Booking ID : 12233479283

Sample Collection Date : 01/Dec/2024

Sonabai Manohar Jadhav

Female, 77 Yrs 10 Mths 29 Days

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HEALTH ANALYSIS Sonabai Manohar Jadhav

Personalized Summary & Vital Parameters Booking ID : 12233479283 | Sample Collection Date : 01/Dec/2024

Sonabai Manohar Jadhav,

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.
78
Out of 100

*Calculated from test reports

Thyroid Function Vitamin B12

Thyroid Stimulating Hormone 308 pg/ml
(TSH)-Ultrasensitive : 8.22 Everything looks good
µIU/ml
Concern

Cholesterol Total Liver Function

276.3 mg/dl Alanine Aminotransferase
Concern (ALT/SGPT) : 14.7 U/L
Everything looks good

Kidney Function Calcium Total

Serum Creatinine : 0.98 mg/dl 9.7 mg/dl
Everything looks good Everything looks good

Vitamin D Iron studies

17.82 ng/ml Serum Iron : 73.3 ug/dl
Concern Everything looks good

HbA1c Complete
6.1 % Hemogram
Concern Haemoglobin (HB) : 13.5 g/dL
Everything looks good
 Patient Name : Sonabai Manohar Jadhav Barcode : E2084575
Age/Gender : 77Y 10M 29D /Female Sample Collected On : 01/Dec/2024 08:50AM
Order Id : 12233479283 Sample Received On : 01/Dec/2024 07:43PM
Referred By : Self Report Generated On : 01/Dec/2024 09:06PM
Customer Since : 01/Dec/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) 6.10 % 4.2 - 5.7
Method: HPLC
Machine: TOSOH G11
Average Estimated Glucose - plasma 128.37 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 17

SIN No:E2084575
 Patient Name : Sonabai Manohar Jadhav Barcode : E2084575
Age/Gender : 77Y 10M 29D /Female Sample Collected On : 01/Dec/2024 08:50AM
Order Id : 12233479283 Sample Received On : 01/Dec/2024 07:46PM
Referred By : Self Report Generated On : 01/Dec/2024 08:35PM
Customer Since : 01/Dec/2024 Sample Temperature : Maintained
Sample Type : Flouride Plasma Report Status : Final Report

DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval

Fasting Blood Sugar

Glucose, Fasting 87.13 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.

Page 2 of 17

SIN No:E2084575
 Patient Name : Sonabai Manohar Jadhav Barcode : E2084575
Age/Gender : 77Y 10M 29D /Female Sample Collected On : 01/Dec/2024 08:50AM
Order Id : 12233479283 Sample Received On : 01/Dec/2024 07:41PM
Referred By : Self Report Generated On : 01/Dec/2024 08:58PM
Customer Since : 01/Dec/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) 0.86 mg/dl 0.3 - 1.2
Method: Diazonium Ion
Machine: BECKMAN COULTER AU 5800
Serum Bilirubin, (Direct) 0.11 mg/dl 0 - 0.2
Method: Diazotization
Machine: BECKMAN COULTER AU 5800
Serum Bilirubin, (Indirect) 0.75 mg/dl 0.0 - 0.8
Method: Calculated
Aspartate Aminotransferase (AST/SGOT) 21.20 U/L 3 - 35
Method: UV withP5P
Machine: BECKMAN COULTER AU 5800
Alanine Aminotransferase (ALT/SGPT) 14.7 U/L 3 - 35
Method: UV without P5P - IFCC Ref. Proc., Calibrated
Machine: BECKMAN COULTER AU 5800
Alkaline Phosphatase (ALP) 85.00 U/L 33-98
Method: IFCC AMP Buffer
Machine: BECKMAN COULTER AU 5800
Gamma Glutamyl Transferase (GGT) 25.7 U/L 5- 38
Method: G-glutamyl-carboxy- nitroanalide-IFCC
Machine: BECKMAN COULTER AU 5800
Serum Total Protein 7.65 g/dL 6.6 - 8.3
Method: Biuret
Machine: BECKMAN COULTER AU 5800
Serum Albumin 4.17 g/dl 3.5 - 5.2
Method: Bromo Cresol Green(BCG)
Machine: BECKMAN COULTER AU 5800
Serum Globulin 3.48 gm/dl 3.0 - 4.2
Method: Calculated
Albumin/Globulin Ratio 1.20 Ratio 1.2 - 2.5
Method: Calculated
SGOT/SGPT Ratio 1.44 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 3 of 17

SIN No:E2084575
 Patient Name : Sonabai Manohar Jadhav Barcode : E2084575
Age/Gender : 77Y 10M 29D /Female Sample Collected On : 01/Dec/2024 08:50AM
Order Id : 12233479283 Sample Received On : 01/Dec/2024 07:41PM
Referred By : Self Report Generated On : 01/Dec/2024 08:58PM
Customer Since : 01/Dec/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 4 of 17

SIN No:E2084575
 Patient Name : Sonabai Manohar Jadhav Barcode : E2084575
Age/Gender : 77Y 10M 29D /Female Sample Collected On : 01/Dec/2024 08:50AM
Order Id : 12233479283 Sample Received On : 01/Dec/2024 07:41PM
Referred By : Self Report Generated On : 01/Dec/2024 08:47PM
Customer Since : 01/Dec/2024 Sample Temperature : Maintained
Sample Type : SERUM Report Status : Final Report

DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval

Iron study
Serum Iron 73.3 ug/dl 60 - 180
Method: TPTZ
Machine: BECKMAN COULTER AU 5800
UIBC 259.30 ug/dl 155 - 355
Method: Nitroso-PSAP
Machine: BECKMAN COULTER AU 5800
Serum Total Iron Binding Capicity (TIBC) 332.6 µg/dl 250 - 400
Method: FE+UIBC (saturation with iron)
Transferrin Saturation % 22.04 % 15 - 50
Method: Calculated
Iron participates in a variety of vital processes in the body varying from cellular oxidative mechanisms to the transport and delivery of oxygen to body cells. It is a
constituent of the oxygen-carrying chromoproteins, haemoglobin and myoglobin, as well as various enzymes, such as cytochrome oxidase and peroxidases.

Serum iron may be increased in hemolytic, megaloblastic and aplastic anemias, and in hemochromatosis acute leukemia, lead poisoning, pyridoxine
deficiency, thalassemia, excessive iron therapy, and after repeated transfusions. Drugs causing increased serum iron include chloramphenicol, cisplatin,
estrogens (including oral contraceptives), ethanol, iron dextran, and methotrexate. Iron can be decreased in iron-deficiency anemia, acute and chronic infections,
carcinoma, nephrotic syndrome hypothyroidism, in protein- calorie malnutrition and after surgery.Diurnal variation is seen in serum iron levels with normal
values obtained in the midmorning, low values in midafternoon and very low values near midnight.

TIBC measures the blood’s capacity to bind iron with transferrin (TRF). Estrogens and oral contraceptives increase TIBC levels. Asparaginase, chloramphenicol,
corticotropin, cortisone, and testosterone decrease the TIBC levels.

Transferrin is the primary plasma iron transport protein, which binds iron strongly at physiological pH. Transferrin is generally only 25% to 30% saturated with
iron. The additional amount of iron that can be bound is the unsaturated iron-binding capacity (UIBC). Transferrin saturation represents the number of iron-
binding sites that are occupied. It is a better index of iron stores than serum iron alone. Transferrin saturation is decreased in iron deficiency anemia (usually
<10% in established deficiency).

Page 5 of 17

SIN No:E2084575
 Patient Name : Sonabai Manohar Jadhav Barcode : E2084575
Age/Gender : 77Y 10M 29D /Female Sample Collected On : 01/Dec/2024 08:50AM
Order Id : 12233479283 Sample Received On : 01/Dec/2024 07:41PM
Referred By : Self Report Generated On : 01/Dec/2024 09:01PM
Customer Since : 01/Dec/2024 Sample Temperature : Maintained
Sample Type : SERUM Report Status : Final Report

DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval

(KFT) Kidney Function Test

Serum Creatinine 0.98 mg/dl 0.6 - 1.3
Method: Jaffes Kinetic
Machine: BECKMAN COULTER AU 5800
GFR, ESTIMATED 59.12 mL/min/1.73m2
Method: Calculated
Serum Uric Acid 7.3 mg/dl 2.6-6.0
Method: Uricase
Machine: BECKMAN COULTER AU 5800
Serum Calcium 9.7 mg/dl 8.8 - 10.6
Method: Arsenazo III
Machine: BECKMAN COULTER AU 5800
Serum Sodium 137 mmol/L 136 - 146
Method: ISE (Indirect)
Machine: BECKMAN COULTER AU 5800
Serum Chloride 104 mmol/L 101 - 109
Method: ISE (Indirect)
Machine: BECKMAN COULTER AU 5800
Blood Urea 36 mg/dl 17 - 43
Method: Urease
Machine: BECKMAN COULTER AU 5800
Blood Urea Nitrogen (BUN) 16.8 mg/dl 8-20
Method: Calculated
Bun/Creatinine Ratio 17.11 Ratio
Method: Calculated
Urea/Creatinine Ratio 36.62
The kidneys play a vital role in the excretion of waste products and toxins such as urea, creatinine and uric acid, regulation of extracellular fluid
volume, serum osmolality and electrolyte concentrations, as well as the production of hormones like erythropoietin and 1,25 dihydroxy vitamin D
and renin. Assessment of renal function is important in the management of patients with kidney disease or pathologies affecting renal function.
Tests of renal function have utility in identifying the presence of renal disease, monitoring the response of kidneys to treatment, and determining
the progression of renal disease.

Urea is synthesized in the liver as the final product of protein and amino acid metabolism. Urea synthesis is therefore dependent on daily protein
intake and endogenous protein metabolism.

Creatinine is a metabolic product of creatine and phosphocreatine, which are both found almost exclusively in muscle.

Uric Acid is the major product of purine catabolism in humans. Uric acid levels are used to monitor the treatment of gout.

Page 6 of 17

SIN No:E2084575
 Patient Name : Sonabai Manohar Jadhav Barcode : E2084575
Age/Gender : 77Y 10M 29D /Female Sample Collected On : 01/Dec/2024 08:50AM
Order Id : 12233479283 Sample Received On : 01/Dec/2024 07:41PM
Referred By : Self Report Generated On : 01/Dec/2024 09:01PM
Customer Since : 01/Dec/2024 Sample Temperature : Maintained
Sample Type : SERUM Report Status : Final Report

DEPARTMENT OF BIOCHEMISTRY
Test Name Value Unit Bio. Ref Interval
Measurement of calcium is used in the diagnosis and treatment of parathyroid disease, a variety of bone diseases, chronic renal disease,
urolithiasis and tetany. Phosphorus levels are increased in acute or chronic renal failure with decreased GFR .

Sodium is an electrolyte, and it helps regulate the amount of water in and around the cells & the balance of chemicals in the body called acids
and bases. Potassium is a primary intracellular ion, only 2 % is extracellular, high intracellular concentration is maintained by a Na- K ATPase
pump, which continuously transports potassium into the cell against a concentration gradient. Chloride is a negatively charged ion that works
with other electrolytes such as potassium, sodium, and bicarbonate, to help regulate the amount of fluid in the body and maintain the acid-base
balance.

Page 7 of 17

SIN No:E2084575
 Patient Name : Sonabai Manohar Jadhav Barcode : E2084575
Age/Gender : 77Y 10M 29D /Female Sample Collected On : 01/Dec/2024 08:50AM
Order Id : 12233479283 Sample Received On : 01/Dec/2024 07:41PM
Referred By : Self Report Generated On : 01/Dec/2024 08:57PM
Customer Since : 01/Dec/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 276.3 mg/dl Desirable : <200
Method: Cholesterol Oxidase, Esterase, Peroxidase Borderline: 200-239
Machine: BECKMAN COULTER AU 5800
High : >/=240
Serum Triglycerides 279.0 mg/dl Desirable : <150
Method: Enzymatic Borderline high : 150-199
Machine: BECKMAN COULTER AU 5800
High : 200-499
Very high : >= 500
Serum HDL Cholesterol 46.0 mg/dl 40 - 60
Method: Direct measure, immunoinhibition
Machine: BECKMAN COULTER AU 5800
LDL Cholesterol Calculated 174.50 mg/dl Optimal : <100
Method: Calculated near /above Optimal:100 -
129
Borderline High: 130- 159
High : 160 - 189
Very High :>/=190
VLDL Cholesterol Calculated 55.8 mg/dl <30
Method: Calculated
Total CHOL / HDL Cholesterol Ratio 6.01 Ratio 3.30 - 4.40
Method: Calculated
LDL / HDL Cholesterol Ratio 3.79 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 0.26 Ratio Optimal->0.4
Method: Calculated Moderate-0.4 to 0.3
High-<0.3
Non-HDL Cholesterol 230.3 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 8 of 17

SIN No:E2084575
 Patient Name : Sonabai Manohar Jadhav Barcode : E2084575
Age/Gender : 77Y 10M 29D /Female Sample Collected On : 01/Dec/2024 08:50AM
Order Id : 12233479283 Sample Received On : 01/Dec/2024 07:41PM
Referred By : Self Report Generated On : 01/Dec/2024 08:57PM
Customer Since : 01/Dec/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 9 of 17

SIN No:E2084575
 Patient Name : Sonabai Manohar Jadhav Barcode : E2084575
Age/Gender : 77Y 10M 29D /Female Sample Collected On : 01/Dec/2024 08:50AM
Order Id : 12233479283 Sample Received On : 01/Dec/2024 07:43PM
Referred By : Self Report Generated On : 01/Dec/2024 08:52PM
Customer Since : 01/Dec/2024 Sample Temperature : Maintained
Sample Type : Whole Blood EDTA Report Status : Final Report

DEPARTMENT OF HAEMATOLOGY
Test Name Value Unit Bio. Ref Interval

Blood Grouping and Typing (ABO and Rh)

BLOOD GROUP TYPE O
Method: Tube Agglutination
Rh TYPE Positive
Method: Tube Agglutination
ABO remains the most important in transfusion and transplantation since any person above the age of 6 months possess clinically significant anti-A and/or anti-B
antibodies in their serum. Blood group A contains antibody against blood group B in serum and vice-versa, while blood group O contains no A/B antigen but both
their antibodies in serum.
Rhesus-system is the second most important blood group system after ABO. In contrast to the ABO system, anti-Rh antibodies are, normally, not present in the blood
of individuals with D-negative RBCs, unless the circulatory system of these individuals has been exposed to D-positive RBCs. These immune antibodies are
immunoglobulin G (IgG) in nature and hence, can cross the placenta. Prophylaxis is given against Rh immunization using anti-D Ig for pregnant Rh-negative mothers
who have given birth to Rh-positive child.

Historical Record check : ABO/ Rh grouping results should be correlated with previous records and patient/ doctor is requested to correlate ABO/Rh testing results
with previous results if available.

ERYTHROCYTE SEDIMENTATION RATE (ESR)

ESR 37 mm/1st hour 0-35
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 10 of 17

SIN No:E2084575
 Patient Name : Sonabai Manohar Jadhav Barcode : E2084575
Age/Gender : 77Y 10M 29D /Female Sample Collected On : 01/Dec/2024 08:50AM
Order Id : 12233479283 Sample Received On : 01/Dec/2024 07:43PM
Referred By : Self Report Generated On : 01/Dec/2024 08:08PM
Customer Since : 01/Dec/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) 13.5 g/dL 12.0-15.0
Method: Photometric Measurement
Machine: BECKMAN COULTER DxH800
Total Leucocyte Count (TLC) 7.0 10^3/uL 4.0-10.0
Method: Coulter Principle
Machine: BECKMAN COULTER DxH800
Hematocrit (PCV) 41.3 % 36.0-46.0
Method: Calculated
Machine: BECKMAN COULTER DxH800
Red Blood Cell Count (RBC) 4.50 10^6/µl 3.80-4.80
Method: Coulter Principle
Machine: BECKMAN COULTER DxH800
Mean Corp Volume (MCV) 92.7 fL 83.0-101.0
Method: Derived from RBC Histogram
Machine: BECKMAN COULTER DxH800
Mean Corp Hb (MCH) 30.4 pg 27.0-32.0
Method: Calculated
Machine: BECKMAN COULTER DxH800
Mean Corp Hb Conc (MCHC) 32.8 g/dL 31.5-34.5
Method: Calculated
Machine: BECKMAN COULTER DxH800
RDW - CV 13.3 % 11.6-14.0
Method: Derived from RBC Histogram
Machine: BECKMAN COULTER DxH800
RDW - SD 43.80 fL 39.0-46.0
Method: Derived from RBC Histogram
Machine: BECKMAN COULTER DxH800
Mentzer Index 20.60 Ratio
Method: Calculated
RDWI 273.98 Ratio
Method: Calculated
Green and king index 85 Ratio
Method: Calculated
Differential Leucocyte Count
Neutrophils 50.7 % 40 - 80
Method: VCSn Technology
Machine: BECKMAN COULTER DxH800

Page 11 of 17

SIN No:E2084575
 Patient Name : Sonabai Manohar Jadhav Barcode : E2084575
Age/Gender : 77Y 10M 29D /Female Sample Collected On : 01/Dec/2024 08:50AM
Order Id : 12233479283 Sample Received On : 01/Dec/2024 07:43PM
Referred By : Self Report Generated On : 01/Dec/2024 08:08PM
Customer Since : 01/Dec/2024 Sample Temperature : Maintained
Sample Type : WHOLE BLOOD EDTA Report Status : Final Report

DEPARTMENT OF HAEMATOLOGY
Test Name Value Unit Bio. Ref Interval
Lymphocytes 34.2 % 20-40
Method: VCS Technology
Machine: BECKMAN COULTER DxH800
Monocytes 10.8 % 02 - 10
Method: VCS Technology
Machine: BECKMAN COULTER DxH800
Eosinophils 3.5 % 01 - 06
Method: VCS Technology
Machine: BECKMAN COULTER DxH800
Basophils 0.8 % 00 - 02
Method: VCS Technology
Machine: BECKMAN COULTER DxH800
Absolute Leucocyte Count
Absolute Neutrophil Count (ANC) 3.55 10^3/uL 2.0-7.0
Method: Calculated
Machine: BECKMAN COULTER DxH800
Absolute Lymphocyte Count (ALC) 2.39 10^3/uL 1.0-3.0
Method: Calculated
Machine: BECKMAN COULTER DxH800
Absolute Monocyte Count 0.76 10^3/uL 0.2-1.0
Method: Calculated
Machine: BECKMAN COULTER DxH800
Absolute Eosinophil Count (AEC) 0.25 10^3/uL 0.02-0.5
Method: Calculated
Machine: BECKMAN COULTER DxH800
Absolute Basophil Count 0.06 10^3/uL 0.02 - 0.10
Method: Calculated
Machine: BECKMAN COULTER DxH800
Platelet Count(PLT) 262 10^3/µl 150-410
Method: Coulter Principle
Machine: BECKMAN COULTER DxH800
MPV 9.7 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.

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

Page 12 of 17

SIN No:E2084575
 Patient Name : Sonabai Manohar Jadhav Barcode : E2084575
Age/Gender : 77Y 10M 29D /Female Sample Collected On : 01/Dec/2024 08:50AM
Order Id : 12233479283 Sample Received On : 01/Dec/2024 07:43PM
Referred By : Self Report Generated On : 01/Dec/2024 08:08PM
Customer Since : 01/Dec/2024 Sample Temperature : Maintained
Sample Type : WHOLE BLOOD EDTA Report Status : Final Report

DEPARTMENT OF HAEMATOLOGY
Test Name Value Unit Bio. Ref Interval
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 13 of 17

SIN No:E2084575
 Patient Name : Sonabai Manohar Jadhav Barcode : E2084575
Age/Gender : 77Y 10M 29D /Female Sample Collected On : 01/Dec/2024 08:50AM
Order Id : 12233479283 Sample Received On : 01/Dec/2024 07:41PM
Referred By : Self Report Generated On : 02/Dec/2024 12:25PM
Customer Since : 01/Dec/2024 Sample Temperature : Maintained
Sample Type : Serum Report Status : Final Report

DEPARTMENT OF IMMUNOLOGY
Test Name Value Unit Bio. Ref Interval

Ferritin
Ferritin 92.6 ng/ml 11-306.8
Method: CLIA
Machine: BECKMAN COULTER DxI800
Ferritin estimation is useful in the diagnosis of iron deficiency anemia and iron overload.
Elevated ferritin levels also are observed in acute and chronic liver disease, chronic renal failure and in some types of neoplastic disease.
Increased levels seen inhemachromatosis, frequent blood transfusions with packed RBCs and alcoholic liver disease. Decreased levels seen in heavy menstrual bleeding, poor
absorption of iron, iron deficiency anaemia and long term GI bleed.
Ferritin is an acute phase reactant and thus may be increased with inflammation, chronic infection, liver disease, auto-immune disorders and some type of cancers. Ferritin
is not used to detect or monitor these conditions.

Page 14 of 17

SIN No:E2084575
 Patient Name : Sonabai Manohar Jadhav Barcode : E2084575
Age/Gender : 77Y 10M 29D /Female Sample Collected On : 01/Dec/2024 08:50AM
Order Id : 12233479283 Sample Received On : 01/Dec/2024 07:41PM
Referred By : Self Report Generated On : 01/Dec/2024 08:11PM
Customer Since : 01/Dec/2024 Sample Temperature : Maintained
Sample Type : Serum Report Status : Final Report

DEPARTMENT OF IMMUNOLOGY
Test Name Value Unit Bio. Ref Interval

Vitamin B12
VITAMIN B12 308 pg/ml 211 - 912
Method: CLIA
Machine: SIEMENS CENTAUR XP
Vitamin B12 is a coenzyme that is involved in two very important metabolic functions vital to normal cell growth and DNA synthesis: 1) the synthesis of methionine, and
2) the conversion of methylmalonyl CoA to succinyl CoA. Deficiency of this vitamin can lead to megaloblastic anemia and ultimately to severe neurological problems.
Also causes macrocytic anemia, glossitis, peripheral neuropathy, weakness, hyperreflexia, ataxia, loss of proprioception, poor coordination, and affective behavioral
changes. A significant increase in RBC MCV may be an important indicator of vitamin B12 deficiency.
Patients taking vitamin B12 supplementation may have misleading results. A normal serum concentration of B12 does not rule out tissue deficiency of vitamin B12 . The
most sensitive test for B12 deficiency at the cellular level is the assay for MMA. If clinical symptoms suggest deficiency, measurement of MMA and homocysteine should
be considered, even if serum B12 concerations are normal.

Page 15 of 17

SIN No:E2084575
 Patient Name : Sonabai Manohar Jadhav Barcode : E2084575
Age/Gender : 77Y 10M 29D /Female Sample Collected On : 01/Dec/2024 08:50AM
Order Id : 12233479283 Sample Received On : 01/Dec/2024 07:41PM
Referred By : Self Report Generated On : 01/Dec/2024 08:49PM
Customer Since : 01/Dec/2024 Sample Temperature : Maintained
Sample Type : Serum Report Status : Final Report

DEPARTMENT OF IMMUNOLOGY
Test Name Value Unit Bio. Ref Interval

Vitamin D, 25-Hydroxy
VITAMIN D (25 - OH VITAMIN D) 17.82 ng/ml 30 - 100
Method: CLIA
Machine: SIEMENS CENTAUR XP
VITAMIN D STATUS VITAMIN D 25 HYDROXY (ng/mL)
DEFICIENCY <20
INSUFFICIENCY 20 – <30
SUFFICIENCY 30 – 100
TOXICITY >100

Vitamin D is a lipid-soluble steroid hormone that is produced in the skin through the action of sunlight or is obtained from dietary sources The role of vitamin D in
maintaining homeostasis of calcium and phosphorus is well established.
The assay measures both D2 (Ergocalciferol) and D3 (Cholecalciferol) metabolites of vitamin D. Vitamin D status is best determined by measurement of 25 hydroxy
vitamin D, as it is the major circulating form and has longer half life ( 2-3 weeks) than 1,25 Dihydroxy vitamin D ( 5-8 hrs)
The reference ranges discussed in the preceding are related to total 25-OHD; as long as the combined total is 30 ng/mL or more, the patient has sufficient vitamin D.
Levels needed to prevent rickets and osteomalacia (15 ng/mL) are lower than those that dramatically suppress parathyroid hormone levels (20–30 ng/mL). In turn, those
levels are lower than levels needed to optimize intestinal calcium absorption (34 ng/mL). Neuromuscular peak performance is associated with levels approximately 38
ng/mL.

Page 16 of 17

SIN No:E2084575
 Patient Name : Sonabai Manohar Jadhav Barcode : E2084575
Age/Gender : 77Y 10M 29D /Female Sample Collected On : 01/Dec/2024 08:50AM
Order Id : 12233479283 Sample Received On : 01/Dec/2024 07:41PM
Referred By : Self Report Generated On : 01/Dec/2024 08:49PM
Customer Since : 01/Dec/2024 Sample Temperature : Maintained
Sample Type : Serum Report Status : Final Report

DEPARTMENT OF IMMUNOLOGY
Test Name Value Unit Bio. Ref Interval

Thyroid Profile (Total T3,T4, TSH)

Tri-Iodothyronine (T3, Total) 1.11 ng/ml 0.60-1.81
Method: CLIA
Machine: SIEMENS CENTAUR XP
Thyroxine (T4, Total) 7.90 ug/dl 3.2-12.6
Method: CLIA
Machine: SIEMENS CENTAUR XP
Thyroid Stimulating Hormone (TSH)-Ultrasensitive 8.222 µIU/ml 0.55-4.78
Method: CLIA
Machine: SIEMENS CENTAUR XP

Pregnancy interval Bio Ref Range for TSH in uIU/ml (As per American Thyroid Association)
First trimester 0.1 - 2.5
Second trimester 0.2 – 3.0
Third trimester 0.3 – 3.0

Healthians recommends that the following potential sources of variation should be considered while interpreting thyroid hormone results:
1. Thyroid hormones undergo rhythmic variation within the body this is called circadian variation in TSH secretion: Peak levels are seen between
2-4 AM. Minimum levels seen between 6-10 AM. This variation may be as much as 50% thus, influence of sampling time needs to be considered
for clinical interpretation.
2. Circulating forms of T3 and T4 are mostly reversibly bound with Thyroxine binding globulins (TBG), and to a lesser extent with albumin and
Thyroid binding Pre-Albumin. Thus the conditions in which TBG and protein levels alter such as chronic liver disorders, pregnancy, excess of
estrogens, androgens, anabolic steroids and glucocorticoids may cause misleading total T3, total T4 and TSH interpretations.
3. Total T3 and T4 levels are seen to have physiological rise during pregnancy and in patients on steroid treatment.
4. T4 may be normal even in the presence of hyperthyroidism under the following conditions : T3 thyrotoxicosis, Hypoproteinemia related reduced
binding, during intake of certain drugs (eg Phenytoin, Salicylates etc)
5. Neonates and infants have higher levels of T4 due to increased concentration of TBG
6. TSH levels may be normal in central hypothyroidism, recent rapid correction of hypothyroidism or hyperthyroidism, pregnancy, phenytoin therapy
etc.
7. TSH values of <0.03 uIU/mL must be clinically correlated to evaluate the presence of a rare TSH variant in certain individuals which is
undetectable by conventional methods.
8. Presence of Autoimmune disorders may lead to spurious results of thyroid hormones.
9. Various drugs influence the levels of thyroid hormones such as L-Dopa, Lithium, Glucocorticoids, Phenytoin etc.
10. Healthians recommends evaluation of unbound fractions, that is free T3 (fT3) and free T4 (fT4) for clinic-pathologic correlation, as these are
the metabolically active forms.

*** End Of Report ***

Page 17 of 17

SIN No:E2084575
 Smart Report 3.0

ADVISORY Sonabai Manohar Jadhav

Health Advisory Booking ID : 12233479283 | Sample Collection Date : 01/Dec/2024

No Data Body Mass Index 160 Height (ft/in) No Data Weight (kgs.)

Physical Activity Smoke Food Preference Alcohol Medication Family History

No Data No Data No Data No Data No Data No Data

Blood Pressure Pulse Rate Waist (In Cm) Hip Circumference (In Cm) SPO2 Levels Sugar Levels

No Data No Data No Data No Data No Data No Data

Additional Remarks :

NA

SUGGESTED NUTRITION

Do's Dont's

Include seeds like flaxseeds, chia seeds, sunflower Limit sugar intake
seeds Limit tea and coffee
SUGGESTED Include fruits like apples, berries and melons in your Decrease intake of colas and sugary drinks

NUTRITION
diet
Avoid refined carbs, processed foods
Have a balanced diet that includes whole grains,
pulses, dairy, fruits, vegetables, nuts and healthy fats Avoid saturated fats, transfats, oily and greasy foods
like cakes, creamy or fried foods
Include calcium rich foods like milk, yoghurt, cheese
and green, leafy vegetables Avoid flavoured and seasoned foods
Include Brazil nuts, sesame seeds, sunflower seeds Reduce caffeine intake
Include whole grains in your diet like whole wheat Avoid red meat and organ meats
bread and other products, brown rice or hand Avoid salty foods and pickles
pounded rice, oats Limit protein intake
Include fresh garlic and fenugreek seeds in your diet
Have fresh fruits, green leafy vegetables and unsalted
nuts and seeds

SUGGESTED LIFESTYLE

Do's Dont's

Lose weight gradually and stay active Avoid late night heavy meals
Have regular exposure to sunlight Avoid overworking or being stressed for long time
SUGGESTED Maintain ideal weight Avoid smoking and alcohol

LIFESTYLE Sleep well at night and do relaxing activities

Stay active and maintain ideal weight
Avoid having long gaps in meals or skipping meals
Avoid overexertion without having food or drink
Avoid strenuous exercises
Don't ignore your body signals and don't skip your
regular health check-ups
Limit dining out
Avoid long periods of inactivity
Avoid overeating or calorie rich food

SUGGESTED FUTURE TESTS

Glycated Hemoglobin (HbA1c) - Every 3 Month

Blood Glucose Fasting - Every 1 Week
SUGGESTED Glucose Postprandial - Every 1 Week

FUTURE Complete Hemogram - Every 2 Month

Liver Function Test - Every 2 Month

TESTS Urine Routine & Microscopy - Every 2 Month

Peripheral Smear Examination By Pathologist - Every 2 Month