Booking ID : 11954650336

Sample Collection Date : 20/Oct/2024

MADHUR V KUMBHAR
Male, 48 Yrs

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 Smart Report 3.0

HEALTH ANALYSIS MADHUR V KUMBHAR

Personalized Summary & Vital Parameters Booking ID : 11954650336 | Sample Collection Date : 20/Oct/2024

MADHUR V KUMBHAR,
Your Health Score
Congratulations, We have successfully completed your health diagnosis. This is a big
step towards staying on top of your health and identify potential to improve!

10 Vital Health Parameters of a Human Body Ecosystem

Below are the health parameters which require routine checkups for primary healthcare.
The view also includes personalised information depending on the tests you have taken.
90
Out of 100

*Calculated from test reports

Thyroid Function
Thyroid Stimulating Hormone Vitamin B12
(TSH)-Ultrasensitive : 0.72 Test not taken
µIU/ml
Everything looks good

Cholesterol Total Liver Function

171.7 mg/dl Alanine Aminotransferase
Everything looks good (ALT/SGPT) : 20.8 U/L
Everything looks good

Kidney Function
Serum Creatinine : 0.86 mg/dl Calcium Total
Everything looks good Test not taken

Vitamin D Iron studies

Test not taken Test not taken

HbA1c Complete
5.6 % Hemogram
Everything looks good Haemoglobin (HB) : 14.8 g/dL
Everything looks good
 Smart Report 3.0

New Features MADHUR V KUMBHAR

Report Summary Booking ID 11954650336 | Sample Collection Date: 20/Oct/2024

Understanding laboratory reports can be complex, often leading to unwarranted anxiety.

At Healthians, we understand that you shouldn't have to rely on a Google search to decipher your own health report. That's why we offer comprehensive summaries that are easy to understand.

Summary of Test Results

Thank you for sharing your recent health test results. It’s understandable to feel concerned when you see values that are outside the normal range.
However, it’s important to remember that these results are just one part of your overall health picture. There are several parameters that indicate areas
where we can focus on improving your well-being.

Interpretation of Deranged Parameters

1.
Lipid Profile
: Your cholesterol levels, including HDL and triglycerides, suggest that there may be an imbalance in your lipid profile. This is a common issue and can often
be managed through lifestyle changes.

2.
Blood Count
: The absolute basophils count is slightly lower than normal. While this can indicate various factors, it is often not a cause for alarm and can be influenced by
several benign conditions.

3.
Liver Function
: The globulin level is also lower than the normal range. This can be related to various factors, including nutritional status and hydration, and is typically
manageable with appropriate dietary adjustments.

Suggestions for Improvement

1.
Dietary Adjustments
: Consider incorporating more fruits, vegetables, whole grains, and healthy fats into your diet. Reducing saturated fats and sugars can help improve your
lipid profile.

2.
Physical Activity
: Engaging in regular physical activity, such as walking, cycling, or swimming, can significantly benefit your heart health and help manage cholesterol levels.

3.
Hydration and Nutrition
: Ensure you are well-hydrated and consuming a balanced diet rich in proteins, vitamins, and minerals. This can support overall health and improve your
blood parameters.

4.
Regular Monitoring
: Keeping track of your health through regular check-ups can help you stay informed about your progress and make necessary adjustments to your lifestyle.

Remember, small changes can lead to significant improvements in your health over time. Focus on gradual, sustainable adjustments, and you may find that
your next set of results reflects your efforts positively.
 Patient Name : MADHUR V KUMBHAR Barcode : E1905326
Age/Gender : 48Y 0M 0D /Male Sample Collected On : 20/Oct/2024 06:28AM
Order Id : 11954650336 Sample Received On : 20/Oct/2024 05:22PM
Referred By : Self Report Generated On : 20/Oct/2024 07:10PM
Customer Since : 20/Oct/2024 Sample Temperature : Maintained
Sample Type : Whole Blood EDTA Report Status : Final Report

DEPARTMENT OF BIOCHEMISTRY HBA1C

Test Name Value Unit Bio. Ref Interval

HbA1c - Glycosylated Hemoglobin

Hba1c (Glycosylated Hemoglobin) 5.60 % 4.2 - 5.7
Method: HPLC
Machine: TOSOH G11
Average Estimated Glucose - plasma 114.02 mg/dl
Method: Calculated
INTERPRETATION:
AS PER AMERICAN DIABETES ASSOCIATION (ADA):
REFERENCE GROUP GLYCOSYLATED HEMOGLOGIB (HBA1c) in %
Non diabetic <5.7
At Risk (Prediabetes) 5.7 – 6.4
Diagnosing Diabetes >= 6.5
Age > 19 Years
Goals of Therapy: < 7.0
Actions Suggested: >8.0
Therapeutic goals for glycemic control Age < 19 Years
Goal of therapy: <7.5

REMARKS :

1. HbA1c is used for monitoring diabetic control. It reflects the mean plasma glucose over three months
2. HbA1c may be falsely low in diabetics with hemolytic disease. In these individuals a plasma fructosamine level may be used which evaluates diabetes over 15 days.
3. Inappropriately low HbA1c values may be reported due to hemolysis, recent blood transfusion, acute blood loss, hypertriglyceridemia, chronic liver disease. Drugs
like dapsone, ribavirin, antiretroviral drugs, trimethoprim, may also cause interference with estimation of HbA1c, causing falsely low values.
4. HbA1c may be increased in patients with polycythemia or post-splenectomy.
5. Inappropriately higher values of HbA1c may be caused due to iron deficiency, vitamin B12 deficiency, alcohol intake, uremia, hyperbilirubinemia and large doses
of aspirin.
6. Trends in HbA1c are a better indicator of diabetic control than a solitary test.
7. Any sample with >15% HbA1c should be suspected of having a hemoglobin variant, especially in a non-diabetic patient. Similarly, below 4% should prompt
additional studies to determine the possible presence of variant hemoglobin.
8. HbA1c target in pregnancy is to attain level <6 % .
9. HbA1c target in paediatric age group is to attain level < 7.5 %.
Method : Ion-exchange high-performance liquid chromatography (HPLC).
Reference : American Diabetes Associations. Standards of Medical Care in Diabetes 2023
10.

Page 1 of 15

SIN No:E1905326
 Patient Name : MADHUR V KUMBHAR Barcode : E1905326
Age/Gender : 48Y 0M 0D /Male Sample Collected On : 20/Oct/2024 06:28AM
Order Id : 11954650336 Sample Received On : 20/Oct/2024 05:24PM
Referred By : Self Report Generated On : 20/Oct/2024 07:50PM
Customer Since : 20/Oct/2024 Sample Temperature : Maintained
Sample Type : SERUM Report Status : Final Report

DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval

Fasting Blood Sugar

Glucose, Fasting 94.40 mg/dl 70 - 100
Method: Hexokinase
Machine: BECKMAN COULTER DxC 700 AU

American Diabetes Association Reference Range :

Normal : < 100 mg/dL

Impaired fasting glucose(Prediabetes) : 100 - 125 mg/dL
Diabetes : >= 126 mg/dL

Conditions that can result in an elevated blood glucose level include: Acromegaly, Acute stress (response to trauma, heart attack, and stroke for instance),
Chronic kidney disease, Cushing syndrome, Excessive consumption of food, Hyperthyroidism, Pancreatitis
A low level of glucose may indicate hypoglycemia, a condition characterized by a drop in blood glucose to a level where first it causes nervous system symptoms
(sweating, palpitations, hunger, trembling, and anxiety), then begins to affect the brain (causing confusion, hallucinations, blurred vision, and sometimes even
coma and death). A low blood glucose level (hypoglycemia) may be seen with:Adrenal insufficiency, Drinking excessive alcohol, Severe liver disease,
Hypopituitarism, Hypothyroidism, Severe infections, Severe heart failure, Chronic kidney (renal) failure, Insulin overdose, Tumors that produce insulin
(insulinomas), Starvation.

Blood Urea Nitrogen, BUN - Serum

Blood Urea Nitrogen (BUN) 8.5 mg/dl 8-20
Method: Calculated
Blood Urea 18 mg/dl 17 - 43
Method: Urease
Machine: BECKMAN COULTER AU 5801

Page 2 of 15

SIN No:E1905326
 Patient Name : MADHUR V KUMBHAR Barcode : E1905326
Age/Gender : 48Y 0M 0D /Male Sample Collected On : 20/Oct/2024 06:28AM
Order Id : 11954650336 Sample Received On : 20/Oct/2024 05:24PM
Referred By : Self Report Generated On : 20/Oct/2024 07:50PM
Customer Since : 20/Oct/2024 Sample Temperature : Maintained
Sample Type : SERUM Report Status : Final Report

DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
Creatinine
Serum Creatinine 0.86 mg/dl 0.7 - 1.4
Method: Jaffes Kinetic
Machine: BECKMAN COULTER AU 5801
GFR, ESTIMATED 106.81 mL/min/1.73m2
Method: Calculated
Creatinine is a metabolic product of creatine and phosphocreatine, which are both found almost exclusively in muscle. Thus, creatinine production is proportional to
muscle mass and varies little from day to day. Measurements of creatinine are used in the diagnosis and treatment of renal disease and prove useful in the evaluation of
kidney glomerular function and in monitoring renal dialysis. However, the serum level is not sensitive to early renal damage and responds more slowly than blood urea
nitrogen (BUN) to haemodialysis during treatment of renal failure.
Serum creatinine varies with the subject’s age, body weight, and sex. It is sometimes low in subjects with relatively small muscle mass, cachectic patients, amputees, and in
older persons.
A serum creatinine level that would usually be considered normal does not rule out the presence of impaired renal function.
Higher than normal level may be due to :

Blockage in the urinary tract

Kidney problems, such as kidney damage or failure, infecton, or reduced blood flow
Lose of body fluid (dehydration)
Muscle problems, such as breakdown of muscle fibers
Problems during pregnancy, such as seizures (eclampsia), or high blood pressure caused by pregnancy (preeclamsia)

Lower than normal level may be due to :

Myasthenia Gravis
Muscular dystrophy

Page 3 of 15

SIN No:E1905326
 Patient Name : MADHUR V KUMBHAR Barcode : E1905326
Age/Gender : 48Y 0M 0D /Male Sample Collected On : 20/Oct/2024 06:28AM
Order Id : 11954650336 Sample Received On : 20/Oct/2024 05:24PM
Referred By : Self Report Generated On : 20/Oct/2024 07:50PM
Customer Since : 20/Oct/2024 Sample Temperature : Maintained
Sample Type : SERUM Report Status : Final Report

DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
Uric acid
Serum Uric Acid 6.2 mg/dl 3.5-7.2
Method: Uricase
Machine: BECKMAN COULTER AU 5801

Uric Acid is the major product of purine catabolism in humans. Most uric acid formation occurs in the liver, and is eliminated via the kidney, with the body uric acid pool
determined by the balance between synthesis and elimination.
Causes of Increased levels

High Protein Intake.

Prolonged fasting.
Gout.
Lesch nyhan syndrome.
Type 2 DM.
Metabolic syndrome.

Causes of decreased levels

Low Zinc Intake

OCP’s
Multiple Sclerosis

Page 4 of 15

SIN No:E1905326
 Patient Name : MADHUR V KUMBHAR Barcode : E1905326
Age/Gender : 48Y 0M 0D /Male Sample Collected On : 20/Oct/2024 06:28AM
Order Id : 11954650336 Sample Received On : 20/Oct/2024 05:24PM
Referred By : Self Report Generated On : 20/Oct/2024 07:50PM
Customer Since : 20/Oct/2024 Sample Temperature : Maintained
Sample Type : Serum Report Status : Final Report

DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval

Liver Function Test (LFT)

Serum Bilirubin, (Total) 0.55 mg/dl 0.3 - 1.2
Method: Diazonium Ion
Machine: BECKMAN COULTER AU 5801
Serum Bilirubin, (Direct) 0.11 mg/dl 0 - 0.2
Method: Diazotization
Machine: BECKMAN COULTER AU 5801
Serum Bilirubin, (Indirect) 0.44 mg/dl 0.0 - 0.8
Method: Calculated
Aspartate Aminotransferase (AST/SGOT) 21.60 U/L 3- 50
Method: UV withP5P
Machine: BECKMAN COULTER AU 5801
Alanine Aminotransferase (ALT/SGPT) 20.8 U/L 3 - 50
Method: UV without P5P - IFCC Ref. Proc., Calibrated
Machine: BECKMAN COULTER AU 5801
Alkaline Phosphatase (ALP) 77.20 U/L 43 - 115
Method: IFCC AMP Buffer
Machine: BECKMAN COULTER AU 5801
Gamma Glutamyl Transferase (GGT) 19.1 U/L 5 -55
Method: G-glutamyl-carboxy- nitroanalide-IFCC
Machine: BECKMAN COULTER AU 5801
Serum Total Protein 6.64 g/dl 6.6 - 8.3
Method: Biuret
Machine: BECKMAN COULTER AU 5801
Serum Albumin 3.93 g/dl 3.5 - 5.2
Method: Bromo Cresol Green(BCG)
Machine: BECKMAN COULTER AU 5801
Serum Globulin 2.71 gm/dl 3.0 - 4.2
Method: Calculated
Albumin/Globulin Ratio 1.45 Ratio 1.2 - 2.5
Method: Calculated
SGOT/SGPT Ratio 1.04 Ratio 0.7 - 1.4
Method: Calculated
Bilirubin is a yellowish pigment found in bile and is a breakdown product of normal heme catabolism. Elevated levels results from increased bilirubin production (eg
hemolysis and ineffective erythropoiesis); decreased bilirubin excretion (eg; obstruction and hepatitis); and abnormal bilirubin metabolism (eg; hereditary and neonatal
jaundice). Conjugated (direct) bilirubin is elevated more than unconjugated (indirect) bilirubin in viral hepatitis; drug reactions, alcoholic liver disease conjugated (direct)
bilirubin is also elevated more than unconjugated (indirect) bilirubin when there is some kind of blockage of the bile ducts like in Gallstones getting into the bile ducts
tumors & Scarring of the bile ducts. Increased unconjugated (indirect) bilirubin may be a result of hemolytic or pernicious anemia, transfusion reaction & a common
metabolic condition termed Gilbert syndrome.

Page 5 of 15

SIN No:E1905326
 Patient Name : MADHUR V KUMBHAR Barcode : E1905326
Age/Gender : 48Y 0M 0D /Male Sample Collected On : 20/Oct/2024 06:28AM
Order Id : 11954650336 Sample Received On : 20/Oct/2024 05:24PM
Referred By : Self Report Generated On : 20/Oct/2024 07:50PM
Customer Since : 20/Oct/2024 Sample Temperature : Maintained
Sample Type : Serum Report Status : Final Report

DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
AST levels increase in viral hepatitis, blockage of the bile duct ,cirrhosis of the liver, liver cancer, kidney failure, hemolytic anemia, pancreatitis, hemochromatosis. Ast
levels may also increase after a heart attck or strenuous activity. ALT is commonly measured as a part of a diagnostic evaluation of hepatocellular injury, to determine
liver health. Elevated ALP levels are seen in Biliary Obstruction, Osteoblastic Bone Tumors, Osteomalacia, Hepatitis, Hyperparathyriodism, Leukemia, Lymphoma,
paget`s disease, Rickets, Sarcoidosis etc.

Elevated serum GGT activity can be found in diseases of the liver, Biliary system and pancreas. Conditions that increase serum GGT are obstructive liver disease, high
alcohol consumption and use of enzyme-including drugs etc.

Serum total protein, also known as total protein, is a biochemical test for measuring the total amount of protein in serum..Protein in the plasma is made up of albumin
and globulin. Higher-than-normal levels may be due to: Chronic inflammation or infection, including HIV and hepatitis B or C, Multiple myeloma,Waldenstrom's disease.
Lower-than-normal levels may be due to: Agammaglobulinemia, Bleeding (hemorrhage), Burns, Glomerulonephritis, Liver disease, Malabsorption, Malnutrition,
Nephrotic - Human serum albumin is the most abundant protein in human blood plasma. It is produced in the liver.Albumin constitutes about half of the blood serum
protein. Low blood albumin levels (hypoalbuminemia) can be caused by: Liver disease like cirrhosis of the liver, nephrotic syndrome, protein-losing enteropathy, Burns,
hemodilution, increased vascular permeability or decreased lymphatic clearance, malnutrition and wasting etc.

Page 6 of 15

SIN No:E1905326
 Patient Name : MADHUR V KUMBHAR Barcode : E1905326
Age/Gender : 48Y 0M 0D /Male Sample Collected On : 20/Oct/2024 06:28AM
Order Id : 11954650336 Sample Received On : 20/Oct/2024 05:24PM
Referred By : Self Report Generated On : 20/Oct/2024 07:50PM
Customer Since : 20/Oct/2024 Sample Temperature : Maintained
Sample Type : SERUM Report Status : Final Report

DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval

Lipid Profile Basic

Total Cholesterol 171.7 mg/dl Desirable : <200
Method: Cholesterol Oxidase, Esterase, Peroxidase Borderline: 200-239
Machine: BECKMAN COULTER AU 5801
High : >/=240
Serum Triglycerides 217.9 mg/dl Desirable : <150
Method: Enzymatic Borderline high : 150-199
Machine: BECKMAN COULTER AU 5801
High : 200-499
Very high : >= 500
Serum HDL Cholesterol 31.5 mg/dl 40 - 60
Method: Direct measure, immunoinhibition
Machine: BECKMAN COULTER AU 5801
LDL Cholesterol Calculated 96.62 mg/dl Optimal : <100
Method: Calculated near /above Optimal:100 -
129
Borderline High: 130- 159
High : 160 - 189
Very High :>/=190
VLDL Cholesterol Calculated 43.58 mg/dl <30
Method: Calculated
Total CHOL / HDL Cholesterol Ratio 5.45 Ratio 3.30 - 4.40
Method: Calculated
LDL / HDL Cholesterol Ratio 3.07 Ratio Desirable/Low Risk: 0.5-3.0
Method: Calculated Line/Moderate Risk: 3.0-6.0
Elevated/High Risk: >6.0
HDL / LDL Cholesterol Ratio 0.33 Ratio Optimal->0.4
Method: Calculated Moderate-0.4 to 0.3
High-<0.3
Non-HDL Cholesterol 140.2 mg/dl 0.0 - 160.0
Method: Calculated
Dyslipidemia is a disorder of fat or lipoprotein metabolism in the body and includes lipoprotein overproduction or deficiency.
Dyslipidemias means increase in the level of one or more of the following: Total Cholesterol, low density lipoprotein (LDL) and/or triglyceride
concentrations.
Dyslipidemia also includes a decrease in the “good" cholesterol or high-density lipoprotein (HDL) concentration in the blood.
Cholesterol is a steroid carried in the bloodstream as lipoprotein, necessary for cell membrane functioning and as a precursor to bile acids,
progesterone ,vitamin D ,estrogens ,glucocorticoids and mineralocorticoids.
HDL is termed “good cholesterol” because its levels are inversely related to the risk of Coronary heart disease.
LDL cholesterol is termed the “bad cholesterol” and their increased levels are associated with increased risk of atherosclerosis and coronary

Page 7 of 15

SIN No:E1905326
 Patient Name : MADHUR V KUMBHAR Barcode : E1905326
Age/Gender : 48Y 0M 0D /Male Sample Collected On : 20/Oct/2024 06:28AM
Order Id : 11954650336 Sample Received On : 20/Oct/2024 05:24PM
Referred By : Self Report Generated On : 20/Oct/2024 07:50PM
Customer Since : 20/Oct/2024 Sample Temperature : Maintained
Sample Type : SERUM Report Status : Final Report

DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
heart disease.
Lipid level assessments must be made following 9 to 12 hours of fasting, otherwise assay results might lead to erroneous interpretation.
Healthians labs report biological reference intervals (normal ranges) in accordance with the recommendations of The National Cholesterol
Education Program (NCEP) & Adult Treatment Panel IV (ATP IV) guidelines providing the most desirable targets of various circulating lipid
fractions in the blood. NCEP recommends that all adults above 20 years of age must be screened for abnormal lipid levels.

Page 8 of 15

SIN No:E1905326
 Patient Name : MADHUR V KUMBHAR Barcode : E1905326
Age/Gender : 48Y 0M 0D /Male Sample Collected On : 20/Oct/2024 06:28AM
Order Id : 11954650336 Sample Received On : 20/Oct/2024 06:10PM
Referred By : Self Report Generated On : 20/Oct/2024 07:44PM
Customer Since : 20/Oct/2024 Sample Temperature : Maintained
Sample Type : URINE Report Status : Final Report

DEPARTMENT OF CLINICAL PATHOLOGY

Test Name Value Unit Bio. Ref Interval

Urine Routine & Microscopy Extended

PHYSICAL EXAMINATION
Colour Pale Yellow Pale Yellow
Method: Visual
Volume 20.00 mL
Method: Visual
Appearance Clear Clear
Method: Visual
CHEMICAL EXAMINATION
Specific Gravity 1.005 1.001 - 1.035
Method: Dipstick-Ion exchange
Machine: LAURAV2
pH 6.0 4.5 - 7.5
Method: Dipstick-Double indicator
Machine: LAURAV2
Glucose Negative Negative
Method: Dipstick-oxidase peroxidas
Machine: LAURAV2
Urine Protein Negative Negative
Method: Dipstick-Bromophenol blue
Machine: LAURAV2
Ketones Negative Negative
Method: Sodium nitroprusside
Machine: LAURAV2
Urobilinogen Normal Normal
Method: Dipstick-Ehrlichs Test
Bilirubin Negative Negative
Method: Dipstick-Ehrlichs Test
Machine: LAURAV2
Nitrite Negative Negative
Method: Dipstick-Griess test
Machine: LAURAV2
Blood Negative Negative
Method: Dipstick-Peroxidase
Machine: LAURAV2
Leucocyte Esterase Negative Negative
Method: Dipstick- Esterase
Machine: LAURAV2

Page 9 of 15

SIN No:E1905326
 Patient Name : MADHUR V KUMBHAR Barcode : E1905326
Age/Gender : 48Y 0M 0D /Male Sample Collected On : 20/Oct/2024 06:28AM
Order Id : 11954650336 Sample Received On : 20/Oct/2024 06:10PM
Referred By : Self Report Generated On : 20/Oct/2024 07:44PM
Customer Since : 20/Oct/2024 Sample Temperature : Maintained
Sample Type : URINE Report Status : Final Report

DEPARTMENT OF CLINICAL PATHOLOGY

Test Name Value Unit Bio. Ref Interval
MICROSCOPIC EXAMINATION
Pus Cells 2-3 /HPF 0-5
Method: Microscopic Examination
Epithelial cells 1-2 /HPF 0-5
Method: Microscopic Examination
RBCs Nil /HPF Nil
Method: Microscopic Examination
Casts Nil Nil
Method: Microscopic Examination
Crystals Nil Nil
Method: Microscopic Examination
Bacteria Absent Absent
Method: Microscopic Examination
Yeast Cell Nil
Others (Non Specific) Nil
Method: Microscopic Examination

Page 10 of 15

SIN No:E1905326
 Patient Name : MADHUR V KUMBHAR Barcode : E1905326
Age/Gender : 48Y 0M 0D /Male Sample Collected On : 20/Oct/2024 06:28AM
Order Id : 11954650336 Sample Received On : 20/Oct/2024 05:22PM
Referred By : Self Report Generated On : 20/Oct/2024 06:36PM
Customer Since : 20/Oct/2024 Sample Temperature : Maintained
Sample Type : Whole Blood EDTA Report Status : Final Report

DEPARTMENT OF HAEMATOLOGY
Test Name Value Unit Bio. Ref Interval

ERYTHROCYTE SEDIMENTATION RATE (ESR)

ESR 02 mm/1st hour 0-10
Method: Kinetic Red Cells Aggregation
Machine: ALIFAX TEST - 1

ESR is a non-specific phenomenon, its measurement is clinically useful in disorders associated with an increased production of acute-phase proteins. it provides an index
of progress of the disease in rheumatoid arthritis or tuberculosis, and it is of considerable value in diagnosis of temporal arteritis and polymyalgia rheumatica. It is often
used if multiple myeloma is suspected, but when the myeloma is non-secretory or light chain, a normal ESR does not exclude this diagnosis.
An elevated ESR occurs as an early feature in myocardial infarction. Although a normal ESR cannot be taken to exclude the presence of organic disease, the vast majority
of acute or chronic infections and most neoplastic and degenerative diseases are associated with changes in the plasma proteins that increased ES values.
An increased ESR in subjects who are HIV seropositive seems to be an early predictive marker of progression toward acquired immune deficiency syndrome (AIDS).
The ESR is influenced by age, stage of the menstrual cycle and medications taken (corticosteroids, contraceptive pills). It is especially low (0–1 mm) in polycythaemia,
hypofibrinogenaemia and congestive cardiac failure and when there are abnormalities of the red cells such as poikilocytosis, spherocytosis, or sickle cells.
In cases of performance enhancing drug intake by athletes the ESR values are generally lower than the usual value for the individual and as a result of the increase in
haemoglobin (i.e. the effect of secondary polycythaemia).

Page 11 of 15

SIN No:E1905326
 Patient Name : MADHUR V KUMBHAR Barcode : E1905326
Age/Gender : 48Y 0M 0D /Male Sample Collected On : 20/Oct/2024 06:28AM
Order Id : 11954650336 Sample Received On : 20/Oct/2024 05:22PM
Referred By : Self Report Generated On : 20/Oct/2024 05:52PM
Customer Since : 20/Oct/2024 Sample Temperature : Maintained
Sample Type : WHOLE BLOOD EDTA Report Status : Final Report

DEPARTMENT OF HAEMATOLOGY
Test Name Value Unit Bio. Ref Interval

Complete Blood Count

Haemoglobin (HB) 14.8 g/dL 13.0-17.0
Method: Photometric Measurement
Machine: BECKMAN COULTER DxH800
Total Leucocyte Count (TLC) 6.0 10^3/uL 4.0-10.0
Method: Coulter Principle
Machine: BECKMAN COULTER DxH800
Hematocrit (PCV) 43.4 % 40.0-50.0
Method: Calculated
Machine: BECKMAN COULTER DxH800
Red Blood Cell Count (RBC) 5.10 10^6/µl 4.50-5.50
Method: Coulter Principle
Machine: BECKMAN COULTER DxH800
Mean Corp Volume (MCV) 84.6 fL 83.0-101.0
Method: Derived from RBC Histogram
Machine: BECKMAN COULTER DxH800
Mean Corp Hb (MCH) 28.8 pg 27.0-32.0
Method: Calculated
Machine: BECKMAN COULTER DxH800
Mean Corp Hb Conc (MCHC) 34.1 g/dL 31.5-34.5
Method: Calculated
Machine: BECKMAN COULTER DxH800
RDW - CV 13.9 % 11.6-14.0
Method: Derived from RBC Histogram
Machine: BECKMAN COULTER DxH800
RDW - SD 42.00 fL 39.0-46.0
Method: Derived from RBC Histogram
Machine: BECKMAN COULTER DxH800
Mentzer Index 16.59 Ratio
Method: Calculated
RDWI 230.58 Ratio
Method: Calculated
Green and king index 67 Ratio
Method: Calculated
Differential Leucocyte Count
Neutrophils 53.6 % 40 - 80
Method: VCSn Technology
Machine: BECKMAN COULTER DxH800

Page 12 of 15

SIN No:E1905326
 Patient Name : MADHUR V KUMBHAR Barcode : E1905326
Age/Gender : 48Y 0M 0D /Male Sample Collected On : 20/Oct/2024 06:28AM
Order Id : 11954650336 Sample Received On : 20/Oct/2024 05:22PM
Referred By : Self Report Generated On : 20/Oct/2024 05:52PM
Customer Since : 20/Oct/2024 Sample Temperature : Maintained
Sample Type : WHOLE BLOOD EDTA Report Status : Final Report

DEPARTMENT OF HAEMATOLOGY
Test Name Value Unit Bio. Ref Interval
Lymphocytes 35.9 % 20-40
Method: VCS Technology
Machine: BECKMAN COULTER DxH800
Monocytes 8.7 % 02 - 10
Method: VCS Technology
Machine: BECKMAN COULTER DxH800
Eosinophils 1.6 % 01 - 06
Method: VCS Technology
Machine: BECKMAN COULTER DxH800
Basophils 0.2 % 00 - 02
Method: VCS Technology
Machine: BECKMAN COULTER DxH800
Absolute Leucocyte Count
Absolute Neutrophil Count (ANC) 3.22 10^3/uL 2.0-7.0
Method: Calculated
Machine: BECKMAN COULTER DxH800
Absolute Lymphocyte Count (ALC) 2.15 10^3/uL 1.0-3.0
Method: Calculated
Machine: BECKMAN COULTER DxH800
Absolute Monocyte Count 0.52 10^3/uL 0.2-1.0
Method: Calculated
Machine: BECKMAN COULTER DxH800
Absolute Eosinophil Count (AEC) 0.1 10^3/uL 0.02-0.5
Method: Calculated
Machine: BECKMAN COULTER DxH800
Absolute Basophil Count 0.01 10^3/uL 0.02 - 0.10
Method: Calculated
Machine: BECKMAN COULTER DxH800
Platelet Count(PLT) 235 10^3/µl 150-410
Method: Coulter Principle
Machine: BECKMAN COULTER DxH800
MPV 7.9 fL 7-9
Method: Derived from PLT Histogram
Machine: BECKMAN COULTER DxH800

The International Council for Standardization in Haematology (ICSH) recommends reporting of absolute counts of various WBC subsets for clinical decision making.
This test has been performed on a fully automated 5 part differential cell counter which counts over 10,000 WBCs to derive differential counts. A complete blood
count is a blood panel that gives information about the cells in a patient's blood, such as the cell count for each cell type and the concentrations of Hemoglobin and
platelets. The cells that circulate in the bloodstream are generally divided into three types: white blood cells (leukocytes), red blood cells (erythrocytes), and
platelets (thrombocytes). Abnormally high or low counts may be physiological or may indicate disease conditions, and hence need to be interpreted clinically.

Page 13 of 15

SIN No:E1905326
 Patient Name : MADHUR V KUMBHAR Barcode : E1905326
Age/Gender : 48Y 0M 0D /Male Sample Collected On : 20/Oct/2024 06:28AM
Order Id : 11954650336 Sample Received On : 20/Oct/2024 05:22PM
Referred By : Self Report Generated On : 20/Oct/2024 05:52PM
Customer Since : 20/Oct/2024 Sample Temperature : Maintained
Sample Type : WHOLE BLOOD EDTA Report Status : Final Report

DEPARTMENT OF HAEMATOLOGY
Test Name Value Unit Bio. Ref Interval
The Mentzer index is used to differentiate iron deficiency anaemia beta thalassemia trait. If a CBC indicates microcytic anaemia, these are two of the most likely
causes, making It necessary to distinguish between them.
If the quotient of the mean corpuscular volume divided by the red blood cell count is then 13, thalassemia is more likely. If the result is greater than 13, then iron-
deficiency anaemia is more likely.

Page 14 of 15

SIN No:E1905326
 Patient Name : MADHUR V KUMBHAR Barcode : E1905326
Age/Gender : 48Y 0M 0D /Male Sample Collected On : 20/Oct/2024 06:28AM
Order Id : 11954650336 Sample Received On : 20/Oct/2024 05:24PM
Referred By : Self Report Generated On : 20/Oct/2024 07:05PM
Customer Since : 20/Oct/2024 Sample Temperature : Maintained
Sample Type : SERUM Report Status : Final Report

DEPARTMENT OF IMMUNOLOGY
Test Name Value Unit Bio. Ref Interval

Free-Thyroid Profile
Free T3 (FT3) 3.20 pg/ml 2.5 - 3.9
Method: CLIA
Machine: BECKMAN COULTER DxI800
Free T4 (FT4) 0.70 ng/dl 0.61-1.12
Method: CLIA
Machine: BECKMAN COULTER DxI800
Thyroid Stimulating Hormone (TSH)-Ultrasensitive 0.721 µIU/ml 0.55-4.78
Method: CLIA
Machine: SIEMENS CENTAUR XP

Elevated concentrations of free tri iodothyronine (FT3) occur in Grave’s disease and most other classical causes of hyperthyroidism. Decreased
concentrations occur in primary hypothyroid diseases such as Hashimoto thyroiditis and neonatal hypothyroidism or secondary hypothyroidism
due to defects at the hypothalamo-hypophyseal level. Free T3 may decrease by ≤25% in healthy older persons while FT4 remains normal.
Free thyroxine (FT4) gives corrected values in patients in whom the total T4 is altered on account of changes in serum proteins or in binding
sites. Monitoring restoration to normal range is the only laboratory criterion to estimate appropriate replacement dose of levothyroxine because
6–8 weeks are required before TSH reflects these changes.
FT4 assays are prone to inaccurate readings in pregnant women. Anticonvulsant drug therapy (particularly phenytoin) may result in decreased
FT4 levels due to an increased hepatic metabolism and secondarily to displacement of hormone from binding sites.
Serum TSH concentrations exhibit a diurnal variation with the peak occurring during the night and the nadir occurring between 10 AM & 4 PM. In
primary hypothyroidism, thyroid-stimulating hormone (TSH) levels will be elevated. In primary hyperthyroidism, TSH levels will be low. Elevated
or low TSH in the context of normal free thyroxine is often referred to as subclinical hypo- or hyperthyroidism, respectively.

Bio Ref Range for TSH in

For pregnant females Bio Ref Range for Free T4 (FT4) in ng/dl
uIU/ml

First trimester 0.73 – 1.13 0.1 - 2.5

Second trimester 0.54 – 1.18 0.2 – 3.0

Third trimester 0.56 – 1.09 0.3 – 3.0

*** End Of Report ***

Page 15 of 15

SIN No:E1905326
 Smart Report 3.0

ADVISORY MADHUR V KUMBHAR

Health Advisory Booking ID : 11954650336 | Sample Collection Date : 20/Oct/2024

Body Mass Index

No Data

Physical Activity Smoke Food Preference Blood Pressure

Height · No Data No Data No Data No Data

5' 4"(ft/in)

Weight
Sugar levels

·
Medication Alcohol Family History
No Data
No Data Found
No Data No Data No Data

SUGGESTED NUTRITION

Do's Dont's

Have a balanced diet that includes whole grains, Avoid flavoured and seasoned foods
pulses, dairy, fruits, vegetables, nuts and healthy fats Decrease intake of colas and sugary drinks
SUGGESTED Include fruits like apples, berries and melons in your Avoid saturated fats, transfats, oily and greasy foods

NUTRITION
diet like cakes, creamy or fried foods
Include whole grains in your diet like whole wheat
Avoid red meat and organ meats
bread and other products, brown rice or hand
pounded rice, oats Limit the use of oil and avoid sauces and dressings

SUGGESTED LIFESTYLE

Do's Dont's

Lose weight gradually and stay active Avoid overexertion without having food or drink
Avoid strenuous exercises
SUGGESTED Avoid smoking and alcohol

LIFESTYLE Avoid long periods of inactivity

Avoid overeating or calorie rich food

SUGGESTED FUTURE TESTS

Complete Hemogram - Every 2 Month

Peripheral Smear Examination By Pathologist - Every 2 Month
SUGGESTED HsCRP High Sensitivity CRP - Every 4 Month

FUTURE Homocysteine - Every 4 Month

CPK, Total - Every 4 Month

TESTS CPK MB, Serum - Every 4 Month

 Smart Report 3.0

HEALTH ADVISORY MADHUR V KUMBHAR

Suggestions for Health & Well-being Booking ID : 11954650336 | Sample Collection Date : 20/Oct/2024

PHYSICAL ACTIVITY

Physical activities can vary from Regular walks (Brisk or normal),

Jogging , Sports, Stretching, Yoga to light weight lifting etc. It is
PHYSICAL recommended to partake in physical activity at least 30 minutes

ACTIVITY
a day for 3-4 days a week.
If regular workout is difficult, then we can adapt changes such as
using stairs instead of lift/escalators and doing household work!

BALANCED DIET

A balanced diet is the key to healthy lifestyle. Include Whole

grains, vegetables, whole fruits, nuts, seeds, beans, plant oils in
your diet. BALANCED
It is recommended to always have a high protein breakfast and a
light dinner. Avoid items such as processed foods, potatoes and
DIET
high calorie/sugar products. Don't forget to drink water regularly!

STRESS MANAGEMENT

Managing stress is an essential part of well-being. Some day to

day changes can help such as having sufficient sleep (6-8 hours),
STRESS indulging yourself in meditation, positive attitude towards lifestyle,

MANAGEMENT using humor, traveling, talking to people whom you feel

comfortable with and making time for hobbies by doing what you
love to do.

BMI INFORMATION NOT AVAILABLE

Please fill your Health Karma to know your BMI results
 Smart Report 3.0

Supplement Suggestions MADHUR V KUMBHAR

Booking ID : 11954650336 | Sample Collection Date : 20/Oct/2024

In order to fulfill the gaps in nutrition and promote a healthier body we suggest you the following supplements mentioned in the table
below:

Suggestions for Improving Deficiencies

Give your immunity a boost the all-natural

IMMUNO-PLUS
way.

IMMUNO-PLUS is the perfect all-natural herbal supplement to boost your immune system and strengthens
your body’s defenses against diseases and infections.IMMUNO-PLUS provides your immune system the
necessary reinforcement to keep you safe and healthy.

A weakened immune system opens you to a host of illnesses, such as:

• Recurring Infections | • Heightened Risk of Cancer | • Autoimmune Disorders | • Slow

Growth Rate | • Serious Damage to the Heart, Lungs, Digestive Tract & the Nervous System

Infused with the ages-proven goodness of all-natural ingredients, IMMUNO-PLUS is the perfect
supplement to strengthen your immune system without having to worry about side effects. Sourced from
nature’s own pharmacy of herbs, the ingredients in IMMUNO-PLUS present the following benefits:

Amla Jetwatika Aloe Vera Ashwagandha Ginger

Boosts immunity & Antioxidant properties Fights against Reinforces the immune Anti-inflammatory &
Stores antioxidants strengthen the immune oxygenated rogue system to increase its antioxidant effects
system molecules in the blood fighting ability reinforce the immune
system

Make-up for your missing nutrition the all-

NUTRI-BOOST
natural way!

NUTRI-BOOST is a scientifically formulated and clinically proven all-natural supplement that provides you
with essential nutrients that might be missing from your daily diet. With NUTRI-BOOST, give your body the
richness of all-natural nutrients and get all the energy you need to keep active throughout the day.

A lack of essential nutrients can lead to serious deficiencies which lead to serious health consequences.
Some of the common deficiencies include:

• Iron Deficiency | • Iodine Deficiency | • Vitamin D Deficiency | • Calcium Deficiency |

• Vitamin B12 deficiency

Infused with the ages-proven goodness of all-natural ingredients, NUTRI-BOOST is the perfect supplement
to fill in the gap of vital nutrients for your body, without having to worry about side effects. Sourced from
nature’s own pharmacy of herbs, the ingredients in NUTRI-BOOST present the following benefits:

Indian Khajoor Shatavari Amla Wheat Jetwatika

Promotes brain and Anti-oxidant properties Aids in digestion, and Aids in weight control Prevents cell damage to
heart health boost the immune promotes heart & liver reduces the risk of heart keep optimum body
system. health ailments and provides functionality
energy

To order, call 1800-572-000-4

 Smart Report 3.0

About Healthians Labs

How we control Report Accuracy at Healthians

Quality Control Machine Data QR Code

We follow Quality control to ensure We save patient's result values QR Code based authenticity check
both precision & accuracy of patient directly from machines ensuring on all its reports
results. no manipulations & no fake values.

Calibration Equipment EQA

We make use of calibrators to Our Labs are equipped with state-of- Our Labs participate in EQA & show
evaluate the precision & accuracy of the-art instruments with cutting proven accuracy by checking
measurement equipment. edge technology to provide faster & laboratory performance through
reliable results. external agency or facility.