Name : Mrs. SHIVANI KEKRE VID No.

: 250000506937478
Age / Gender : 28 Year(s)/ Female PID No. : P57925550779622
Contact No. : +919757276821 Referred by : Dr.ANJALI KEKRE
Address : PREM TOWER B 802, SV ROAD GOREGAON WEST, … Sample Collected At : Preventive Care(mhl), 303, Sunrise Business Park, Kisan Nagar,
Pin code : 400104 Road No 16, Wagle Estate.

SUMMARY REPORT
Investigation Outside Reference Range (Abnormal)
Investigation Observed Value Unit Biological Reference Interval
IgE Total antibody 128.00 IU/mL 0-100
(Serum Electrochemiluminescence immunoassay
(ECLIA))
Investigation Within Reference Range (Normal)
Apolipoproteins B/A1
CEA (Carcino Embryonic Antigen), Serum
LH (Luteinizing Hormone)
RA (Rheumatoid Arthritis) Factor, Serum
Cortisol - 8am

Pending Reports
Investigations Committed Date
CA 15.3 31/07/2025, 12:27
Microalbumin / Creatinine Ratio, Urine 31/07/2025, 17:00
TruHealth Expert (Female) 31/07/2025, 19:00

MEDICAL LABORATORY REPORT

Registered On: 30/07/2025 9:53 AM Collected On: 30/07/2025 9:53AM Reported On: 30/07/2025 9:06 PM
PROCESSING LOCATION :
METROPOLIS
(W). HEALTHCARE LTD. GANJAWALA LANE, BORIVALI Page 1 of 23
Name : Mrs. SHIVANI KEKRE VID No. : 250000506937478
Age / Gender : 28 Year(s)/ Female PID No. : P57925550779622
Contact No. : +919757276821 Referred by : Dr.ANJALI KEKRE
Address : PREM TOWER B 802, SV ROAD GOREGAON WEST, … Sample Collected At : Preventive Care(mhl), 303, Sunrise Business Park, Kisan Nagar,
Pin code : 400104 Road No 16, Wagle Estate.

Investigation Observed Value Unit Biological Reference Interval

TruHealth Expert (Female)
Glucose Fasting
(Plasma-F, Hexokinase)
91.8 mg/dL Normal: 70-99
Impaired Fasting Glucose(IFG): 100-
125
Diabetes mellitus: >= 126
(on more than one occassion)
(American diabetes association
guidelines 2022)
Note: An individual may show higher fasting glucose level in comparison to post prandial glucose level due to following
reasons :
The glycaemic index and response to food consumed, Changes in body composition, Increased insulin response and
sensitivity, Alimentary hypoglycemia, Renal glycosuria, Effect of oral hypoglycaemics & Insulin treatment.
Associated Tests: HbA1c (H0018), Diabetes Profile – Maxi (D0021),HOMA Index (H0275), Insulin (I0275).

Glucose Post Prandial

(Plasma - P, Hexokinase)
79.3 mg/dL Diabetes mellitus:: >= 200
(on more than one occassion)
(American diabetes association
guidelines 2022)
An individual may show higher fasting glucose level in comparison to post prandial glucose level due to following reasons :
The glycaemic index and response to food consumed, Changes in body composition, Increased insulin response and
sensitivity, Alimentary hypoglycemia, Renal glycosuria, Effect of oral hypoglycaemics & Insulin treatment.
Bilirubin Total, Direct, Indirect
(Serum )
Bilirubin Total
(Diazo method)
0.56 mg/dL 0-1.2
Bilirubin Direct
(Diazo method)
0.23 mg/dL 0.0-0.3
Bilirubin-
(Calculated)
Indirect 0.33 mg/dL 0.1-1.0
Proteins, Serum
(Serum )
Total Protein
(Biuret test)
8.17 gm/dL 6.4-8.3
Albumin, Serum
(Bromocresol Green (BCG))
4.49 gm/dL 3.5-5.2
Globulin 3.68 gm/dL 1.8-3.6
Albumin/Globulin Ratio 1.2 1.1-2.2

Dr.
MD BHAVNA VORA
(Pathology)
Consultant Pathologist (Doctor In-charge)
Reg No.2011061788

MEDICAL LABORATORY REPORT

Registered On: 30/07/2025 9:53 AM Collected On: 30/07/2025 9:53AM Reported On: 30/07/2025 9:06 PM
PROCESSING LOCATION :
METROPOLIS
(W). HEALTHCARE LTD. GANJAWALA LANE, BORIVALI Page 2 of 23
Name : Mrs. SHIVANI KEKRE VID No. : 250000506937478
Age / Gender : 28 Year(s)/ Female PID No. : P57925550779622
Contact No. : +919757276821 Referred by : Dr.ANJALI KEKRE
Address : PREM TOWER B 802, SV ROAD GOREGAON WEST, … Sample Collected At : Preventive Care(mhl), 303, Sunrise Business Park, Kisan Nagar,
Pin code : 400104 Road No 16, Wagle Estate.

Investigation Observed Value Unit Biological Reference Interval

SGPT (ALT)
(Serum, Enzymatic)
61.3 U/L 0-33
SGOT (AST)
(Serum, Enzymatic)
96.3 U/L 0-32
Alkaline Phosphatase, Serum
(Serum, p-nitrophenyl phosphate (pNPP))
93 U/L 35-104
LDH (Lactate Dehydrogenase), Serum
(Serum, Lactate-pyruvate IFCC)
230 U/L 0-250
Interpretation:
Lactate dehydrogenase (LDH) is an enzyme that is present in heart, liver, muscle and kidney tissues.
Very high levels of LDH are seen in patients with megaloblastic anaemia, carcinoma and shock.
Moderate increase seen in muscular disorders, nephrotic syndrome, and cirrhosis.
Mild increases in LDH activity are seen in cases of myocardial or pulmonary infarction, leukemia, hemolytic anemia
and non-viral hepatitis
Many cancers cause a general increase in LDH levels or an increase in one of its isozymes.
Clinical Utility:
It is used to screen for tissue damage along with other related tests like LDH isoenzymes. · It is also used to monitor
severe infections or conditions like hemolytic or megaloblastic anemias, kidney disease, and liver disease
Associated Test
: CPK Total Serum (C0165), SGPT ALT Serum (S0019), Troponin-I, Serum(T0128), Troponin-T, Serum (T0129) ,
LDH Isoenzymes (L0016)
Reference :
Package Insert
Klein R, Nagy O, Tóthová C, Chovanová F. Clinical and Diagnostic Significance of Lactate Dehydrogenase and Its
Isoenzymes in Animals. Vet Med Int. 2020 Jun 15;2020:5346483.
Gamma GT (GGTP)
(Serum, Enzymatic)
24 U/L < 40
GFR with Creatinine (Above 18 Years)
(Serum , Jaffes method)
Creatinine, Serum 0.74 mg/dL 0.60-1.10
Note : Change in Reference range
eGFR (CKD-EPI) 113 mL/min/1.73m² Normal OR high:>=90
,Normal OR high:>=90
,Mild decrease :60-89
,Mild moderate decrease:45-59
,Moderate to severe decrease:30-
44
,Severe decrease:15-29
,Kidney failure:<15

Dr.
MD BHAVNA VORA
(Pathology)
Consultant Pathologist (Doctor In-charge)
Reg No.2011061788

MEDICAL LABORATORY REPORT

Registered On: 30/07/2025 9:53 AM Collected On: 30/07/2025 9:53AM Reported On: 30/07/2025 9:06 PM
PROCESSING LOCATION :
METROPOLIS
(W). HEALTHCARE LTD. GANJAWALA LANE, BORIVALI Page 3 of 23
Name : Mrs. SHIVANI KEKRE VID No. : 250000506937478
Age / Gender : 28 Year(s)/ Female PID No. : P57925550779622
Contact No. : +919757276821 Referred by : Dr.ANJALI KEKRE
Address : PREM TOWER B 802, SV ROAD GOREGAON WEST, … Sample Collected At : Preventive Care(mhl), 303, Sunrise Business Park, Kisan Nagar,
Pin code : 400104 Road No 16, Wagle Estate.

Investigation Observed Value Unit Biological Reference Interval

Note:
Equation is not valid for patients below 18 years of age.Calculated by IDMS-Traceable CKD-EPI creatinine equation.
Interpretation:
Kidneys filter the blood by removing waste and extra water to make urine. The glomerular filtration rate (GFR) shows how well
the kidneys are filtering. When found early, important steps can be taken to protect their kidneys.
In adults, the normal eGFR number is usually more than 90. eGFR declines with age, even in people without kidney disease.
See chart below for average estimated eGFR based on age.
Age (years) Average eGFR
20–29 116
30–39 107
40–49 99
50–59 93
60–69 85
70+ 75
Note:
Race-‘OTHERS’ means other than black (Caucasian / Asians)
Creatinine test done by IDMS traceable kit
Patient flyer https://www.kidney.org/sites/default/files/01-10-8374_2210_patflyer_egfr.pdf
BUN, Serum
(Serum, Urease)
6.4 mg/dL 7-18.7
Remark: In blood, Urea is usually reported as BUN and expressed in mg/dl. BUN mass units can be converted to urea mass
units by multiplying by 2.14.
Sodium, Serum
(Serum, Ion Selective Electrode (ISE))
140 mmol/L 136-145
Sodium
is the major extracellular cation and functions to maintain fluid distribution and osmotic pressure. Some causes of ecreased
levels of sodium include prolonged vomiting or diarrhea, diminished reabsorption in the kidney and excessive fluid retention.
Common causes of increased sodium include excessive fluid loss, high salt intake and increased kidney reabsorption.
Potassium, Serum
(Serum, Ion Selective Electrode (ISE))
4.44 mmol/L 3.5-5.1
Potassium
is the major intracellular cation and is critical to neural and muscle cell activity. Some causes of decreased potassium levels
include reduced intake of dietary potassium or excessive loss of potassium from the body due to diarrhea, prolonged vomiting
or increased renal excretion. Increased potassium levels may be caused by dehydration or shock, severe burns, diabetic
ketoacidosis, and retention of potassium by the kidney.
Chloride, Serum
(Serum, Ion Selective Electrode (ISE))
101.8 mmol/L 98-107

Dr.
MD BHAVNA VORA
(Pathology)
Consultant Pathologist (Doctor In-charge)
Reg No.2011061788

MEDICAL LABORATORY REPORT

Registered On: 30/07/2025 9:53 AM Collected On: 30/07/2025 9:53AM Reported On: 30/07/2025 9:06 PM
PROCESSING LOCATION :
METROPOLIS
(W). HEALTHCARE LTD. GANJAWALA LANE, BORIVALI Page 4 of 23
Name : Mrs. SHIVANI KEKRE VID No. : 250000506937478
Age / Gender : 28 Year(s)/ Female PID No. : P57925550779622
Contact No. : +919757276821 Referred by : Dr.ANJALI KEKRE
Address : PREM TOWER B 802, SV ROAD GOREGAON WEST, … Sample Collected At : Preventive Care(mhl), 303, Sunrise Business Park, Kisan Nagar,
Pin code : 400104 Road No 16, Wagle Estate.

Investigation Observed Value Unit Biological Reference Interval

Chloride
is the major extracellular anion and serves to regulate the balance of extracellular fluid distribution. Similarly to the other ions,
common causes of decreased chloride include reduced dietary intake, prolonged vomiting and reduced renal reabsorption as
well as some forms of acidosis and alkalosis. Increased chloride values are found in dehydration, kidney failure, some forms of
acidosis, high dietary or parenteral chloride intake, and salicylate poisoning.
Uric Acid, Serum
(Serum, Uricase)
7.0 mg/dL 2.4-5.7
HsCRP (High Sensitivity CRP)
(Serum, Nephelometry)
5.12 mg/L <= 3
Interpretation:
High sensitivity C reactive protein (hs CRP) measurements may be used as an independent risk marker for the
identification of individuals at risk for future cardiovascular disease.
hs CRP when used in conjunction with traditional risk factors may be useful as an independent marker for prognosis of
recurrent events in patients with stable coronary disease or acute coronary syndromes.
Patients with evidence of active infection, systemic inflammatory processes or trauma should not be tested for
cardiovascular risk assessment until these conditions are abated.
Homocysteine
(Serum, Enzymatic)
12.39 µmol/L 4.44-13.56
Interpretation :
Increased levels are seen in deranged VitB12 metabolism and form an independent marker for risk of thromboembolic
episodes in coronary artery disease.
Levels are also increased in homocyteinuria, various neoplastic diseases like cancers of ovary or breast and Acute
Lymphoblastic Leukemia, chronic liver or renal failure post menopausal state, drug usage, and cigarette smoking.
Phosphorus, Serum
(Serum, Molybdate UV)
3.31 mg/dL 2.3-4.7
Calcium, Serum
(Serum, Arsenazo III)
9.75 mg/dL 8.4-10.2
Lipase, Serum
(Serum, Enzymatic colorimetric Assay)
52.0 U/L 13-60
Amylase, Serum
(Serum, Enzymatic colorimetric Assay - IFCC)
124 U/L 28-100
Interpretation:
High levels are seen in various pancreatic as well as salivary gland disorders, intestinal blockage, peptic ulcer,
appendicitis, viral hepatitis, burns and acute alcohol poisoning.
Low levels are seen in bone fracture, chronic heart failure, chronic pancreatitis, liver and kidney diseases.
Clinical Utility:
Helps in diagnosing acute pancreatitis and other pancreatic diseases.
In acute pancreatitis, high amylase levels are usually associated with high lipase concentrations, although lipase levels
may take a while to rise than blood amylase levels and will remain elevated for a longer time period.
Note:

Dr.
MD BHAVNA VORA
(Pathology)
Consultant Pathologist (Doctor In-charge)
Reg No.2011061788

MEDICAL LABORATORY REPORT

Registered On: 30/07/2025 9:53 AM Collected On: 30/07/2025 9:53AM Reported On: 30/07/2025 9:06 PM
PROCESSING LOCATION :
METROPOLIS
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Name : Mrs. SHIVANI KEKRE VID No. : 250000506937478
Age / Gender : 28 Year(s)/ Female PID No. : P57925550779622
Contact No. : +919757276821 Referred by : Dr.ANJALI KEKRE
Address : PREM TOWER B 802, SV ROAD GOREGAON WEST, … Sample Collected At : Preventive Care(mhl), 303, Sunrise Business Park, Kisan Nagar,
Pin code : 400104 Road No 16, Wagle Estate.

Investigation Observed Value Unit Biological Reference Interval

Pregnancy and recent kidney transplant affects the test results.
Usage of drugs like aspirin, diuretics, oral contraceptives, corticosteroids, indomethacin, ethyl alcohol and opiates
also interfere in test results.
Amylase levels may be increased in patients with Macroamylase. It can be confirmed by testing serum lipase and
urinary amylase levels.
Associated Tests:
Lipase Serum (L0068), Urinary amylase (A0433_24/ A0433_24H)
Reference:
Kit Insert.
Henry's Clinical Diagnosis and Management by Laboratory Methods. 24th ed. Philadelphia, PA: Elsevier; 2022:chap 23
CPK Total
(Serum, CK-NAC IFCC)
99 U/L < 170
Interpretation :
Creatinine Kinase (CK) is also called as creatinine phosphokinase (CPK) or phosphocreatine kinase.
CPK levels are useful for diagnosing and monitoring of Heart & Muscle related issues such as myocardial infraction
(MI) and myopathies.
Creatine kinase activity begins to rise within 12 hours of Acute Myocardial infarction symptoms, peaks at 24 to 36
hours, and normalizes after 48 to 72 hours
Clinical Utility:
The CPK test used primarily
To help diagnose a heart attack/chest pain
To assess the extent of damage to heart or muscle tissue
To determine muscular dystrophy.It also helps in diagnosis of
Myositis
Malignant hyperthermia
Other conditions related to muscle breakdown.
Caution:
Exercise, muscle trauma, recent surgery, cardiac catheterization, some vaccines can elevate CPK values.
Presence of Macro CK may elevate CPK levels.
Medications that interfere with CPK test are steroids, anesthetics, Amphotericin B, alcohol, Cocaine.
Associated Tests:
CPK Isoenzymes Serum (C0164).
Reference:
Package insert
Wallach’s interpretation of diagnostic tests, Ed11, 2020
Tietz fundamentals of clinical chemistry 6th edition. Burtis CA, Ashwood ER, Bruns DE, 2008.
Aujla RS, Patel R. Creatine Phosphokinase. [Updated 2022 Apr 14]. In: StatPearls [Internet]. Treasure Island (FL):
StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK546624/
Iron Studies
(Serum )

Dr.
MD BHAVNA VORA
(Pathology)
Consultant Pathologist (Doctor In-charge)
Reg No.2011061788

MEDICAL LABORATORY REPORT

Registered On: 30/07/2025 9:53 AM Collected On: 30/07/2025 9:53AM Reported On: 30/07/2025 9:06 PM
PROCESSING LOCATION :
METROPOLIS
(W). HEALTHCARE LTD. GANJAWALA LANE, BORIVALI Page 6 of 23
Name : Mrs. SHIVANI KEKRE VID No. : 250000506937478
Age / Gender : 28 Year(s)/ Female PID No. : P57925550779622
Contact No. : +919757276821 Referred by : Dr.ANJALI KEKRE
Address : PREM TOWER B 802, SV ROAD GOREGAON WEST, … Sample Collected At : Preventive Care(mhl), 303, Sunrise Business Park, Kisan Nagar,
Pin code : 400104 Road No 16, Wagle Estate.

Investigation Observed Value Unit Biological Reference Interval

Iron, Serum
(FerroZine)
90.26 µg/dL 33-193
UIBC 207.07 µg/dL 135-392
TIBC
(Ferene)
297 250-450
Transferin Saturation (Calculated) 30 % 14-50
Interpretation :
1. Measurements of serum iron, TIBC and the percentage of iron saturation of transferrin are useful screening tests for iron
deficiency anaemia.
2. However, serum iron exhibits significant diurnal variation and may transiently rise or reach reference values after dietary
or iron supplements & post blood transfusion.
3. The diagnostic specificity of a low serum iron for iron deficiency is lost in the presence of acute & chronic inflammatory
processes as the concentrations of iron and transferrin in the serum are significantly affected, and fall rapidly as part of
the acute phase response irrespective of the iron stores status in the body.
4. Hence, Concurrent measurement of the markers mentioned in the below interpretative table alongwith serum iron
studies improves the diagnostic specificity for iron deficiency anaemia & also provides a reliable work up for microcytic
hypochromic anaemia.
Tests Iron Deficiency Anaemia of Chronic Iron overload Hemoglobinopathy
anaemia disease (Especially Trait)
Serum Iron Decreased Decreased Increased Normal
Serum Total Iron Increased Decreased or Normal Increased or Normal Normal
Binding Capacity
% Transferrin Decreased Decreased or Normal Increased or Normal Normal
Saturation
Serum UIBC Increased Decreased or Normal Decreased Normal
Serum Ferritin Decreased Increased Increased or Normal Normal
Serum Soluble Increased Normal Decreased Normal
Transferrin receptor
Serum Hepcidin Normal Increased Normal Normal
Associated Tests :
1. Serum Soluble Transferrin receptor
2. Serum Hepcidin
Interpretation :
Measurements of serum iron, UIBC-Unsaturated Iron binding Capacity and the percentage of iron saturation of
transferrin are useful screening tests for iron deficiency anemia.
Tests Iron Deficiency Anemia of Chronic Iron overload Hemoglobinopathy
anemia disease (Especially Trait)
Serum Iron Decreased Decreased Increased Normal

Dr.
MD BHAVNA VORA
(Pathology)
Consultant Pathologist (Doctor In-charge)
Reg No.2011061788

MEDICAL LABORATORY REPORT

Registered On: 30/07/2025 9:53 AM Collected On: 30/07/2025 9:53AM Reported On: 30/07/2025 9:06 PM
PROCESSING LOCATION :
METROPOLIS
(W). HEALTHCARE LTD. GANJAWALA LANE, BORIVALI Page 7 of 23
Name : Mrs. SHIVANI KEKRE VID No. : 250000506937478
Age / Gender : 28 Year(s)/ Female PID No. : P57925550779622
Contact No. : +919757276821 Referred by : Dr.ANJALI KEKRE
Address : PREM TOWER B 802, SV ROAD GOREGAON WEST, … Sample Collected At : Preventive Care(mhl), 303, Sunrise Business Park, Kisan Nagar,
Pin code : 400104 Road No 16, Wagle Estate.

Investigation Observed Value Unit Biological Reference Interval

Serum Total Iron Increased Decreased or Normal Increased or Normal Normal
Binding Capacity
% Transferrin Decreased Decreased or Normal Increased or Normal Normal
Saturation
Serum UIBC Increased Decreased or Normal Decreased Normal
Serum Ferritin Decreased Increased Increased or Normal Normal
Serum Soluble Increased Normal Decreased Normal
Transferrin receptor
Serum Hepcidin Normal Increased Normal Normal
The sum of the serum iron and UIBC represents total iron-binding capacity (TIBC) and is a measurement for the
maximum iron concentration that the iron complex can bind.
Clinical Utility:
Iron measurements are used in the diagnosis of iron deficiency anemia, hemochromatosis, microcytic anemia,
macrocytic anemia, erythropoietin deficiency,. The test is also undertaken in patients of chronic renal disease,
hemolytic anemia and hemoglobinopathy.
Caution:
Serum iron exhibits significant diurnal variation and may transiently rise or reach reference values after dietary or iron
supplements & post blood transfusion.
Patients treated with Deferoxamine containing drugs may give low values with the UIBC assay.
Associated Tests:
Soluble Transferrin Receptor Serum (S0036), Serum Hepcidin (H0077).Serum Ferritin (F0018)
,
Reference:
Package insert
Wallach’s interpretation of diagnostic tests, Ed11, 2020
Henry's Clinical Diagnosis and Management by Laboratory Methods. 23rd ed; 2017.
Tietz fundamentals of clinical chemistry 6th edition. Burtis CA, Ashwood ER, Bruns DE, 2008.
Lipid Profile - 2 (Mini - Fasting)
(Serum )
Cholesterol Total, Serum
(Enzymatic colorimetric Assay)
172.5 mg/dL Desirable: < 200
Borderline High: 200-240
High: >= 240
Triglycerides,
(Enzymatic)
Serum 207.2 mg/dL Normal: < 150
Borderline High: 150-199
High: 200-499
Very High: >= 500
HDL Cholesterol Direct
(Homogeneous Enzymatic colorimetric Assay)
39.4 mg/dL > 40

Dr.
MD BHAVNA VORA
(Pathology)
Consultant Pathologist (Doctor In-charge)
Reg No.2011061788

MEDICAL LABORATORY REPORT

Registered On: 30/07/2025 9:53 AM Collected On: 30/07/2025 9:53AM Reported On: 30/07/2025 9:06 PM
PROCESSING LOCATION :
METROPOLIS
(W). HEALTHCARE LTD. GANJAWALA LANE, BORIVALI Page 8 of 23
Name : Mrs. SHIVANI KEKRE VID No. : 250000506937478
Age / Gender : 28 Year(s)/ Female PID No. : P57925550779622
Contact No. : +919757276821 Referred by : Dr.ANJALI KEKRE
Address : PREM TOWER B 802, SV ROAD GOREGAON WEST, … Sample Collected At : Preventive Care(mhl), 303, Sunrise Business Park, Kisan Nagar,
Pin code : 400104 Road No 16, Wagle Estate.

Investigation Observed Value Unit Biological Reference Interval

Non HDL Cholesterol
(Calculated)
133.1 mg/dL Optimal:<130
,Desirable:130-159
,Borderline high:159-189
,High:189-220
,Very High:>=220
LDL Cholesterol
(Calculated)
92 mg/dL Optimal:<100
,Near Optimal:100-129
,Borderline high:130-159
,High:160-189
,Very High:>=190
VLDL Cholesterol
(Calculated)
41 mg/dL 6-38
LDL/HDL
(Calculated)
Ratio 2 2.5-3.5
Cholestrol
(Calculated)
/ HDL Ratio 4 3.5-5.0
Note:
Reference Interval as per National Cholesterol Education Program (NCEP) Adult Treatment Panel III Report.
VLDL,CHOL/HDL RATIO,LDL/HDL RATIO,LDL Cholesterol,serum,Non HDL Colesterol are calculated parameters

Dr.
MD BHAVNA VORA
(Pathology)
Consultant Pathologist (Doctor In-charge)
Reg No.2011061788

MEDICAL LABORATORY REPORT

Registered On: 30/07/2025 9:53 AM Collected On: 30/07/2025 9:53AM Reported On: 30/07/2025 9:06 PM
PROCESSING LOCATION :
METROPOLIS
(W). HEALTHCARE LTD. GANJAWALA LANE, BORIVALI Page 9 of 23
Name : Mrs. SHIVANI KEKRE VID No. : 250000506937478
Age / Gender : 28 Year(s)/ Female PID No. : P57925550779622
Contact No. : +919757276821 Referred by : Dr.ANJALI KEKRE
Address : PREM TOWER B 802, SV ROAD GOREGAON WEST, … Sample Collected At : Preventive Care(mhl), 303, Sunrise Business Park, Kisan Nagar,
Pin code : 400104 Road No 16, Wagle Estate.

TruHealth Expert (Female)

HbA1c- Glycated Haemoglobin
(EDTA Whole Blood )
Investigation Observed Value Unit Biological Reference Interval
HbA1C- Glycated Haemoglobin
(High-Performance Liquid Chromatography (HPLC))
5.0 % Non-diabetic: <= 5.6
Pre-diabetic: 5.7-6.4
Diabetic: >= 6.5
Refer interpretation for monitoring
ranges.
Estimated Average Glucose (eAG) 96.80 mg/dL
Interpretation & Remark:
1. HbA1c is used for monitoring diabetic control. It reflects the estimated average glucose (eAG).
2. HbA1c has been endorsed by clinical groups & ADA (American Diabetes Association) guidelines 2017, for diagnosis of
diabetes using a cut-off point of 6.5%.
3. Trends in HbA1c are a better indicator of diabetic control than a solitary test.
4. Low glycated haemoglobin(below 4%) in a non-diabetic individual are often associated with systemic inflammatory
diseases, chronic anaemia(especially severe iron deficiency & haemolytic), chronic renal failure and liver diseases.
Clinical correlation suggested.
5. To estimate the eAG from the HbA1C value, the following equation is used: eAG(mg/dl) = 28.7*A1c-46.7
6. Interference of Haemoglobinopathies in HbA1c estimation.
A. For HbF > 25%, an alternate platform (Fructosamine) is recommended for testing of HbA1c.
B. Homozygous hemoglobinopathy is detected, fructosamine is recommended for monitoring diabetic status
C. Heterozygous state detected (D10/ turbo is corrected for HbS and HbC trait).
7. In known diabetic patients, following values can be considered as a tool for monitoring the glycemic control. Excellent
Control - 6 to 7 %, Fair to Good Control - 7 to 8 %, Unsatisfactory Control - 8 to 10 % and Poor Control - More than 10 % .
Note : Hemoglobin electrophoresis (HPLC method) is recommended for detecting hemoglobinopathy.
TruHealth Expert (Female)
CBC Haemogram
Erythrocytes
Haemoglobin (Hb) 15.9 gm/dL 12.0-16
Erythrocyte (RBC) Count 5.19 mill/cu.mm 4.2-5.4
PCV (Packed Cell Volume) 43.4 % 37-47
MCV (Mean Corpuscular Volume) 83.8 fL 82-101

Dr.
MD BHAVNA VORA
(Pathology)
Consultant Pathologist (Doctor In-charge)
Reg No.2011061788

MEDICAL LABORATORY REPORT

Registered On: 30/07/2025 9:53 AM Collected On: 30/07/2025 9:53AM Reported On: 30/07/2025 9:06 PM
PROCESSING LOCATION :
METROPOLIS
(W). HEALTHCARE LTD. GANJAWALA LANE, BORIVALI Page 10 of 23
Name : Mrs. SHIVANI KEKRE VID No. : 250000506937478
Age / Gender : 28 Year(s)/ Female PID No. : P57925550779622
Contact No. : +919757276821 Referred by : Dr.ANJALI KEKRE
Address : PREM TOWER B 802, SV ROAD GOREGAON WEST, … Sample Collected At : Preventive Care(mhl), 303, Sunrise Business Park, Kisan Nagar,
Pin code : 400104 Road No 16, Wagle Estate.

Investigation Observed Value Unit Biological Reference Interval

MCH (Mean Corpuscular Hb) 30.6 pg 27-34
MCHC (Mean Corpuscular Hb Concn.) 36 gm/dL 31.5-36
RDW (Red Cell Distribution Width) 12.3 % 11.5-14.0
RBC Morphology
Remark Normochromic Normocytic
Leucocytes
Total Leucocytes (WBC) Count 8650 cells/cu.mm 4300-10300
Absolute Neutrophils Count 4359.6 cells/cu.mm 2000-7000
Absolute Lymphocyte Count 3295.65 cells/cu.mm 1000-3000
Absolute Monocyte Count 683.35 cells/cu.mm 200-1000
Absolute Eosinophil Count 302.75 cells/cu.mm 20-500
Absolute Basophil Count 9 cells/cu.mm 20-100
Neutrophils 50.4 % 40-80
Lymphocytes 38.1 % 20-40
Monocytes 7.9 % 2.0-10
Eosinophils 3.5 % 1-6
Basophils 0.1 % 0-2
Platelets
Platelet count 364 10^3 / µl 140-440
MPV (Mean Platelet Volume) 7.4 fL 7.8-11
PCT ( Platelet Haematocrit) 0.270 % 0.2-0.5
PDW (Platelet Distribution Width) 9.4 % 9-17
EDTA Whole Blood - Tests done on Automated Five Part Cell Counter. (WBC, RBC Platelet count by impedance method, WBC
differential by VCS technology other parameters calculated) All Abnormal Haemograms are reviewed confirmed
microscopically. Differential count is based on approximately 10,000 cells.
ESR (Erythrocyte Sedimentation Rate) 8
(EDTA Whole Blood)
mm/hr 0-20
Method: Automated Westergren
Interpretation:

Dr.
MD BHAVNA VORA
(Pathology)
Consultant Pathologist (Doctor In-charge)
Reg No.2011061788

MEDICAL LABORATORY REPORT

Registered On: 30/07/2025 9:53 AM Collected On: 30/07/2025 9:53AM Reported On: 30/07/2025 9:06 PM
PROCESSING LOCATION :
METROPOLIS
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Name : Mrs. SHIVANI KEKRE VID No. : 250000506937478
Age / Gender : 28 Year(s)/ Female PID No. : P57925550779622
Contact No. : +919757276821 Referred by : Dr.ANJALI KEKRE
Address : PREM TOWER B 802, SV ROAD GOREGAON WEST, … Sample Collected At : Preventive Care(mhl), 303, Sunrise Business Park, Kisan Nagar,
Pin code : 400104 Road No 16, Wagle Estate.

Investigation Observed Value Unit Biological Reference Interval

1. It indicates presence and intensity of an inflammatory process, never diagnostic of a specific disease. Changes are more
significant than a single abnormal test.
2. It is a prognostic test and used to monitor the course or response to treatment of diseases like tuberculosis, bacterial
endocarditis, acute rheumatic fever, rheumatoid arthritis, SLE, Hodgkins disease, temporal arteritis, polymyalgia
rheumatica.
3. It is also increased in pregnancy, multiple myeloma, menstruation, and hypothyroidism.

Dr.
MD BHAVNA VORA
(Pathology)
Consultant Pathologist (Doctor In-charge)
Reg No.2011061788

MEDICAL LABORATORY REPORT

Registered On: 30/07/2025 9:53 AM Collected On: 30/07/2025 9:53AM Reported On: 30/07/2025 9:06 PM
PROCESSING LOCATION :
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Name : Mrs. SHIVANI KEKRE VID No. : 250000506937478
Age / Gender : 28 Year(s)/ Female PID No. : P57925550779622
Contact No. : +919757276821 Referred by : Dr.ANJALI KEKRE
Address : PREM TOWER B 802, SV ROAD GOREGAON WEST, … Sample Collected At : Preventive Care(mhl), 303, Sunrise Business Park, Kisan Nagar,
Pin code : 400104 Road No 16, Wagle Estate.

Investigation Observed Value Unit Biological Reference Interval

LH (Luteinizing Hormone)
(Serum, Electrochemiluminescence immunoassay
8.90 mIU/mL Normal Menstruating Women
(ECLIA)) Follicular Phase : 1.7-15
MidCycle Peak : 21.9-56.6
Luteal Phase : 0.6-16.3
Post Menopausal : 14.2-52.3
Interpretation :
LH is a glycoprotein hormone co-secreted with FSH by Anterior pituitary gland which together control growth and reproductive
activities of the gonadal tissues.
1. LH is increased in Luteal Phase of Menstrual cycle, Complete testicular feminization syndrome, Primary hypogonadism
(anorchia, testicular failure, menopause), Precocious puberty (either idiopathic or secondary to a central nervous system
lesion)
2. LH is decreased in: Primary ovarian hyperfunction in females, Primary hypergonadism in male, In failure of the pituitary or
hypothalamus, Hyperprolactinemia , Polycystic Ovary disease (PCOS).
Clinical Utility:
An adjunct in the evaluation of menstrual irregularities
Evaluating infertility
Predicting ovulation in IVF Treatment
Diagnosing pituitary disorders
Caution:
Patients on Biotin supplement may have interference in some immunoassays. With individuals taking high dose Biotin
(more than 5 mg per day) supplements, at least 8-hour wait time before blood draw is recommended.
Disclaimer:
Because of episodic, circadian and cyclic nature of LH secretion, clinical evaluations may require determinations in pooled
multiple serial samples.
Associated Tests: FSH-LH Testosterone (F0062), AMH- Mullerian inhibiting substance (A0417), Inhibin B (I0274),
PCOS Profile (P1003).
Reference:
1. Package insert
2. Wallach’s interpretation of diagnostic tests, Ed10, 2015
3. Arch Pathol Lab Med—Vol 141, November 2017
4. Tietz Textbook of Clinical Chemistry and Molecular Diagnostics. Burtis CA, Ashwood ER, Bruns DE, eds. 5th edition, St.
Louis: Elsevier Saunders; 2014.
Insulin - Fasting
(Serum, Electrochemiluminescence immunoassay
69.15 µIU/mL Fasting: 2-25
(ECLIA)) Note : Change in Method
Interpretation :

Dr.
MD BHAVNA VORA
(Pathology)
Consultant Pathologist (Doctor In-charge)
Reg No.2011061788

MEDICAL LABORATORY REPORT

Registered On: 30/07/2025 9:53 AM Collected On: 30/07/2025 9:53AM Reported On: 30/07/2025 9:06 PM
PROCESSING LOCATION :
METROPOLIS
(W). HEALTHCARE LTD. GANJAWALA LANE, BORIVALI Page 13 of 23
Name : Mrs. SHIVANI KEKRE VID No. : 250000506937478
Age / Gender : 28 Year(s)/ Female PID No. : P57925550779622
Contact No. : +919757276821 Referred by : Dr.ANJALI KEKRE
Address : PREM TOWER B 802, SV ROAD GOREGAON WEST, … Sample Collected At : Preventive Care(mhl), 303, Sunrise Business Park, Kisan Nagar,
Pin code : 400104 Road No 16, Wagle Estate.

Investigation Observed Value Unit Biological Reference Interval

Increased insulin levels are seen in acromegaly, Cushing syndrome, drugs usage (such as corticosteroids, levodopa, oral
contraceptives), fructose or galactose intolerance, insulinomas, obesity, insulin resistance, acanthosis nigricans and metabolic
syndrome.
Decreased insulin levels are seen in diabetes, hypopituitarism and pancreatic diseases such as chronic pancreatitis (including
cystic fibrosis) and pancreatic cancer.

Fasting insulin level Fasting glucose level Disorder

Normal Normal None
High Normal or slightly high Insulin Resistance
Low High Insufficient insulin production, e.g.,
diabetes
Normal or high Low Hypoglycemia due to over secretion of
insulin
Clinical Utility:
Monitoring insulin levels gives a better prognosis in patients with longstanding diabetes mellitus treated with insulin as
antibodies to insulin form in such patients.
Insulin/ C-peptide ratio is used for differentiating between factitious hypoglycemia and insulinomas where a ratio< 1.0
indicates insulinoma; but results may vary in renal failure.
Disclaimer: Test results may vary depending on your age, gender, health history, the method used for the test . You may have
a false-low result if you have a health problem that's damaging red blood cells.
Caution: Patients on Biotin supplement may have interference in some immunoassays. For sample collection, at least 8-hours
wait time is recommended for individuals taking high dose of Biotin (more than 5 mg per day) supplements
Associated tests: HbA1c (H0018), Fructosamine (F0056), Diabetes Profile – Maxi (D0021), HOMA Index (H0253).
References:
1. Package Insert
2. Tietz fundamentals of clinical chemistry 6th edition. Burtis CA, Ashwood ER, Bruns DE, 2008.
FT3 (Free Triiodothyronine)
(Serum, Electrochemiluminescence immunoassay
3.22 pg/mL 2.0-4.4
(ECLIA)) First Trimester :2.46 - 3.49
Second Trimester : 2.09 - 3.55
Third trimester : 2.01 - 3.27
Interpretation :
Total T3 & T4 values may also be altered in other conditions due to changes in serum proteins or binding sites Pregnancy,
Drugs (Androgens,Estrogens, O C Pills ,Phenytoin), Nephrosis etc. In such cases Free T3 and Free T4 give corrected values.

Dr.
MD BHAVNA VORA
(Pathology)
Consultant Pathologist (Doctor In-charge)
Reg No.2011061788

MEDICAL LABORATORY REPORT

Registered On: 30/07/2025 9:53 AM Collected On: 30/07/2025 9:53AM Reported On: 30/07/2025 9:06 PM
PROCESSING LOCATION :
METROPOLIS
(W). HEALTHCARE LTD. GANJAWALA LANE, BORIVALI Page 14 of 23
Name : Mrs. SHIVANI KEKRE VID No. : 250000506937478
Age / Gender : 28 Year(s)/ Female PID No. : P57925550779622
Contact No. : +919757276821 Referred by : Dr.ANJALI KEKRE
Address : PREM TOWER B 802, SV ROAD GOREGAON WEST, … Sample Collected At : Preventive Care(mhl), 303, Sunrise Business Park, Kisan Nagar,
Pin code : 400104 Road No 16, Wagle Estate.

Investigation Observed Value Unit Biological Reference Interval

FT4 (Free Thyroxine)
(Serum, Electrochemiluminescence immunoassay
1.29 ng/dL 0.93-1.7
(ECLIA)) First Trimester : 0.7-2.0
Second Trimester : 0.5-1.6
Third Trimester : 0.5-1.6
Interpretation :
Total T3 & T4 values may also be altered in other conditions due to changes in serum proteins or binding sites Pregnancy,
Drugs (Androgens,Estrogens, O C Pills ,Phenytoin), Nephrosis etc. In such cases Free T3 and Free T4 give corrected values.
FSH (Follicle Stimulating Hormone)
(Serum, Electrochemiluminescence immunoassay
6.95 mIU/mL Normal Menstruating Women
(ECLIA)) Follicular Phase : 1.4-9.9
Mid Cycle Phase : 0.2-17.2
Luteal Phase : 1.1-9.2
Post Menopausal : 19.3-100.6
Note : Change in Method
Interpretation:
FSH is a glycoprotein hormone secreted by Anterior pituitary gland and regulates the development, growth, pubertal
maturation, and reproductive processes of the body. In women, FSH helps control the menstrual cycle and stimulates the
growth of eggs in the ovaries. FSH levels in women change throughout the menstrual cycle, with the highest levels happening
just before an egg is released by the ovary. In men, FSH helps control the production of sperm. Normally, FSH levels in men do
not change very much.
In men, FSH helps control the production of sperm. Normally, FSH levels in men do not change very much.
FSH is increased in Luteal Phase of Menstrual cycle, Ovarian hyper stimulation syndrome, Complete testicular
feminization syndrome, Primary hypogonadism (anorchia, testicular failure, menopause), Precocious puberty (either
idiopathic or secondary to a central nervous system lesion), perimenopausal, post menopause, hormonal therapy, heavy
smokers or drinkers or people with a vitamin D deficiency
Normal to decreased FSH in: Polycystic ovary disease in females, Pituitary gland tumor or adenoma, Secondary
hypogonadism, Hyperprolactinemia, very underweight
Clinical Utility:
An adjunct in the evaluation of menstrual irregularities
To monitor ovulation in IVF treatment
Diagnosing pituitary disorders
Evaluating patients with suspected hypogonadism
Note:
Patients on Biotin supplement may have interference in some immunoassays. With individuals taking high dose Biotin
(more than 5 mg per day) supplements, at least 8-hour wait time before blood draw is recommended.
Because of episodic, circadian and cyclic nature of FSH secretion, clinical evaluations may require determinations in
pooled multiple serial samples.

Dr.
MD BHAVNA VORA
(Pathology)
Consultant Pathologist (Doctor In-charge)
Reg No.2011061788

MEDICAL LABORATORY REPORT

Registered On: 30/07/2025 9:53 AM Collected On: 30/07/2025 9:53AM Reported On: 30/07/2025 9:06 PM
PROCESSING LOCATION :
METROPOLIS
(W). HEALTHCARE LTD. GANJAWALA LANE, BORIVALI Page 15 of 23
Name : Mrs. SHIVANI KEKRE VID No. : 250000506937478
Age / Gender : 28 Year(s)/ Female PID No. : P57925550779622
Contact No. : +919757276821 Referred by : Dr.ANJALI KEKRE
Address : PREM TOWER B 802, SV ROAD GOREGAON WEST, … Sample Collected At : Preventive Care(mhl), 303, Sunrise Business Park, Kisan Nagar,
Pin code : 400104 Road No 16, Wagle Estate.

Investigation Observed Value Unit Biological Reference Interval

Associated Tests: FSH-LH Testosterone (F0062), AMH- Mullerian inhibiting substance (A0417), Inhibin B (I0274)
Reference:
1. Package insert
2. Wallach’s interpretation of diagnostic tests, Ed11, 2020
3. Arch Pathol Lab Med—Vol 141, November 2017
4. Tietz fundamentals of clinical chemistry 6th edition. Burtis CA, Ashwood ER, Bruns DE, 2008.

TSH (Thyroid Stimulating Hormone) - 1.10 µIU/mL 0.54-5.3

Ultrasensitive, Serum
(Serum, Electrochemiluminescence immunoassay
First Trimester : 0.33-4.59
(ECLIA)) Second Trimester : 0.35-4.10
Third trimester : 0.21-3.15
Interpretation :
Increased TSH is seen with intake of Iodine, Lithium, Amiodarone drugs and also indicates considerable physiologic &
seasonal variation.
Decreased TSH values require correlation with patient age & clinical symptoms and seen with intake of few drugs e.g. L-
dopa, glucocorticoids.
Transient alteration in TSH is seen in non-thyroidal illness like severe infections, liver disease, renal and heart failure,
severe burns, trauma and surgery etc.
Clinical Utility: Levels of TSH are used for monitoring of thyroid related disorders.
Caution: Patients on Biotin supplement may have interference in some immunoassays. For sample collection, at least 8-hours
wait time is recommended for individuals taking high dose of Biotin (more than 5 mg per day) supplements.
Note: TSH levels may fluctuate based on few factors such as pregnancy, illness and age. Also, time of sample collection,
technologies used to analyze the test, usage of certain drugs, diet may have impact on TSH levels. TSH may show around
50% variation even when done at different times of day due to its association with circadian rhythm.
Associated Tests: T3 (T0029), T4 (T0031) free T3 (T0028), free T4 (T0030), reverse T3 (R1004), Thyroid Antibodies (T0061),
Thyroid Comprehensive Profile-1 (T0062)
Reference:
Clinical Chemistry 50:12, 2338-2344 (2004) and Ind J Clin Biochem (Apr-June 2014) 29(2):189–195.
Ref: Arch Pathol Lab Med—Vol 141, November 2017.
Fisher DA. Physiological variations in thyroid hormones: physiological and pathophysiological considerations. Clin Chem.
1996 Jan;42(1):135-9. PMID: 8565215
Vitamin B12 (Cyanocobalamin)
(Serum, Electrochemiluminescence immunoassay
526.4 pg/mL 197-771
(ECLIA)) Note : Change in Method &
Reference range

Dr.
MD BHAVNA VORA
(Pathology)
Consultant Pathologist (Doctor In-charge)
Reg No.2011061788

MEDICAL LABORATORY REPORT

Registered On: 30/07/2025 9:53 AM Collected On: 30/07/2025 9:53AM Reported On: 30/07/2025 9:06 PM
PROCESSING LOCATION :
METROPOLIS
(W). HEALTHCARE LTD. GANJAWALA LANE, BORIVALI Page 16 of 23
Name : Mrs. SHIVANI KEKRE VID No. : 250000506937478
Age / Gender : 28 Year(s)/ Female PID No. : P57925550779622
Contact No. : +919757276821 Referred by : Dr.ANJALI KEKRE
Address : PREM TOWER B 802, SV ROAD GOREGAON WEST, … Sample Collected At : Preventive Care(mhl), 303, Sunrise Business Park, Kisan Nagar,
Pin code : 400104 Road No 16, Wagle Estate.

Investigation Observed Value Unit Biological Reference Interval

Interpretation :
1. Vit B12 levels are decreased in megaloblastic anemia, partial/total gastrectomy, pernicious anemia, peripheral
neuropathies, chronic alcoholism, senile dementia, and treated epilepsy.
2. An associated increase in homocysteine levels is an independent risk marker for cardiovascular disease and
deep vein thrombosis.
3. Holo Transcobalamin II levels are a more accurate marker of active VitB12 component.
Caution:
Patients on Biotin supplement may have interference in some immunoassays. With individuals taking high dose
Biotin (more than 5 mg per day) supplements, at least 8-hour wait time before blood draw is recommended.
Disclaimer:
High levels of Vitamin B12 may be due to exogenous supplementation. Kindly correlate clinically.
Associated Tests
Active Vitamin B12 (V0012), Homocysteine reflex Vitamin B12-folate serum (H0310), Homocysteine Serum
(H0254),RBC Folate R0007.
Reference:
1. Package insert
2. Arch Pathol Lab Med—Vol 141, November 2017
Vitamin D Total - 25 Hydroxy (OH)
(Serum, Electrochemiluminescence immunoassay
15.48 ng/mL Deficiency: < 20
(ECLIA)) Insufficiency: 20-30
Sufficiency: 30-100
Hypervitaminosis: > 100
Note : Change in Method
Medical Remarks: Suggested PTH intact molecule, serum (Test Code P0114) Please correlate clinically.
Interpretation:
Vitamin D is a fat soluble vitamin and exists in two main forms as D3 & D2. Both are converted to 25(OH) vitamin D in
liver.
For diagnosis of vitamin D deficiency, it is recommended to have clinical correlation with serum 25(OH)vitamin D, serum
calcium, serum iPTH & serum alkaline phosphatase
During monitoring of oral vitamin D therapy- suggested testing of serum 25(OH) vitamin D is after 12 weeks or 3 months
of treatment.
Caution:
Patients on Biotin supplement may have interference in some immunoassays. With individuals taking high dose Biotin
(more than 5 mg per day) supplements, at least 8-hour wait time before blood draw is recommended.
Disclaimer:

Dr.
MD BHAVNA VORA
(Pathology)
Consultant Pathologist (Doctor In-charge)
Reg No.2011061788

MEDICAL LABORATORY REPORT

Registered On: 30/07/2025 9:53 AM Collected On: 30/07/2025 9:53AM Reported On: 30/07/2025 9:06 PM
PROCESSING LOCATION :
METROPOLIS
(W). HEALTHCARE LTD. GANJAWALA LANE, BORIVALI Page 17 of 23
Name : Mrs. SHIVANI KEKRE VID No. : 250000506937478
Age / Gender : 28 Year(s)/ Female PID No. : P57925550779622
Contact No. : +919757276821 Referred by : Dr.ANJALI KEKRE
Address : PREM TOWER B 802, SV ROAD GOREGAON WEST, … Sample Collected At : Preventive Care(mhl), 303, Sunrise Business Park, Kisan Nagar,
Pin code : 400104 Road No 16, Wagle Estate.

Investigation Observed Value Unit Biological Reference Interval

The required dosage of vitamin D supplements & time to achieve sufficient vitamin D levels show significant
seasonal(especially winter) & individual variability depending on age, body fat, sun exposure, physical activity, genetic
factors(especially variable vitamin D receptor responses), associated liver or renal diseases, malabsorption syndromes
and calcium or magnesium deficiency.
Vitamin D toxicity is known but very rare. Kindly correlate clinically, repeat with fresh sample if indicated.
Associated Tests:
iPTH-Intact Molecule Parathyroid hormone Serum/Plasma (P0114), Calcium(C0017), Vitamin D plus profile(V0016)
Reference:
Package insert
Arch Pathol Lab Med—Vol 141, November 2017

Dr.
MD BHAVNA VORA
(Pathology)
Consultant Pathologist (Doctor In-charge)
Reg No.2011061788

MEDICAL LABORATORY REPORT

Registered On: 30/07/2025 9:53 AM Collected On: 30/07/2025 9:53AM Reported On: 30/07/2025 9:06 PM
PROCESSING LOCATION :
METROPOLIS
(W). HEALTHCARE LTD. GANJAWALA LANE, BORIVALI Page 18 of 23
Name : Mrs. SHIVANI KEKRE VID No. : 250000506937478
Age / Gender : 28 Year(s)/ Female PID No. : P57925550779622
Contact No. : +919757276821 Referred by : Dr.ANJALI KEKRE
Address : PREM TOWER B 802, SV ROAD GOREGAON WEST, … Sample Collected At : Preventive Care(mhl), 303, Sunrise Business Park, Kisan Nagar,
Pin code : 400104 Road No 16, Wagle Estate.

Investigation Observed Value Unit Biological Reference Interval

Apolipoproteins B/A1
(Serum )
Apolipoproteins
(Immunoturbidimetry)
A1 113.00 mg/dL 108-225
Apolipoproteins
(Immunoturbidimetry)
B 92.00 mg/dL 60-117
Apolipoprotein B/A1 Ratio 0.81 0.30-0.90
RA (Rheumatoid Arthritis) Factor, 10.70 IU/mL Non-reactive: < 14
Serum
(Serum, Immunoturbidimetry)
Interpretation :
Increased in RA, Chronic hepatitis, chronic viral infections, cirrhosis, Infectious mononucleosis, leishmaniasis, leprosy,
malaria sarcoidosis Syphilis, TB etc.
High levels are also seen in inflammatory rheumatic diseases and in various non rheumatic diseases.
Clinical Utility:
The detection of rheumatoid factor (RF) is one of the criteria of the American Rheumatism Association (ARA) for the
diagnosis of Rheumatoid Arthritis (RA) especially when clinical diagnosis is difficult.
RFs play an important role in the differential diagnosis between RA and other rheumatic diseases. They also permit
prognostic statements with regards to RA.
Note:
Values of RA may increase with age. It should be interpreted along with overall clinical picture.
Recent blood transfusion, multiple vaccinations or transfusions may affect results.
Serum with cryoglobulin or high lipid levels may cause false-positive test results.
Associated Tests:
Rheumatoid Arthritis Panel (R0022), Cyclic Citrullinated Peptide Antibody (CCP Antibody) Serum (C0047)
Reference:
Package insert
Wallach’s interpretation of diagnostic tests, Ed11, 2020
Henry's Clinical Diagnosis and Management by Laboratory Methods. 23rd ed; 2017.
Tietz fundamentals of clinical chemistry 6th edition. Burtis CA, Ashwood ER, Bruns DE, 2008.

Dr.
MD JASMIN KUMAR SURANA
(Biochemistry)
Consultant Biochemist
Reg No.2016125061

MEDICAL LABORATORY REPORT

Registered On: 30/07/2025 9:53 AM Collected On: 30/07/2025 9:53AM Reported On: 30/07/2025 9:06 PM
PROCESSING LOCATION :
METROPOLIS HEALTHCARE
FLOOR,COMMERCIAL LTD,UNIT NO409-416,4TH
BUILDING-1,KOHINOOR MALL,MUMBAI-70
** Referred Test Page 19 of 23
Name : Mrs. SHIVANI KEKRE VID No. : 250000506937478
Age / Gender : 28 Year(s)/ Female PID No. : P57925550779622
Contact No. : +919757276821 Referred by : Dr.ANJALI KEKRE
Address : PREM TOWER B 802, SV ROAD GOREGAON WEST, … Sample Collected At : Preventive Care(mhl), 303, Sunrise Business Park, Kisan Nagar,
Pin code : 400104 Road No 16, Wagle Estate.

Investigation Observed Value Unit Biological Reference Interval

IgE Total antibody
(Serum, Electrochemiluminescence immunoassay
128.00 IU/mL 0-100
(ECLIA))
Interpretation:
High IgE levels are found in asthma, allergic bronchopulmonary aspergillosis, primary immunodeficiency, parasitic
infections, inflammatory diseases and some cancers.
Low IgE levels may be seen in auto-immune disorders.
Clinical Utility:
Helps in screening and detecting allergies.
Measures the overall quantity of immunoglobulin E in the blood, not the amount of a specific type.
Antigen-specific IgE can help to identify the responsible allergen.
Note:
Patients on Biotin supplement may have interference in some immunoassays. With individuals taking high dose
Biotin (more than 5 mg per day) supplements, at least 8-hour wait time before blood draw is recommended.
This test does not necessarily indicate presence of allergy, to investigate more about allergy – advised Allergen
specific IgE tests /panels by method according to age, symptom (Asthma, rhinitis, eczema), environmental and
geographical locations. Contact Laboratory for more information on the same.
Associated Tests:
Allergy - Adult (Comprehensive) Panel (A0372), Allergy Screening (A0626)
Reference:
Kit insert
Heyworth-Smith D, Campbell P. Laboratory Diagnosis of Allergy. QML pathology newsletter, Brisbane, 2017.
Cortisol - 8am
(Serum, Electrochemiluminescence immunoassay
13.40 µg/dL 08:00 AM: 5-23
(ECLIA))
Interpretation
Increased levels of cortisol are associated with Cushing syndrome, adrenal and Pituitary adenoma/carcinoma,
ectopic pregnancy, ACTH production, glucocorticoid therapy, stress, depression, hypoglycaemia and hyperthyroidism.
Decreased levels of cortisol are associated with Addison disease -primary adrenal insufficiency, secondary adrenal
insufficiency - pituitary insufficiency, hypothalamic insufficiency and congenital adrenal hyperplasia.
In New-borns, a transient rise in cortisol occurs immediately after delivery and become stable by about 1 week of
age.
Clinical Utility:
Cortisol helps in the diagnosis of Cushing’s Syndrome, Addison’s disease and to monitor therapy.
Cortisol also regulates a variety of important cardiovascular, metabolic, immunologic, and maintenance of electrolyte
function.
Note:
Cortisol levels in blood increase during the early morning (highest at about 8 a.m.) and decrease slightly in the
evening and during the early phase of sleep
As more than 90% of circulating cortisol in human serum is protein-bound, changes in the binding proteins can alter
the levels of serum total cortisol without influencing the free concentrations of cortisol

Dr.
MD JASMIN KUMAR SURANA
(Biochemistry)
Consultant Biochemist
Reg No.2016125061

MEDICAL LABORATORY REPORT

Registered On: 30/07/2025 9:53 AM Collected On: 30/07/2025 9:53AM Reported On: 30/07/2025 9:06 PM
PROCESSING LOCATION :
METROPOLIS HEALTHCARE
FLOOR,COMMERCIAL LTD,UNIT NO409-416,4TH
BUILDING-1,KOHINOOR MALL,MUMBAI-70
** Referred Test Page 20 of 23
Name : Mrs. SHIVANI KEKRE VID No. : 250000506937478
Age / Gender : 28 Year(s)/ Female PID No. : P57925550779622
Contact No. : +919757276821 Referred by : Dr.ANJALI KEKRE
Address : PREM TOWER B 802, SV ROAD GOREGAON WEST, … Sample Collected At : Preventive Care(mhl), 303, Sunrise Business Park, Kisan Nagar,
Pin code : 400104 Road No 16, Wagle Estate.

Investigation Observed Value Unit Biological Reference Interval

Associated test:
Cortisol/Creatinine ratio in urine (C0332), Dexamethasone Suppression test for Cortisol-High dose, Serum (D0012),
Dexamethasone Suppression test for Cortisol-Low dose, Serum (D0014), Dexamethasone Suppression test Overnight
suppression For Cortisol, Serum (D0016)
Reference:
Tietz Fundamentals of Clinical Chemistry & Molecular Diagnostics; 8th edition; 2019.
Lee DY, Kim E, Choi MH. Technical and clinical aspects of cortisol as a biochemical marker of chronic stress. BMB Rep.
2015 Apr;48(4):209-16. doi: 10.5483/bmbrep.2015.48.4.275.
Thau L, Gandhi J, Sharma S. Physiology, Cortisol. [Updated 2022 Aug 29]. In: StatPearls [Internet]. Treasure Island (FL):
StatPearls Publishing; 2022 Jan.
Pack Insert
CEA (Carcino Embryonic Antigen), Serum 1.22
(Serum, Electrochemiluminescence immunoassay
ng/mL Non-Smoking: < 3.0
(ECLIA)) Smoking: < 5.0
Reference Tietz eighth edition
Interpretation :
CEA (Carcinoembryonic Antigen), is a tumor associated antigen
Elevated CEA is noted in adenocarcinoma, especially colorectal cancer, carcinoma of lung, breast, liver, pancreas,
prostate, stomach, ovary, lymphatic system and skin.
Benign conditions which can elevate CEA include smoking, hepatic diseases, infections, inflammatory bowel disease,
trauma, autoimmune diseases, renal disorders, pancreatitis, cirrhosis of the liver, peptic ulcer, hypothyroidism,
chemotherapy and radiation.
Clinical Utility:
CEA is used in the monitoring & follow up of patients with colorectal, gastric, breast, lung, prostatic, pancreatic and
ovarian carcinoma.
This test should not be used for diagnosis of cancer in isolation, as both false positive and negatives can occur
.
Disclaimer
The above results obtained cannot be compared to or interchanged with results determined by different assays due to
differences in assay methods and reagent specificity
A single test result is difficult to evaluate, but a number of tests, done weeks apart, shows trends in disease
progression or regression.
Reference:
Kit insert
Greg.L.Perkin. et.al. Serum Tumor Markers. American family physicians sep.2003 vol.68 no.6
Nicholson BD, Shinkins B, Pathiraja I, Roberts NW, James TJ, Mallett S, Perera R, Primrose JN, Mant D. Blood CEA levels
for detecting recurrent colorectal cancer. Cochrane Database Syst Rev. 2015 Dec 10;2015(12):CD011134. doi:
10.1002/14651858.CD011134.pub2. PMID: 26661580; PMCID: PMC7092609.

Dr.
MD JASMIN KUMAR SURANA
(Biochemistry)
Consultant Biochemist
Reg No.2016125061

MEDICAL LABORATORY REPORT

Registered On: 30/07/2025 9:53 AM Collected On: 30/07/2025 9:53AM Reported On: 30/07/2025 9:06 PM
PROCESSING LOCATION :
METROPOLIS HEALTHCARE
FLOOR,COMMERCIAL LTD,UNIT NO409-416,4TH
BUILDING-1,KOHINOOR MALL,MUMBAI-70
** Referred Test Page 21 of 23
Name : Mrs. SHIVANI KEKRE VID No. : 250000506937478
Age / Gender : 28 Year(s)/ Female PID No. : P57925550779622
Contact No. : +919757276821 Referred by : Dr.ANJALI KEKRE
Address : PREM TOWER B 802, SV ROAD GOREGAON WEST, … Sample Collected At : Preventive Care(mhl), 303, Sunrise Business Park, Kisan Nagar,
Pin code : 400104 Road No 16, Wagle Estate.

Routine Examination Profile - Urine

Investigation Observed Value Unit Biological Reference Interval
Routine Examination Profile - Urine
GENERAL EXAMINATION
Colour Pale Yellow Pale Yellow
Transparency (Appearance) Clear Clear
Reaction (pH) 6.5 4.5-8
Specific Gravity 1.002 1.005-1.025
CHEMICAL EXAMINATION (AUTOMATED URINE CHEMISTRY)
Urine Protein (Albumin) Absent Absent
(Protein Error Principle)
Urine Ketones (Acetone) Absent Absent
(Legals Test)
Urine Glucose (Sugar) Absent Absent
(Glucose Oxidase-Peroxidase (GOD-POD))
Urobilinogen Normal Normal
(Diazo method)
Bilirubin Negative Negative
(Diazo method)
Nitrite Negative Negative
(Greiss Reaction)
MICROSCOPIC EXAMINATION(CUVETTE BASED IMAGING TECHNOLOGY)
Red blood cells 0.6 /hpf 0-2
Dysmorphic Red Blood Cells Absent Absent
Pus cells (WBCs) 1.8 /hpf 0-5
Epithelial cells 0.9 /hpf 0-5
Crystals 0.0 /hpf 0-1.36
CRY - Calcium-oxalate monohydrate 0.0 0-1.36
CRY - Calcium-oxalate dihydrate 0.0 0-1.36
CRY - Triple-phosphate 0.0 0-1.36
CRY - Uric acid 0.0 0-1.36
Casts - Hyalin 0.2 /hpf 0-2
Casts - Pathological 0.2 /hpf 0-0.34

Dr.
MD NIRANJAN PATIL
HOD(Microbiology)
- Microbiology & Molecular Biology
Reg No.2006020697

MEDICAL LABORATORY REPORT

Registered On: 30/07/2025 9:53 AM Collected On: 30/07/2025 9:53AM Reported On: 30/07/2025 9:06 PM
PROCESSING LOCATION :
METROPOLIS HEALTHCARE
FLOOR,COMMERCIAL LTD,UNIT NO409-416,4TH
BUILDING-1,KOHINOOR MALL,MUMBAI-70
** Referred Test Page 22 of 23
Name : Mrs. SHIVANI KEKRE VID No. : 250000506937478
Age / Gender : 28 Year(s)/ Female PID No. : P57925550779622
Contact No. : +919757276821 Referred by : Dr.ANJALI KEKRE
Address : PREM TOWER B 802, SV ROAD GOREGAON WEST, … Sample Collected At : Preventive Care(mhl), 303, Sunrise Business Park, Kisan Nagar,
Pin code : 400104 Road No 16, Wagle Estate.

Investigation Observed Value Unit Biological Reference Interval

Bacteria 29.0 /hpf 0-65.00
Trichomonas Vaginalis Absent Absent
Yeast cells 0.0 /hpf 0-0.68
1. Urine routine and microscopy is a screening test.
2. Abnormal results of chemical examination are confirmed by manual methods.
3. Chemical examination through Dipstick includes test methods as Protein (Protein Error Principle), Glucose (Glucose
Oxidase-Peroxidase), Ketone (Legals Test), Bilirubin (Azo- Diazo reaction), Urobilinogen (Diazonium ion Reaction) Nitrite
(Griess Method).
4. All abnormal results of chemical examination are confirmed by manual methods. Manually pH checked by pH paper, Specific
gravity by Urinometer, Protein by sulfosalicylic acid method, Glucose by Benedict’s method, Ketone by Rothera's method,
Bile salt by Sulfur granule method, Bile pigment by Fouchet method, Urobilinogen by Ehrlich Method, Nitrite by Nitrate
reduction test.
5. Pre-test conditions to be observed while submitting the sample- First void, mid-stream urine, collected in a clean, dry, sterile
container is recommended for routine urine analysis, avoid contamination with any discharge from vaginal, urethra, perineum,
as applicable, avoid prolonged transit time & undue exposure to sunlight.
6. During interpretation, points to be considered are Negative nitrite test does not exclude the presence of the bacteria or
urinary tract infections.
7. Trace proteinuria can be seen with many physiological conditions like prolonged recumbency, exercise, high protein diet etc.
8. False reactions for bile pigments, proteins, glucose and nitrites can be caused by peroxidase like activity by disinfectants,
therapeutic dyes, ascorbic acid and certain drugs etc.
9. Physiological variations may affect the test results.
10. The Microscopic examination findings reported are in decimal numbers as they represent arithmetic mean of multiple fields
scanned using Microscopy.

Reports to follow - Kindly await following pending reports :

Investigation Status
CA 15.3 Pending
Microalbumin / Creatinine Ratio, Urine Pending
-- End of Report --

Dr.
MD NIRANJAN PATIL
HOD(Microbiology)
- Microbiology & Molecular Biology
Reg No.2006020697
Test Marked with NABL symbol are in the
scope of accrediation
MEDICAL LABORATORY REPORT
Registered On: 30/07/2025 9:53 AM Collected On: 30/07/2025 9:53AM Reported On: 30/07/2025 9:06 PM
PROCESSING LOCATION :
METROPOLIS HEALTHCARE
FLOOR,COMMERCIAL LTD,UNIT NO409-416,4TH
BUILDING-1,KOHINOOR MALL,MUMBAI-70
** Referred Test Page 23 of 23