCVD risk factors.
  risk                                                                                           2. Lp(a) 20-49 mg/dL.
                                                                                                 3. Metabolic syndrome.
  Low risk    0-1 major ASCVD risk factors                                                       None
          Treatment Goals as per Lipid Association of India 2016
  RISK CATEGORY                CONSIDER THERAPY                                     TREATMENT GOAL
                               LDL CHOLESTEROL (LDL-C)(mg/dL)                       LDL CHOLESTEROL (LDL-C)(mg/dL)
  Very High                    >=50                                                 <50
  High                         >=70                                                 <70
  Moderate                     >=100                                                <100
  Low                          >=130*                                               <100
 * In low risk patient, consider therapy after an initial non-pharmacological intervention for at least 3 months
                                                                                                                                02-Jun-2025 02:37 PM   Page 4 of 6
Processing Lab: SDA LAB Address: C-6/8, Safdarjung Development Area, Delhi-110016
   Patient Name              : NIMISHA PACHAURY                                               Collected                  : 02/Jun/2025 08:40AM
   Age/Gender                : 33 Years/F
   UHID/MR No                : LSHHI2132493                                                   Reported                   : 02/Jun/2025 02:27PM
   Visit ID                  : 192506020021                                                   Status                     : Final Report
   Ref By                    : Dr.DUNGAR SINGH GURJAR                                         Panel Name                 : CGHS (CASH)
   IP/OP NO                  :                                                                Barcode                    : HC10103723
                                        DEPARTMENT OF CLINICAL BIOCHEMISTRY & IMMUNOLOGY
     Test Name                                                                 Result                                      Unit                   Bio. Ref. Interval
  LFT BASIC-LIVER PANEL BASIC , SERUM
   Total Bilirubin                                                           0.3                                         mg/dL                   0.2 - 1.0
    Diazotization
   Conjugated Bilirubin                                                      0.08                                        mg/dL                   0.0 - 0.2
    Diazotization
   Indirect Bilirubin                                                        0.22                                        mg/dL                   0.2 - 1.0
    Calculated
   Total Protein                                                             7.1                                         g/dL                    6.4 - 8.2
    Biuret
   Albumin                                                                   3.1                                         g/dL                    3.4 - 5.0
    Bromocresol purple (BCP)
   Globulin                                                                  4                                           g/dL                    2.0 - 3.5
    Calculated
   A/G Ratio                                                                 0.78                                        Ratio                   >1
    Calculated
   SGPT (ALT)                                                                39                                          U/L                     7.0 - 35.0
    IFCC with P5P
   SGOT(AST)                                                                 21                                          U/L                     18 - 34
    IFCC with P5P
   Alkaline Phosphatase                                                      73                                          U/L                     46 - 122
    PNPP, AMP Buffer IFCC
   Gamma Glutamyl Transferase                                                26                                          U/L                     5 - 55
    IFCC
 Comment:
 The clinical suspicion of liver disease usually leads to the measurement of the liver function tests (LFT) which include measurement of several enzymes, serum bilirubin and albumin. These
 parameters may point to an underlying pathological process and direct further investigation.
 The aims of investigation in patients with suspected liver disease are:
 • To detect hepatic abnormality
 • Measurement of severity of liver damage
 • Identify the specific cause & Investigate possible complications
                                                                                                                                                 02-Jun-2025 02:37 PM          Page 5 of 6
Processing Lab: SDA LAB Address: C-6/8, Safdarjung Development Area, Delhi-110016
   Patient Name            : NIMISHA PACHAURY                                       Collected    : 02/Jun/2025 08:40AM
   Age/Gender              : 33 Years/F
   UHID/MR No              : LSHHI2132493                                           Reported     : 02/Jun/2025 02:03PM
   Visit ID                : 192506020021                                           Status       : Final Report
   Ref By                  : Dr.DUNGAR SINGH GURJAR                                 Panel Name   : CGHS (CASH)
   IP/OP NO                :                                                        Barcode      : HC10103723
                                     DEPARTMENT OF CLINICAL BIOCHEMISTRY & IMMUNOLOGY
     Test Name                                                         Result                     Unit              Bio. Ref. Interval
  THYROID PROFILE, TOTAL ( T3,T4 & TSH) , Serum
   T3 (Tri Iodothyronine)                1.65                                                    ng/mL             0.60 - 1.81
    CLIA
   T4 (Thyroxine)                                                     12.3                       µg/dL             3.2 - 12.6
    CLIA
   TSH, ULTRASENSITIVE                                                2.257                      µIU/mL            0.55 - 4.78
    CLIA
 Comment:
                    Age                 T3 Ref Range (ng/mL)
         1st Trimester                         0.80 - 1.90
        2nd Trimesters                         1.00 - 2.60
        3rd Trimesters                         1.00 - 2.60
                  Age                 TSH Ref Range (µIU/ mL)
         1st Trimester                          0.1 - 2.5
        2nd Trimester                           0.2 - 3.0
        3rd Trimester                           0.3 - 3.0
          TSH levels are subjected to circadian variation, hence time of the day has influence on the measured serum TSH concentrations.
          Total T3 and Total T4 levels are profoundly affected by altered concentration of thyroid binding protein espcially during pregnancy and
          Patients on steroid therapy.
          Unbound fraction of thyroid hormone is biologically active form and correlate more closely with clinical status of patient than Total
          T3/Total T4 concentration.
                                                                     *** End Of Report ***
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                                                                                                                   02-Jun-2025 02:37 PM    Page 6 of 6
Processing Lab: SDA LAB Address: C-6/8, Safdarjung Development Area, Delhi-110016