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The document is a medical report for Mr. Alok Tiwari, detailing various laboratory test results collected on May 13, 2025. Key findings include fasting glucose at 99 mg/dL, elevated SGPT at 56 U/L, and cholesterol levels indicating borderline high triglycerides at 274 mg/dL. The report also includes interpretations for total proteins, creatinine, uric acid, and a complete blood count, with various reference intervals provided for each test.

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0% found this document useful (0 votes)
5 views6 pages

Report

The document is a medical report for Mr. Alok Tiwari, detailing various laboratory test results collected on May 13, 2025. Key findings include fasting glucose at 99 mg/dL, elevated SGPT at 56 U/L, and cholesterol levels indicating borderline high triglycerides at 274 mg/dL. The report also includes interpretations for total proteins, creatinine, uric acid, and a complete blood count, with various reference intervals provided for each test.

Uploaded by

alokat44
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

Mr.

ALOK TIWARI Reference: SELF VID: 250423503946837


SATNA Satna.. Sample Collected At: Registered On:
Tel No : +919826446334 Satna Gf - Walkin
13/05/2025 11:54 AM
Shop No-1, Grd Flr And 1st Flr, Opposite
PIN No: 485001 Prithviraj Showroom, Bharut Nagar, Ward Collected On:
PID NO: P99725545836172 No-7, Vrindavan War 13/05/2025 11:50AM
Age: 24 Year(s) Sex: Male Processing Location:- Metropolis Reported On:
Healthcare Ltd., Kolgawan, Bharhut
Nagar,Satna-485001 13/05/2025 01:45 PM

Investigation Observed Value Unit Biological Reference Interval


Glucose Fasting 99 mg/dL Normal: 70-99
(Plasma-F,Glycerol-3-phosphate peroxidase Impaired Tolerance: 100-125
chromogenic method (GPO-POD)) Diabetes mellitus: >= 126
(on more than one occassion)
(American diabetes association
guidelines 2022)
Please note the change in
method and reference range.
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).

SGPT (ALT) 56 U/L < 45


(Serum,p-nitrophenyl phosphate (pNPP)) Please note the change in
method and reference range.
SGOT (AST) 32 U/L < 35
(Serum,Peroxidase oxidation of Diarylimidazole Please note the change in
Leuco Dye method) method and reference range
Bilirubin Total 0.40 mg/dL 0.1-1.2
(Serum,Spectrophotometry) Please note the change in
method and reference range.
Bilirubin Direct 0.10 mg/dL < 0.2
(Serum,Diazo method) Please note the change in
method and reference range
Proteins, Serum
(Serum)
Total Protein 7.8 gm/dL 6.4-8.5
(Biuret test) Please note the change in
method and reference range.
Albumin, Serum 4.8 gm/dL 3.5-5.2
(Allele-specific hydrolysis probes (TaqMan) and Please note the change in
fluorescent monitoring) method and reference range.
Globulin 3.00 gm/dL 1.8-3.6
(Calculated)
Albumin/Globulin Ratio 1.6 1.1-2.2
(Calculated)

Page 1 of 6
Dr. NIKITA SINGH
MD (Pathology)
Consultant Pathologist
Reg No.MP20592
Mr. ALOK TIWARI Reference: SELF VID: 250423503946837
SATNA Satna.. Sample Collected At: Registered On:
Tel No : +919826446334 Satna Gf - Walkin
13/05/2025 11:54 AM
Shop No-1, Grd Flr And 1st Flr, Opposite
PIN No: 485001 Prithviraj Showroom, Bharut Nagar, Ward Collected On:
PID NO: P99725545836172 No-7, Vrindavan War 13/05/2025 11:50AM
Age: 24 Year(s) Sex: Male Processing Location:- Metropolis Reported On:
Healthcare Ltd., Kolgawan, Bharhut
Nagar,Satna-485001 13/05/2025 01:45 PM

Investigation Observed Value Unit Biological Reference Interval


Interpretation:
• Total Proteins are useful in the diagnosis and treatment of disease involving liver, kidney, bone marrow ,metabolic and
nutritional disorders.
• The protein concentration of serum is an indicator of the hydration state of the body.
• Prolonged bed rest results in decreased total protein concentration.
• The A/G ratio measures the relative ratio of albumin to globulin
• Low A/G ratio may indicate viral infections, liver and kidney disease, or autoimmune disorders. These diseases increase
globulin and decrease albumin thus lowering the A/G ratio.
• A high A/G ratio may indicate diseases that make the body produce less globulin, such as genetic disorders or may result
from the use of immunosuppressive drugs.
Reference:
• Juraschek SP, Moliterno AR, Checkley W, Miller ER 3rd. The Gamma Gap and All-Cause Mortality. PLoS One. 2015 Dec
2;10(12):e0143494
• Busher JT. Serum Albumin and Globulin. In: Walker HK, Hall WD, Hurst JW, editors. Clinical Methods: The History,
Physical, and Laboratory Examinations. 3rd edition. Boston: Butterworths; 1990. Chapter 101.
• Pack Insert

Creatinine, Serum 0.81 mg/dL 0.8-1.3


(Serum,Enzymatic) Please note the change in
method and reference range.
Interpretation - Creatinine is a waste product formed in muscles from the high energy storage compound, creatine phosphate. The
amount of creatinine produced is constant (unlike Urea) and is primarily a function of muscle mass.
Physiological factors affecting serum creatinine concentration includes age, gender, race, muscularity, exercise, Pregnancy, certain
drugs, diet, dehydration and nutritional status.
Low serum Creatinine levels is seen in cases of low muscle mass like muscular atrophy, or aging.
High serum creatinine levels is seen in Acute and Chronic kidney disease, obstruction.
Since a rise in blood creatinine is observed only with marked damage of the nephrons, it is not suited to detect early stage kidney
disease.

Uric Acid, Serum 7.8 mg/dL 3.5-7.2


(Serum,Uricase) Please note the change in
method and reference range

Page 2 of 6
Dr. NIKITA SINGH
MD (Pathology)
Consultant Pathologist
Reg No.MP20592
Mr. ALOK TIWARI Reference: SELF VID: 250423503946837
SATNA Satna.. Sample Collected At: Registered On:
Tel No : +919826446334 Satna Gf - Walkin
13/05/2025 11:54 AM
Shop No-1, Grd Flr And 1st Flr, Opposite
PIN No: 485001 Prithviraj Showroom, Bharut Nagar, Ward Collected On:
PID NO: P99725545836172 No-7, Vrindavan War 13/05/2025 11:50AM
Age: 24 Year(s) Sex: Male Processing Location:- Metropolis Reported On:
Healthcare Ltd., Kolgawan, Bharhut
Nagar,Satna-485001 13/05/2025 01:45 PM

Investigation Observed Value Unit Biological Reference Interval


Interpretation :
• Increased in Gout, asymptomatic hyperuricemia, leukemia, polycythemia, hemolytic anemia, sickle cell anemia, resolving
pneumonia, toxemia of pregnancy, psoriasis, lymphoma, metabolic acidosis, chronic lead poisoning.
• Decreased in disorders of copper accumulation , kidney tubule disorder, Acromegaly, Celiac disease, Xanthine oxidase
deficiency.
• Its used to monitor gout and also chemotherapeutic treatment of neoplasm to avoid renal urate deposition with possible
renal failure (tumor lysis syndrome).

Note:
• A purine rich diet as well as sever exercise increases uric acid values.
• High protein-weight reduction diet and alcohol consumption can cause raised uric acid levels.

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.

Cholesterol Total, Serum 218 mg/dL Desirable: < 200


(Serum,Cholesterol oxidase-peroxidase (CHOD- Borderline High: 200-239
POD)) High: >= 240
Triglycerides, Serum 274 mg/dL Normal: < 150
(Serum,Glycerol-3-phosphate peroxidase Borderline High: 150-199
chromogenic method (GPO-POD)) High: 200-499
Very High: >= 500
HDL Cholesterol Direct 40 mg/dL Major risk factor for heart
(Serum,Cholesterol oxidase-peroxidase (CHOD- disease: < 40
POD)) Negative risk factor for heart
disease: >= 60
Calcium, Serum 9.2 mg/dL 8.6-10.3
(Serum,Calcium Complex Formation Reflectance
Spectrophotometry (CCFRS))
Phosphorus, Serum 3.6 mg/dL 2.7-4.5
(Serum,PNP XOD POD colorimetric method) Please note the change in
method and reference range.

Page 3 of 6
Dr. NIKITA SINGH
MD (Pathology)
Consultant Pathologist
Reg No.MP20592
Mr. ALOK TIWARI Reference: SELF VID: 250423503946837
SATNA Satna.. Sample Collected At: Registered On:
Tel No : +919826446334 Satna Gf - Walkin
13/05/2025 11:54 AM
Shop No-1, Grd Flr And 1st Flr, Opposite
PIN No: 485001 Prithviraj Showroom, Bharut Nagar, Ward Collected On:
PID NO: P99725545836172 No-7, Vrindavan War 13/05/2025 11:50AM
Age: 24 Year(s) Sex: Male Processing Location:- Metropolis Reported On:
Healthcare Ltd., Kolgawan, Bharhut
Nagar,Satna-485001 13/05/2025 01:45 PM

Investigation Observed Value Unit Biological Reference Interval


TruHealth Basic
CBC Haemogram
Erythrocytes
Haemoglobin (Hb) 14.1 gm/dL 14-18
Erythrocyte (RBC) Count 5.47 mill/[Link] 4.4-6.0
PCV (Packed Cell Volume) 46.1 % 42-52
MCV (Mean Corpuscular Volume) 84.3 fL 82-101
MCH (Mean Corpuscular Hb) 25.8 pg 27-34
MCHC (Mean Corpuscular Hb Concn.) 30.6 gm/dL 31.5-36
RDW (Red Cell Distribution Width) 13.3 % 11.5-14.0
Nucleated RBC - per 100 WBCs
RBC Morphology
Remark -
Hypochromia Absent
Microcytosis Absent
Anisocytosis Absent
Poikilocytosis Absent
Macrocytosis Absent
Polychromasia Absent
Others -
Leucocytes
Total Leucocytes (WBC) Count 6,110 cells/[Link] 4300-10300
Absolute Neutrophils Count 3422 cells/[Link] 2000-7000
Absolute Lymphocyte Count 2261 cells/[Link] 1000-3000
Absolute Monocyte Count 244 cells/[Link] 200-1000
Absolute Eosinophil Count 183 cells/[Link] 20-500
Absolute Basophil Count 0 cells/[Link] 20-100
Blasts 0 %
Promyelocyte 0 %
Myelocyte 0 %
Metamyelocyte 0 %

Page 4 of 6
Dr. NIKITA SINGH
MD (Pathology)
Consultant Pathologist
Reg No.MP20592
Mr. ALOK TIWARI Reference: SELF VID: 250423503946837
SATNA Satna.. Sample Collected At: Registered On:
Tel No : +919826446334 Satna Gf - Walkin
13/05/2025 11:54 AM
Shop No-1, Grd Flr And 1st Flr, Opposite
PIN No: 485001 Prithviraj Showroom, Bharut Nagar, Ward Collected On:
PID NO: P99725545836172 No-7, Vrindavan War 13/05/2025 11:50AM
Age: 24 Year(s) Sex: Male Processing Location:- Metropolis Reported On:
Healthcare Ltd., Kolgawan, Bharhut
Nagar,Satna-485001 13/05/2025 01:45 PM

Investigation Observed Value Unit Biological Reference Interval


Band Forms 0 %
Neutrophils 56 % 40-80
Lymphocytes 37 % 20-40
Monocytes 4 % 2.0-10
Eosinophils 3 % 1-6
Basophils 0 % 0-2
Other -
Platelets
Platelet count 188 10^3/µL 140-440
MPV (Mean Platelet Volume) 11.4 fL 7.8-11
(Calculated)
PCT ( Platelet Haematocrit) 0.21 % 0.2-0.5
PDW (Platelet Distribution Width) 16.1 % 9-17
Pathologist Remark -
EDTA Whole Blood - Test done on Automated five-part cell counter. (RBC, HCT & Platelet count by Hydrodynamic focusing DC
detection Method, WBC Differential by Fluorescent Flow cytometry technology, Haemoglobin by Cyanide free SLS method, MCV
and RDW are derived from RBC histogram. MPV and PDW are derived from Platelet histogram. Calculated Parameters are: MCH,
MCHC, PCT and Absolute WBC counts). All Abnormal Haemograms are reviewed confirmed microscopically. Differential count is
based on approximately 10,000 cells.

ESR (Erythrocyte Sedimentation Rate) 7 mm/hr 0-15


(EDTA Whole Blood)

Method: Automated Westergren

Interpretation:

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.

Page 5 of 6
Dr. NIKITA SINGH
MD (Pathology)
Consultant Pathologist
Reg No.MP20592
Mr. ALOK TIWARI Reference: SELF VID: 250423503946837
SATNA Satna.. Sample Collected At: Registered On:
Tel No : +919826446334 Satna Gf - Walkin
13/05/2025 11:54 AM
Shop No-1, Grd Flr And 1st Flr, Opposite
PIN No: 485001 Prithviraj Showroom, Bharut Nagar, Ward Collected On:
PID NO: P99725545836172 No-7, Vrindavan War 13/05/2025 11:50AM
Age: 24 Year(s) Sex: Male Processing Location:- Metropolis Reported On:
Healthcare Ltd., Kolgawan, Bharhut
Nagar,Satna-485001 13/05/2025 01:45 PM

Investigation Observed Value Unit Biological Reference Interval


TSH (Thyroid Stimulating Hormone) - 6.046 µIU/mL 0.54-5.3
Ultrasensitive, Serum
(Serum,Chemiluminescence Immunoassay (CLIA))
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:
&bull; Clinical Chemistry 50:12, 2338-2344 (2004) and Ind J Clin Biochem (Apr-June 2014) 29(2):189–195.
&bull; Ref: Arch Pathol Lab Med—Vol 141, November 2017.
&bull; Fisher DA. Physiological variations in thyroid hormones: physiological and pathophysiological considerations. Clin Chem. 1996
Jan;42(1):135-9. PMID: 8565215

-- End of Report --

Page 6 of 6
Dr. NIKITA SINGH
MD (Pathology)
Consultant Pathologist
Reg No.MP20592

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