PO No :PO3934352842-597

Name : Ms.SUMITA Client Name : TATA 1MG MUMBAI

Age/Gender : 50/Female Registration Date : 25-Aug-23 03:14 PM
Patient ID : MUM489700 Collection Date : 25/Aug/2023 01:12PM
Barcode ID/Order ID : D5517664 / 7889406 Sample Receive Date : 25/Aug/2023 03:50PM
Referred By : Dr. Report Status : Final Report
Sample Type : WHOLE BLOOD-EDTA Report Date : 25/Aug/2023 08:04PM

HAEMATOLOGY
COMPREHENSIVE SILVER FULL BODY CHECKUP
Test Name Result Unit Bio. Ref. Interval Method

Glycosylated Hemoglobin (HbA1c) 8.1 % 4-5.6 HPLC

Estimated average glucose (eAG) 185.77 mg/dL Calculated

Comment:
Interpretation: HbA1c%

≤5.6 Normal
5.7-6.4 At Risk For Diabetes
≥6.5 Diabetes

Adapted from American Diabetes Association.

Comments:
A 3 to 6 monthly monitoring is recommended in diabetics. People with diabetes should get the test done more often if their blood
sugar stays too high or if their healthcare provider makes any change in the treatment plan. HbA1c concentration represent the
integrated values for blood glucose over the preceding 8-12 weeks and is not affected by daily glucose fluctuation, exercise &
recent food intake.
Please note, Glycemic goal should be individualized based on duration of diabetes, age/life expectancy, comorbid conditions,
known CVD or advanced microvascular complications, hypoglycemia unawareness, and individual patient considerations.

Factors that interfere with HbA1c Measurement: Hemoglobin variants, elevated fetal hemoglobin (HbF) and chemically modified
derivatives of hemoglobin (e.g. carbamylated Hb in patients with renal failure) can affect the accuracy of HbA1c measurements.

Factors that affect interpretation of HbA1c Measurement: Any condition that shortens erythrocyte survival or decrease mean
erythrocyte age (e. g., recovery from acute blood loss, hemolytic anemia, HbSS, HbCC, and HbSC) will falsely lower HbA1c test
results regardless of the assay method used. Iron deficiency anemia is associated with higher HbA1c.

Note: Presence of Hemoglobin variants and/or conditions that affect red cell turnover must be considered, particularly when the
HbA1c result does not correlate with the patient's blood glucose levels.

• HPLC - High performance liquid chromatography

Page 1 of 18
PO No :PO3934352842-597

Name : Ms.SUMITA Client Name : TATA 1MG MUMBAI

Age/Gender : 50/Female Registration Date : 25-Aug-23 03:14 PM
Patient ID : MUM489700 Collection Date : 25/Aug/2023 01:12PM
Barcode ID/Order ID : D5517664 / 7889406 Sample Receive Date : 25/Aug/2023 03:50PM
Referred By : Dr. Report Status : Final Report
Sample Type : Whole Blood-EDTA Report Date : 25/Aug/2023 08:17PM

HAEMATOLOGY
COMPREHENSIVE SILVER FULL BODY CHECKUP
Test Name Result Unit Bio. Ref. Interval Method

Complete Blood Count

Hemoglobin 8.7 g/dL 12.0-15.0 Cyanide free SLS
RBC 3.28 mili/cu.mm 3.8 - 4.8 Impedence variation
HCT 25.9 % 40 - 50 Calculated
MCV 78.7 fl 83 - 101 RBC Pulse Measurement
MCH 26.5 pg 27 - 32 Calculated
MCHC 33.7 g/dL 31.5 - 34.5 Calculated
RDW-CV 21.0 % 11.6-14 Calculated
Total Leucocyte Count 5.90 10^3/µI 4 - 10 Flowcytometry DHSS/
Microscopy
Differential Leucocyte Count
Neutrophils 63 % 40-80 Flowcytometry DHSS/
Microscopy
Lymphocytes 28 % 20-40 Flowcytometry DHSS/
Microscopy
Monocytes 6 % 2-10 Flowcytometry DHSS/
Microscopy
Eosinophils 3 % 1-6 Flowcytometry DHSS/
Microscopy
Basophils 0 % 0-2 Flowcytometry DHSS/
Microscopy
Absolute Leucocyte Count
Absolute Neutrophil Count 3.72 10^3/µI 2-7 Calculated
Absolute Lymphocyte Count 1.65 10^3/µI 1-3 Calculated
Absolute Monocyte Count 0.35 10^3/µI 0.2-1 Calculated
Absolute Eosinophil Count 0.18 10^3/µI 0.02-0.5 Calculated
Absolute Basophil Count 0 10^3/µI 0.02-0.1 Calculated
Platelet Count 368 10^3/µI 150-410 Impedence Variation
/Microscopy
MPV 7.5 fl 6.5 - 12 Calculated

Page 2 of 18
PO No :PO3934352842-597

Name : Ms.SUMITA Client Name : TATA 1MG MUMBAI

Age/Gender : 50/Female Registration Date : 25-Aug-23 03:14 PM
Patient ID : MUM489700 Collection Date : 25/Aug/2023 01:12PM
Barcode ID/Order ID : D5517664 / 7889406 Sample Receive Date : 25/Aug/2023 03:50PM
Referred By : Dr. Report Status : Final Report
Sample Type : Whole Blood-EDTA Report Date : 25/Aug/2023 08:17PM

HAEMATOLOGY
COMPREHENSIVE SILVER FULL BODY CHECKUP
Test Name Result Unit Bio. Ref. Interval Method

PDW 12 fl 9 - 17 Calculated
RBC: Hypochromia (++) Microcytosis (+) Anisocytosis (++)

Comment:

As per the recommendation of International council for Standardization in Hematology, the differential leucocyte counts
are additionally being reported as absolute numbers of each cell in per unit volume of blood.

Page 3 of 18
PO No :PO3934352842-597

Name : Ms.SUMITA Client Name : TATA 1MG MUMBAI

Age/Gender : 50/Female Registration Date : 25-Aug-23 03:14 PM
Patient ID : MUM489700 Collection Date : 25/Aug/2023 01:12PM
Barcode ID/Order ID : D5517664 / 7889406 Sample Receive Date : 25/Aug/2023 03:50PM
Referred By : Dr. Report Status : Final Report
Sample Type : EDTA Report Date : 25/Aug/2023 08:04PM

HAEMATOLOGY
COMPREHENSIVE SILVER FULL BODY CHECKUP
Test Name Result Unit Bio. Ref. Interval Method

Erythrocyte Sedimentation Rate 75 mm/hr 0-12 Capillary Photometry

RESULT : RECHECKED MANUALLY.

Comment:

ESR provides an index of progress of the disease and is widely used as an indicator of inflammation, infection, trauma, or
malignant diseases. Changes are more significant than a single abnormal test
It is specifically indicated to monitor the course or response to the treatment of diseases like rheumatoid arthritis,
tuberculosis bacterial endocarditis ,acute rheumatic fever ,Hodgkins disease,temporal arthritis , and systemic lupus
erythematosis; and to diagnose and monitor giant cell arteritis and polymyalgia rheumatica.
An elevated ESR may also be associated with many other conditions, including autoimmune disease, anemia,
infection,malignancy,pregnancy, multiple myeloma, menstruation, and hypothyroidism.
Although a normal ESR cannot be taken to exclude the presence of organic disease, its rate is dependent on various
physiologic and pathologic factors.
The most important component influencing ESR is the composition of plasma. High level of C-Reactive Protein, fibrinogen,
haptoglobin, alpha-1antitrypsin, ceruloplasmin and immunoglobulins causes the elevation of Erythrocyte Sedimentation
Rate.
Drugs that may cause increase ESR levels include: dextran, methyldopa, oral contraceptives, penicillamine, procainamide,
theophylline, and Vitamin A. Drugs that may cause decrease levels include: aspirin, cortisone, and quinine

"Test conducted on Whole Blood - EDTA "

Page 4 of 18
PO No :PO3934352842-597

Name : Ms.SUMITA Client Name : TATA 1MG MUMBAI

Age/Gender : 50/Female Registration Date : 25-Aug-23 03:14 PM
Patient ID : MUM489700 Collection Date : 25/Aug/2023 01:12PM
Barcode ID/Order ID : D5517661 / 7889406 Sample Receive Date : 25/Aug/2023 03:50PM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 25/Aug/2023 06:18PM

BIOCHEMISTRY
COMPREHENSIVE SILVER FULL BODY CHECKUP
Test Name Result Unit Bio. Ref. Interval Method

Calcium 8.8 mg/dL 8.7-10.4 Arsenazo III

Comment:
Increased in: Hyperparathyroidism primary and secondary, Acute and chronic renal failure, Following renal transplantation,
Osteomalacia with malabsorption, Acute osteoprosis, Malignant tumours (specially of breast, lung and kidney), Drugs: Vit. D and
A intoxication, Diuretics, estrogen, androgen, tamoxifen, lithium

Decreased in: Hypoparathyroidism, Surgical and Idiopathic, Pseudohypoparathyroidism, Chronic renal disease with uremia and
phophate retention, Malabsorption of Calcium and Vit.D, obstructive jaundice, Bone Disease ( Osteomalacia and rickets), Drugs:
Cancer chemotherapy drugs, calcitonin, loop-actives diuretics, Hypomagnesemia,Hypoalbuminemia

Page 5 of 18
 PO No :PO3934352842-597

Name : Ms.SUMITA Client Name : TATA 1MG MUMBAI

Age/Gender : 50/Female Registration Date : 25-Aug-23 03:14 PM
Patient ID : MUM489700 Collection Date : 25/Aug/2023 01:12PM
Barcode ID/Order ID : D5517662 / 7889406 Sample Receive Date : 25/Aug/2023 03:50PM
Referred By : Dr. Report Status : Final Report
Sample Type : Fluoride Plasma F Report Date : 25/Aug/2023 06:18PM

BIOCHEMISTRY
COMPREHENSIVE SILVER FULL BODY CHECKUP
Test Name Result Unit Bio. Ref. Interval Method

Glucose - Fasting
Glucose - Fasting 121 mg/dL 70-100 Hexokinase

Comment:

Impaired glucose tolerance (IGT) fasting, means a person has an increased risk of developing type 2 diabetes but does not
have it yet. A level of 126 mg/dL or above, confirmed by repeating the test on another day, means a person has diabetes.
IGT (2 hrs Post meal ), means a person has an increased risk of developing type 2 diabetes but does not have it yet. A 2-hour
glucose level of 200 mg/dL or above, confirmed by repeating the test on another day, means a person has diabetes

Plasma Glucose Goals For people with Diabetes

Before meal 70-130 mg/dL
2 Hours after meal Less than 180 mg/dL
HbA1c Less than 7%

Page 6 of 18
 PO No :PO3934352842-597

Name : Ms.SUMITA Client Name : TATA 1MG MUMBAI

Age/Gender : 50/Female Registration Date : 25-Aug-23 03:14 PM
Patient ID : MUM489700 Collection Date : 25/Aug/2023 01:12PM
Barcode ID/Order ID : D5517661 / 7889406 Sample Receive Date : 25/Aug/2023 03:50PM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 25/Aug/2023 08:04PM

BIOCHEMISTRY
COMPREHENSIVE SILVER FULL BODY CHECKUP
Test Name Result Unit Bio. Ref. Interval Method

Iron Studies, Basic

Iron Serum 25 µg/dL 50-170 Ferrozine
Unsaturated Iron Binding Capacity 417 µg/dL 111-343 Ferene
Total Iron Binding Capacity ( TIBC) 442 µg/dL 240-450 Calculated
Transferrin Saturation 5.72 % 16 - 50 Calculated

Comment:

Iron is an essential trace mineral element which forms an important component of hemoglobin, metallocompounds and Vitamin
A. Deficiency of iron is seen in iron deficiency and anaemia of chronic disorders.
Increased iron concentration are seen in hemolytic anaemias, hemochromatosis and acute liver disease. Serum Iron alone is
unreliable due to considerable physiologic diurnal variation in the results with highest values in the morning and lowest values in
the evening as well as variation in response to iron therapy .

Total Iron Binding capacity (TIBC) is a direct measure of the protein Transferrin which transports iron from the gut to storage
sites in the bone marrow. Increased levels of TIBC suggest that total iron body stores are low, increased concentration may be
the sign of Iron deficiency anaemia, polycythemia vera ,and may occur during the third trimester of pregnancy. Decreased levels
may be seen in hemolytic anaemia, hemochromatosis, chronic liver disease, hypoproteinemia ,malnutrition.

Unsaturated Iron Binding Capacity (UIBC) is increased in low iron state and decreased in high iron concentration such as
hemochromatosis. In case of anaemia of chronic disease the patient may be anaemic but has adequate iron reserve and a low
uIBC.

Transferrin Saturation occurs in Idiopathic hemochromatosis and Transfusional hemosiderosis where no unsaturated iron
binding capacity is available for iron mobilization. Similar condition is seen in congenital deficiency of Transferrin.

Page 7 of 18
PO No :PO3934352842-597

Name : Ms.SUMITA Client Name : TATA 1MG MUMBAI

Age/Gender : 50/Female Registration Date : 25-Aug-23 03:14 PM
Patient ID : MUM489700 Collection Date : 25/Aug/2023 01:12PM
Barcode ID/Order ID : D5517661 / 7889406 Sample Receive Date : 25/Aug/2023 03:50PM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 25/Aug/2023 06:18PM

BIOCHEMISTRY
COMPREHENSIVE SILVER FULL BODY CHECKUP
Test Name Result Unit Bio. Ref. Interval Method

Lipid Profile
Cholesterol - Total 177 mg/dL Low (desirable): < 200 Enzymatic
mg/dL
Moderate (borderline)
200–239 mg/dL
High: >/= 240 mg/dL
Triglycerides 79 mg/dL Normal: <150, GPO, Trinder without
Borderline: 150 - 199, serum blank
High:200-499,
Very High>=500
Cholesterol - HDL 48 mg/dL Undesirable/high risk Elimination/catalase
<=40mg/dL
Desirable/low
risk>=60mg/dl
Cholesterol - LDL 114 mg/dL Desirable: <100 Calculated
Above desirable: 100 -
129
Borderline high : 130 -
159
High : 160 - 189
Very high : >=190
Cholesterol- VLDL 16 mg/dL <30 Calculated
Cholesterol : HDL Cholesterol 3.7 Ratio Desirable : 3.0-4.0 Calculated
High risk : >4
LDL : HDL Cholesterol 2.39 Ratio Desirable : 2.0-2.5 Calculated
High risk : >3.0
Non HDL Cholesterol 129 mg/dl Desirable:< 130, Calculated
Above Desirable:130 -
159,
Borderline High:160 -
189,
High:190 - 219,

Page 8 of 18
PO No :PO3934352842-597

Name : Ms.SUMITA Client Name : TATA 1MG MUMBAI

Age/Gender : 50/Female Registration Date : 25-Aug-23 03:14 PM
Patient ID : MUM489700 Collection Date : 25/Aug/2023 01:12PM
Barcode ID/Order ID : D5517661 / 7889406 Sample Receive Date : 25/Aug/2023 03:50PM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 25/Aug/2023 06:18PM

BIOCHEMISTRY
COMPREHENSIVE SILVER FULL BODY CHECKUP
Test Name Result Unit Bio. Ref. Interval Method

Very High: >= 220

Comment:
•Lipid profile measurements in the same patient can show physiological & analytical variations. It is recommended that 3 serial
samples 1 week apart may be tested.
•Indians are at a high risk of developing atherosclerotic cardiovascular disease (ASCVD); at a much earlier age and more severe
with high mortality. Dyslipidemia (abnormal lipid profile) is the major risk factor and found in almost 80% Indians.
•Total cholesterol is the total amount of cholesterol in blood comprising of HDL, LDL-C, and VLDL.
•LDL Cholesterol (LDL-C) or “bad”cholesterol contributes most significantly to atherosclerosis leading to heart disease or
stroke and is the primary target for reducing risk for cardiovascular disease.
•High-density lipoprotein (HDL) or “good” cholesterol can lower risk of heart disease and stroke.
•Triglyceride (TG) level also plays a major role in CVD. Indians are more prone to Atherogenic dyslipidemia, a condition
associated with high TG, low HDL-C and high LDL-C; this is associated with diabetes, metabolic syndrome and insulin resistance.
Hence high triglyceride levels also need to be treated.
•Non-HDL-Cholesterol (Non-HDLC) measures all plaque forming lipoproteins (e.g. remnants, LDL-C, VLDL, Lp(a), Apo-B).
Monitoring of Non-HDLC is important in patients with high TG (e.g. diabetics, obese persons) and those already on statin
therapy.
•Lipid Association of India (LAI-2020) recommends:-

Screening of all Indians above the age of 20 years for CVD risk factors, esp. lipid profile.
Identification of Risk factors: Age (male ≥45 years, female ≥55 years); Family h/o heart disease at younger age (<55 yrs
in males, <65 yrs in female), Smoking/tobacco use, High blood pressure, Low HDL (males <40 mg/dl and females
<50mg/dl).
Fasting lipid profile is not mandatory for screening. Both fasting and non-fasting lipid profiles are equally important for
managing Indian patients.
Non-HDLC should be calculated in every subject. LAI recommends LDL-C as the primary target and Non-HDLC as the co-
primary target for initiating drug therapy.
Lifestyle modifications are of first and foremost importance for management and prevention of dyslipidemia. Among low
risk groups, treatment is started only after 3 months of lifestyle changes.
Testing for Apolipoprotein B, hsCRP, Lp(a ) should be considered for patients in moderate risk group.
Newer treatment goals based on Risk Groups and values of LDL-C and Non-HDLC

New treatment goals by Lipid Association of India (2020)

CONSIDER THERAPY (cut-off level) TREATMENT GOALS
Risk groups LDL-C (mg/dL) Non-HDLC (mg/dL) LDL-C (mg/dL) Non-HDLC (mg/dL)
<50 <80
Extreme Risk Gp Cat. A ≥50 ≥80
(Optional ≤30) (Optional ≤60)
Extreme Risk Gp Cat. B >30 >60 ≤30 ≤60
Very High Risk ≥50 ≥80 <50 <80
High Risk ≥70 ≥100 <70 <100
Moderate Risk ≥100 ≥130 <100 <130
Low risk ≥130* ≥160* <100 <130

Page 9 of 18
PO No :PO3934352842-597

Name : Ms.SUMITA Client Name : TATA 1MG MUMBAI

Age/Gender : 50/Female Registration Date : 25-Aug-23 03:14 PM
Patient ID : MUM489700 Collection Date : 25/Aug/2023 01:12PM
Barcode ID/Order ID : D5517661 / 7889406 Sample Receive Date : 25/Aug/2023 03:50PM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 25/Aug/2023 06:18PM

BIOCHEMISTRY
COMPREHENSIVE SILVER FULL BODY CHECKUP
Test Name Result Unit Bio. Ref. Interval Method
*After an adequate non-pharmacological intervention for at least 3 months

•As per NCEP Expert Panel (2011) guidelines, universal screening for dyslipidemia is recommended for children between 9
- 11 yrs (repeat at 17-21 yrs). Screening is not recommended before the age of 2yrs. Above the age of 2 yrs, selective screening
is done in children with family history of premature CVD or risk factors like obesity, diabetes, and hypertension.

Note: Reference Interval as per National Cholesterol Education Program (NCEP) Report.

Page 10 of 18
PO No :PO3934352842-597

Name : Ms.SUMITA Client Name : TATA 1MG MUMBAI

Age/Gender : 50/Female Registration Date : 25-Aug-23 03:14 PM
Patient ID : MUM489700 Collection Date : 25/Aug/2023 01:12PM
Barcode ID/Order ID : D5517661 / 7889406 Sample Receive Date : 25/Aug/2023 03:50PM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 25/Aug/2023 06:18PM

BIOCHEMISTRY
COMPREHENSIVE SILVER FULL BODY CHECKUP
Test Name Result Unit Bio. Ref. Interval Method

Liver Function Test

Bilirubin-Total 0.29 mg/dL 0.3 – 1.2 Vanadate oxidation
Bilirubin-Direct 0.12 mg/dL 0.0-0.3 Vanadate oxidation
Bilirubin-Indirect 0.17 mg/dL 0.2-0.8 Calculated
Protein, Total 7.20 g/dL 5.7–8.2 Biuret
Albumin 4.20 g/dL 3.2-4.8 BCG Dye Binding
Globulin 3.0 g/dl 2.3-4.1 Calculated
A/G Ratio 1.40 Ratio 0.8 - 1.9 Calculated
Aspartate Transaminase (SGOT) 19 U/L <34 U/L Modified IFCC
Alanine Transaminase (SGPT) 16 U/L 10-49 Modified IFCC
SGOT/SGPT 1.19 Ratio <1 Calculated
Alkaline Phosphatase 83 U/L 46-116 IFCC Standardization
Gamma Glutamyltransferase (GGT) 23 U/L <38 Modified IFCC

Comment:
•LFTS are based upon measurements of substances released from damaged hepatic cells into the blood that gives idea of the
Existence, Extent and Type of Liver damage. - Acute Hepatocellular damage: ALT & AST levels are sensitive index of
hepatocellular damage - Obstruction to the biliary tract,Cholestasis and blockage of bile flow:1) Serum Total Bilirubin
concentration 2) Serum Alkaline Phosphatase (ALP) activity 3) Gamma Glutamyl Transpeptidase (GGTP) 4) 5`-Nucleotidase -
Chronic liver disease: Serum Albumin concentration
•Bilirubin results from the enzymatic breakdown of heme. Jaundice is a yellowish discoloration of the skin and mucous
membranes caused by hyperbilirubinemia.
•Pre-hepatic or hemolytic jaundice - Abnormal red cells, antibodies,drugs and toxins,Hemoglobinopathies, Gilbert’s syndrome,
Crigler-Najjar syndrome
•Hepatic or Hepatocellular jaundice-Viral hepatitis,toxic hepatitis, intrahepatic cholestasis
•Post-hepatic jaundice -Extrahepatic cholestasis, gallstones, tumors of the bile duct, carcinoma of pancreas
•In viral hepatitis and other forms of liver disease associated with acute hepatic necrosis, serum AST and ALT concentrations are
elevated even before the clinical signs and symptoms of disease appear.
•ALT is the more liver-specific enzyme and elevations of ALT activity persist longer than AST activity.
•Peak values of aminotransferase activity occur between the seventh and twelfth days. Activities then gradually decrease,
reaching normal activities by the third to fifth week. Peak activities bear no relationship to prognosis and may fall with worsening
of the patient's condition.
•Aminotransferase activities observed in cirrhosis vary with the status of the cirrhotic process and range from the upper
reference limit to four to five times higher, with an AST/ALT ratio greater than 1. The ratio's elevation can reflect the grade of
fibrosis in these patients. Slight or moderate elevations of both AST and ALT activities have been observed after administration
of various medications and chronic hepatic injury such as (1) hemochromatosis, (2) Wilson disease, (3) autoimmune hepatitis, (4)
primary biliary cirrhosis, (5) sclerosing cholangitis, and (6) a1-antitrypsin deficiency.
•AST activity also is increased in acute myocardial infarction, progressive muscular dystrophy and dermatomyositis, reaching

Page 11 of 18
PO No :PO3934352842-597

Name : Ms.SUMITA Client Name : TATA 1MG MUMBAI

Age/Gender : 50/Female Registration Date : 25-Aug-23 03:14 PM
Patient ID : MUM489700 Collection Date : 25/Aug/2023 01:12PM
Barcode ID/Order ID : D5517661 / 7889406 Sample Receive Date : 25/Aug/2023 03:50PM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 25/Aug/2023 06:18PM

BIOCHEMISTRY
COMPREHENSIVE SILVER FULL BODY CHECKUP
Test Name Result Unit Bio. Ref. Interval Method
concentrations up to eight times the upper reference limit.Slight to moderate AST elevations are noted in hemolytic disease.
•GGT is a sensitive indicator of the presence of hepatobiliary disease, being elevated in most subjects with liver disease
regardless of cause. Increased concentrations of the enzyme are also found in serum of subjects receiving anticonvulsant drugs,
such as phenytoin and phenobarbital.

Page 12 of 18
PO No :PO3934352842-597

Name : Ms.SUMITA Client Name : TATA 1MG MUMBAI

Age/Gender : 50/Female Registration Date : 25-Aug-23 03:14 PM
Patient ID : MUM489700 Collection Date : 25/Aug/2023 01:12PM
Barcode ID/Order ID : D5517661 / 7889406 Sample Receive Date : 25/Aug/2023 03:50PM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 25/Aug/2023 06:18PM

BIOCHEMISTRY
COMPREHENSIVE SILVER FULL BODY CHECKUP
Test Name Result Unit Bio. Ref. Interval Method

Kidney Function Test.

Blood Urea Nitrogen 6 mg/dL 9.0-23.0 Urease with GLDH
Urea 12.84 mg/dL 19.26-49.22 Calculated
Creatinine 0.50 mg/dL 0.57-1.11 Kinetic Alkaline Picrate
Uric Acid 4.9 mg/dL 2.7-6.1 Uricase/Peroxidase
Sodium 139 mEq/L 132.0-146.0 Indirect ISE
Potassium 4.10 mEq/L 3.5-5.5 Indirect ISE
Chloride 104.0 mEq/L 99-109 Indirect ISE
BUN/Creatinine Ratio 12.0 Ratio 12:1 - 20:1 Calculated

Comment:
BUN is directly related to protein intake and nitrogen metabolism and inversely related to the rate of excretion of urea.Blood
urea nitrogen (BUN) levels reflect the balance between the production and excretion of urea. Increased levels are seen in renal
failure (acute or chronic), urinary tract obstruction, dehydration, shock, burns, CHF, GI bleeding, nephrotoxic drugs. Decreased
levels are seen in hepatic failure, nephrotic syndrome, cachexia (low-protein and high-carbohydrate diets).
Urea is a non-proteinous nitrogen compound formed in the liver from ammonia as an end product of protein metabolism. Urea
diffuses freely into extracellular and intracellular fluid and is ultimately excreted by the kidneys. Increased levels are found in
acute renal failure, chronic glomerulonephritis, congestive heart failure, decreased renal perfusion, diabetes, excessive protein
ingestion, gastrointestinal (GI) bleeding, hyperalimentation, hypovolemia, ketoacidosis, muscle wasting from starvation,
neoplasms, pyelonephritis, shock, urinary tract obstruction, nephrotoxic drugs. Decreased levels are seen in inadequate dietary
protein, low-protein/high-carbohydrate diet, malabsorption syndromes, pregnancy, severe liver disease, certain drugs.
Creatinine is catabolic product of creatinine phosphate, which is excreted by filtration through the glomerulus and by tubular
secretion. Creatinine clearance is an acceptable clinical measure of glomerular filtration rate (GFR). Increased levels are seen in
acute/chronic renal failure, urinary tract obstruction, hypothyroidism, nephrotoxic drugs, shock, dehydration, congestive heart
failure, diabetes. Decreased levels are found in muscular dystrophy.
BUN/Creatinine ratio (normally 12:1–20:1) is decreased in acute tubular necrosis, advanced liver disease, low protein intake,
and following hemodialysis. BUN/Creatinine ratio is increased in dehydration, GI bleeding, and increased catabolism.
Uric acid levels show diurnal variation. The level is usually higher in the morning and lower in the evening. Increased levels are
seen in starvation, strenuous exercise, malnutrition, or lead poisoning, gout, renal disorders, increased breakdown of body cells
in some cancers (including leukemia, lymphoma, and multiple myeloma) or cancer treatments, hemolytic anemia, sickle cell
anemia, or heart failure, pre-eclampsia, liver disease (cirrhosis), obesity, psoriasis, hypothyroidism, low blood levels of
parathyroid hormone (PTH), certain drugs, foods that are very high in purines - such as organ meats, red meats, some seafood
and beer. Decreased levels are seen in liver disease, Wilson's disease, Syndrome of inappropriate antidiuretic hormone (SIADH),
certain drugs.

Page 13 of 18
PO No :PO3934352842-597

Name : Ms.SUMITA Client Name : TATA 1MG MUMBAI

Age/Gender : 50/Female Registration Date : 25-Aug-23 03:14 PM
Patient ID : MUM489700 Collection Date : 25/Aug/2023 01:12PM
Barcode ID/Order ID : D5517661 / 7889406 Sample Receive Date : 25/Aug/2023 03:50PM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 25/Aug/2023 08:04PM

Immunology
COMPREHENSIVE SILVER FULL BODY CHECKUP
Test Name Result Unit Bio. Ref. Interval Method

Thyroid Profile
T3, Total 1.14 ng/mL 0.60-1.81 CLIA
T4, Total 6.0 µg/dl 4.5 - 12.6 CLIA
Thyroid Stimulating Hormone - Ultra 1.428 uIU/ml 0.55 - 4.78 CLIA
Sensitive

Comment:

Below mentioned are the guidelines for pregnancy related reference ranges for TSH, total T3 & Total T4.

Pregnancy
TSH (μIU/mL) (as per
American Thyroid Total T3 (ng/mL) Total T4(μg/dL)
Association )
1st trimester 0.1-2.5 0.81-1.90 7.33-14.8
2nd trimester 0.2-3.0 1.00-2.60 7.93-16.1
3rd trimester 0.3-3.0 1.00-2.60 6.95-15.7

TSH levels are subject to circadian variation, reaching peak levels between 2 - 4.a.m. and at a minimum between 6-10 pm
.
The variation is of the order of 50%, hence time of the day has influence on the measured serum TSH concentrations.
TSH is secreted in a dual fashion: Intermittent pulses constitute 60-70% of total amount, background continuous secretion
is 30-40%.These pulses occur regularly every 1-3 hrs.
Total T3 & T4 concentrations are altered by physiological or pathological changes in thyroxine binding globulin (TBG)
capacity .
The determination of free T3 & free T4 has the advantage of being independent of changes in the concentrations and
binding properties of the binding proteins.
Changes in thyroid status are typically associated with concordant changes in T3, T4 and TSH levels.
Unexpectedly abnormal or discordant thyroid test values may be seen with some rare, but clinically significant conditions
such as central hypothyroidism, TSH-secreting pituitary tumors, thyroid hormone resistance, or the presence of
heterophilic antibodies (HAMA) or thyroid hormone autoantibodies.
For diagnostic purposes, results should be used in conjunction with other data.

Page 14 of 18
PO No :PO3934352842-597

Name : Ms.SUMITA Client Name : TATA 1MG MUMBAI

Age/Gender : 50/Female Registration Date : 25-Aug-23 03:14 PM
Patient ID : MUM489700 Collection Date : 25/Aug/2023 01:12PM
Barcode ID/Order ID : D5517661 / 7889406 Sample Receive Date : 25/Aug/2023 03:50PM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 25/Aug/2023 08:04PM

Immunology
COMPREHENSIVE SILVER FULL BODY CHECKUP
Test Name Result Unit Bio. Ref. Interval Method
TSH T3 T4 Interpretation
High Normal Normal Subclinical Hypothyroidism
Low Normal Normal Subclinical Hyperthyroidism
High High High Secondary Hyperthyroidism
Low High/Normal High/Normal Hyperthyroidism
Non thyroidal illness / Secondary
Low Low Low Hypothyroidism

Page 15 of 18
PO No :PO3934352842-597

Name : Ms.SUMITA Client Name : TATA 1MG MUMBAI

Age/Gender : 50/Female Registration Date : 25-Aug-23 03:14 PM
Patient ID : MUM489700 Collection Date : 25/Aug/2023 01:12PM
Barcode ID/Order ID : D5517661 / 7889406 Sample Receive Date : 25/Aug/2023 03:50PM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 25/Aug/2023 08:04PM

Immunology
COMPREHENSIVE SILVER FULL BODY CHECKUP
Test Name Result Unit Bio. Ref. Interval Method

Vitamin D (25-OH) 17.1 ng/ml Deficiency:< 20, CLIA

Insufficiency:20-29,
Sufficiency:30 - 100,
Toxicity possible:> 100

Comment:

Vitamin D is a fat-soluble steroid prohormone involved in the intestinal absorption of calcium and the regulation of calcium
homeostasis.
Two forms of vitamin D are biologically relevant - vitamin D3 (Cholecalciferol) and vitamin D2 (Ergocalciferol).
Both vitamins D3 and D2 can be absorbed from food but only an estimated 10-20perc. of vitamin D is supplied through
nutritional intake.
Vitamin D is converted to the active hormone 1,25-(OH)2-vitamin D (Calcitriol) through two hydroxylation reactions. The
first hydroxylation converts vitamin D into 25-OH vitamin D and occurs in the liver. The second hydroxylation converts 25-
OH vitamin D into the biologically active 1,25-(OH)2-vitamin D and occurs in the kidneys as well as in many other cells of
the body.
Most cells express the vitamin D receptor and about 3perc. of the human genome is directly or indirectly regulated by the
vitamin D endocrine system.
The major storage form of vitamin D is 25-OH vitamin D and is present in the blood at up to 1,000 fold higher
concentration compared to the active 1,25-(OH)2-vitamin D. 25-OH vitamin D has a half-life of 2-3 weeks vs. 4 hours for
1,25-(OH)2-vitamin D. Therefore, 25-OH vitamin D is the analyte of choice for determination of the vitamin D status.
Risk factors for vitamin D deficiency include low sun exposure, inadequate intake, decreased absorption, abnormal
metabolism, vitamin D resistance and and liver or kidney diseases.
Vitamin D deficiency is a cause of secondary hyperparathyroidism and diseases resulting in impaired bone metabolism (like
rickets, osteomalacia).
Recently, many chronic diseases such as cancer, high blood pressure, osteoporosis and several autoimmune diseases
have been linked to vitamin D deficiency.
The assay measures both D2 (Ergocalciferol) and D3 (Cholecalciferol) metabolites of vitamin D

Utility Quantitative determination of 25-hydroxyvitamin D (25-OH vitamin D).

Page 16 of 18
PO No :PO3934352842-597

Name : Ms.SUMITA Client Name : TATA 1MG MUMBAI

Age/Gender : 50/Female Registration Date : 25-Aug-23 03:14 PM
Patient ID : MUM489700 Collection Date : 25/Aug/2023 01:12PM
Barcode ID/Order ID : D5517661 / 7889406 Sample Receive Date : 25/Aug/2023 03:50PM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 25/Aug/2023 08:04PM

Immunology
COMPREHENSIVE SILVER FULL BODY CHECKUP
Test Name Result Unit Bio. Ref. Interval Method

Vitamin B12 195.0 pg/ml 211 - 911 CLIA

Comment:

Vitamin B12 along with folate is essential for DNA synthesis and myelin formation.
Decreased levels a r e s e e n i n a n a e m i a , t e r m p r e g n a n c y , v e g e t a r i a n d i e t , i n t r i n s i c f a c t o r d e f i c i e n c y , p a r t i a l
gastrectomy/ileal damage, celiac disease, oral contraceptive use, parasitic infestation, pancreatic deficiency, treated
epilepsy, smoking, hemodialysis and advanced age.
Increased levels are seen in renal failure, hepatocelluar disorders, myeloproliferative disorders and at times with excess
supplementation of vitamins pills.

Page 17 of 18
PO No :PO3934352842-597

Name : Ms.SUMITA Client Name : TATA 1MG MUMBAI

Age/Gender : 50/Female Registration Date : 25-Aug-23 03:14 PM
Patient ID : MUM489700 Collection Date : 25/Aug/2023 01:12PM
Barcode ID/Order ID : D5517663 / 7889406 Sample Receive Date : 25/Aug/2023 03:41PM
Referred By : Dr. Report Status : Final Report
Sample Type : Urine Report Date : 25/Aug/2023 08:04PM

CLINICAL PATHOLOGY
COMPREHENSIVE SILVER FULL BODY CHECKUP
Test Name Result Unit Bio. Ref. Interval Method

Urine Routine & Microscopy

Colour PALE YELLOW Pale Yellow Manual
Appearance CLEAR Clear Manual
Specific gravity 1.025 1.003 - 1.035 pKa change
pH 5.5 4.6 - 8.0 Double Indicator
Glucose NEGATIVE Negative GOD-POD
Protein NEGATIVE Negative Protein Error Principle
Ketones NEGATIVE Negative Nitroprusside
Blood NEGATIVE Negative Peroxidase
Bilirubin NEGATIVE Negative Diazonium
Urobilinogen NORMAL Normal Ehrlich
Leucocyte Esterase NEGATIVE Negative Pyrrole
Nitrite NEGATIVE Negative P-arsanilic acid
Pus cells 1-2 /hpf 0-5 Microscopy
Red Blood Cells NIL /hpf 0-2 Microscopy
Epithelial cells 1-2 /hpf Few Microscopy
Casts NIL Nil Microscopy
Crystals NIL Nil Microscopy
Yeast NIL Nil Microscopy
Bacteria NIL Nil Microscopy

Comment:
•Note: Pre-test condition 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,
Avoid prolonged transit time & undue exposure to sunlight.
•During interpretation, points to be considered are Negative nitrite test does not exclude the urinary tract infections. Trace
proteinuria can be seen with many physiological conditions like prolonged recumbency, exercise, high protein diet. False positive
reactions for bile pigments, proteins, glucose and nitrites can be caused by peroxidase like activity by disinfectants, therapeutic
dyes, ascorbic acid and certain drugs.• Urine microscopy is done in centrifuged urine specimens

*** End Of Report ***

Page 18 of 18
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Conditions of Laboratory Testing & Reporting:

Test results released pertain to the sample, as received. laboratory investigations are only a tool to facilitate in arriving at a diagnosis and should be
clinically correlated by the interpreting clinician. Result delays may happen because of unforeseen or uncontrollable circumstances. Test report may vary
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Disclaimer: Results re/ate only to the sample received. Test results marked "BOLD" indicate abnormal results i.e. higher or lower than normal. All lab test
results are subject to clinical interpretation by a qualified medico/ professional. This report cannot be used for any medico-legal purposes. Partial
reproduction of the test results is not permitted. Also, TA TA 1mg Lobs is not responsible for any misinterpretation or misuse of the information. The test
reports alone may not be conclusive of the disease/condition, hence clinical correlation is necessary. Reports should be vetted by o qualified doctor only.