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BIL5011091

Name : MR.RAJASEKHARAREDDY BIJJAM - 802411 TID/SID : UMR2241498/ 997638

Age / Gender : 34 Years / Male Registered on : 03-Dec-2024 / 18:53 PM
Ref.By : PROVIDENCE GLOBAL CENTRE Collected on : 03-Dec-2024 / 18:49 PM
Req.No : BIL5011091 Reported on : 06-Dec-2024 / 17:24 PM
TEST REPORT Reference : Providence Global Centre

DEPARTMENT OF CLINICAL PATHOLOGY

Complete Urine Examination (CUE)
Investigation Result Biological Reference Intervals
Physical Examination
Colour Pale Yellow Straw to Yellow
Method:Physical

Appearance Clear
Chemical Examination
Reaction and pH Acidic (5.5) 4.6-8.0
Method:Methyl Red & Bromothymol Blue

Specific Gravity 1.018 1.003-1.035

Method:Bromothymol Blue

Protein Negative Negative

Method:Tetrabromophenol blue

Glucose Negative Negative

Method:Glucose oxidase/Peroxidase

Blood Negative Negative

Method:Peroxidase

Ketones Negative Negative

Method:Sodium Nitroprusside Method

Bilirubin Negative Negative

Method:Dichloroanilinediazonium

Leucocytes Negative Negative

Method:3 hydroxy5 phenylpyrrole + diazonium

Nitrites Negative Negative

Method:Diazonium + 1,2,3,4 tetrahydrobenzo (h) quinolin
3-ol

Urobilinogen Negative 0.2-1.0 mg/dl

Method:Dimethyl aminobenzaldehyde

Microscopic Examination
Pus Cells (Leukocytes) 2-3 2 - 3 /hpf
Epithelial Cells 1-2 2 - 5 /hpf
RBC (Erythrocytes) Absent Absent
/hpf
Casts Absent Occasional hyaline casts may be seen
Crystals Absent Phosphate, oxalate, or urate crystals may
be seen
Others Nil Nil
Method:Microscopy

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BIL5011091

Name : MR.RAJASEKHARAREDDY BIJJAM - 802411 TID/SID : UMR2241498/ 997638

Age / Gender : 34 Years / Male Registered on : 03-Dec-2024 / 18:53 PM
Ref.By : PROVIDENCE GLOBAL CENTRE Collected on : 03-Dec-2024 / 18:49 PM
Req.No : BIL5011091 Reported on : 06-Dec-2024 / 17:24 PM
TEST REPORT Reference : Providence Global Centre

Method: Semi Quantitative test ,For CUE

Reference: Godkar Clinical Diagnosis and Management by Laboratory Methods, First South Asia edition. Product kit
literature.

Interpretation:

The complete urinalysis provides a number of measurements which look for abnormalities in the urine. Abnormal
results from this test can be indicative of a number of conditions including kidney disease, urinary tract infecation or
elevated levels of substances which the body is trying to remove through the urine . A urinalysis test can help
identify potential health problems even when a person is asymptomatic. All the abnormal results are to be
correlated clinically.

* Sample processed at National Reference Laboratory,

Tenet Diagnostics,Hyderabad
--- End Of Report ---

Dr Vikas Reddy
Consultant Pathologist

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BIL5011091

Name : MR.RAJASEKHARAREDDY BIJJAM - 802411 TID/SID : UMR2241498/ 997638

Age / Gender : 34 Years / Male Registered on : 03-Dec-2024 / 18:53 PM
Ref.By : PROVIDENCE GLOBAL CENTRE Collected on : 03-Dec-2024 / 18:49 PM
Req.No : BIL5011091 Reported on : 04-Dec-2024 / 17:43 PM
TEST REPORT Reference : Providence Global Centre

DEPARTMENT OF HEMATOPATHOLOGY
Erythrocyte Sedimentation Rate (ESR)
Investigation Observed Value Biological Reference Intervals

ESR 1st Hour 5 <=10 mm/hour

Method:Westergren/Vesmatic

Complete Blood Count (CBC)

Investigation Observed Value Biological Reference Intervals

Hemoglobin 16.0 13.0-17.0 g/dL

Method:Cyanide Free Lyse Hemoglobin

PCV/HCT 44.3 40.0-50.0 vol%

Method:Calculated

Total RBC Count 5.18 4.50-5.50 mill /cu.mm

Method:Electrical Impedance

MCV 85.5 83.0-101.0 fL

Method:Calculated

MCH 30.9 27.0-32.0 pg

Method:Calculated

MCHC 34.1 31.5-34.5 g/dL

Method:Calculated

RDW (CV) 15.4 11.6-14.0 %

Method:Calculated

MPV 9.2 7.0-10.0 fL

Method:Calculated

Total WBC Count 6640 4000-10000 cells/cumm

Method:Electrical Impedance

Platelet Count 1.89 1.50-4.10 lakhs/cumm

Method:Electrical Impedance

Differential count
Neutrophils 52.4 40.0-80.0 %
Method:Microscopy

Lymphocytes 34.8 20.0-40.0 %

Method:Microscopy

Eosinophils 5.2 1.0-6.0 %

Monocytes 7.0 2.0-10.0 %
Basophils 0.6 < 1.0-2.0 %
Method:Flowcytometry/Electrical Impedance/Microscopy

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BIL5011091

Name : MR.RAJASEKHARAREDDY BIJJAM - 802411 TID/SID : UMR2241498/ 997638

Age / Gender : 34 Years / Male Registered on : 03-Dec-2024 / 18:53 PM
Ref.By : PROVIDENCE GLOBAL CENTRE Collected on : 03-Dec-2024 / 18:49 PM
Req.No : BIL5011091 Reported on : 04-Dec-2024 / 17:43 PM
TEST REPORT Reference : Providence Global Centre

Absolute Neutrophil Count 3479 2000-7000 cells/cumm

Method:Calculated

Absolute Lymphocyte Count (ALC) 2311 1000-3000 cells/cumm

Absolute Eosinophil Count (AEC) 345 20-500 cells/cumm
Absolute Monocyte Count 465 200-1000 cells/cumm
Method:Calculated

Absolute Basophil Count 40 20-100 cells/cumm

Method:Calculated

Neutrophil - Lymphocyte Ratio(NLR) 1.51 0.78-3.53

Method:Calculated

Method: Automated Hematology Cell Counter, Microscopy

Reference: Dacie and Lewis Practical Hematology,12th Edition.

Wallach's interpretation of diagnostic tests, Soth Asian Edition.

Interpretation: A Complete Blood Picture (CBP) is a screening test which can aid in the diagnosis of a variety of
conditions and diseases such as anemia, leukemia, bleeding disorders and infections. This test is also useful in
monitoring a person's reaction to treatment when a condition which affects blood cells has been diagnosed. All the
abnormal results are to be correlated clinically.

Note: These results are generated by a fully automated hematology analyzer and the differential count is computed
from a total of several thousands of cells. Therefore the differential count appears in decimalised numbers and may
not add upto exactly 100. It may fall between 99 and 101.

* Sample processed at National Reference Laboratory,

Tenet Diagnostics,Hyderabad
--- End Of Report ---

Dr Vikas Reddy
Consultant Pathologist

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BIL5011091

Name : MR.RAJASEKHARAREDDY BIJJAM - 802411 TID/SID : UMR2241498/ 997638

Age / Gender : 34 Years / Male Registered on : 03-Dec-2024 / 18:53 PM
Ref.By : PROVIDENCE GLOBAL CENTRE Collected on : 03-Dec-2024 / 18:49 PM
Req.No : BIL5011091 Reported on : 04-Dec-2024 / 07:12 AM
TEST REPORT Reference : Providence Global Centre

DEPARTMENT OF IMMUNOLOGY
Hepatitis B Virus Surface Antigen (HbsAg)
Investigation Observed value Biological Reference Interval

HbsAg. NonReactive(0.275) Non-Reactive: 0-0.9 COI

Method:ECLIA
Borderline : 0.9-1.0 COI
Reactive: >1.0 COI

Interpretation:

This test is used to screen for infection with the Hepatitis B (Hep B) virus. The Surface Antigen test looks for a
protein which is present on the surface of the virus. This protein will be present in the blood with an acute or chronic
Hep B infection.
A Negative test result does not exclude possibility of exposure to or infection with Hepatitis B Virus. Levels of
HbsAG may be undetectable both in early infection and in late after infection.
* Sample processed at National Reference Laboratory,
Tenet Diagnostics,Hyderabad
--- End Of Report ---

Dr.Safaa Muneer Ahmed

Consultant Microbiologist
Reg.No - APMC/FMR/77996

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BIL5011091

Name : MR.RAJASEKHARAREDDY BIJJAM - 802411 TID/SID : UMR2241498/ 997638

Age / Gender : 34 Years / Male Registered on : 03-Dec-2024 / 18:53 PM
Ref.By : PROVIDENCE GLOBAL CENTRE Collected on : 03-Dec-2024 / 18:49 PM
Req.No : BIL5011091 Reported on : 04-Dec-2024 / 10:35 AM
TEST REPORT Reference : Providence Global Centre

DEPARTMENT OF CARDIOLOGY
Physical Examination (BP, HT, WT, BMI)
Investigation Observed Value

BP 125/80
Weight 82 Kg
Height 168 cm
BMI 29.05
Pulse 66

* Sample processed at National Reference Laboratory,

Tenet Diagnostics,Hyderabad
--- End Of Report ---

Doctor

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BIL5011091

Name : MR.RAJASEKHARAREDDY BIJJAM - 802411 TID/SID : UMR2241498/ 997638F

Age / Gender : 34 Years / Male Registered on : 03-Dec-2024 / 18:53 PM
Ref.By : PROVIDENCE GLOBAL CENTRE Collected on : 03-Dec-2024 / 18:49 PM
Req.No : BIL5011091 Reported on : 04-Dec-2024 / 12:53 PM
TEST REPORT Reference : Providence Global Centre

DEPARTMENT OF CLINICAL CHEMISTRY I

25-Hydroxy Vitamin D
Investigation Observed Value Biological Reference Interval

25 Hydroxy Vitamin D 18.11 Deficiency: < 20 ng/mL

Method:ECLIA Insufficiency: 20 - 30 ng/mL
Sufficiency: 30 - 100 ng/mL
Toxicity: >100 ng/mL
Note: Biological Reference Ranges are
changed due to change in method of
testing.
Note Kindly correlate clinically

Interpretation:
1.Vitamin D is a family of compounds that is essential for the proper growth and formation of teeth and bones. This test
measures the level of vitamin D in the blood.
2.Two forms of vitamin D can be measured in the blood, 25-hydroxyvitamin D and 1,25-dihydroxyvitamin D. The 25-
hydroxyvitamin D is the major form found in the blood and is the relatively inactive precursor to the active hormone, 1,25-
dihydroxyvitamin D. Because of its long half-life and higher concentration, 25-hydroxyvitamin D is commonly measured to assess
and monitor vitamin D status in individuals.
3. The main role of vitamin D is to help regulate blood levels of calcium, phosphorus, and (to a lesser extent) magnesium.
4 Vitamin D is vital for the growth and health of bone; without it, bones will be soft, malformed, and unable to repair themselves
normally, resulting in diseases called rickets in children and osteomalacia in adults.
5. Vitamin D has also been shown to influence the growth and differentiation of many other tissues and to help regulate the
immune system. These other functions have implicated vitamin D in other disorders, such as autoimmunity and cancer.

Creatinine, Serum
Investigation Observed Value Biological Reference Interval

Creatinine. 1.17 0.70-1.20 mg/dL

Method:Alkaline Picrate

Interpretation:

Creatinine is a nitrogenous waste product produced by muscles from creatine. Creatinine is majorly filtered from the
blood by the kidneys and released into the urine, so serum creatinine levels are usually a good indicator of kidney
function. Serum creatinine is more specific and more sensitive indicator of renal function as compared to BUN
because it is produced from muscle at a constant rate and its level in blood is not affected by protein catabolism or
other exogenous products. It is also not reabsorbed and very little is secreted by tubules making it a reliable marker.
Serum creatinine levels are increased in pre renal, renal and post renal azotemia, active acromegaly and gigantism.
Decreased serum creatinine levels are seen in pregnancy and increasing age.

Glucose Fasting (FBS)

Investigation Observed Value Biological Reference Interval

Glucose Fasting 92 Normal: <100 mg/dL

Method:Hexokinase
Impaired FG: 100-125 mg/dL
Diabetes mellitus: >/=126 mg/dL

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Name : MR.RAJASEKHARAREDDY BIJJAM - 802411 TID/SID : UMR2241498/ 997638

Age / Gender : 34 Years / Male Registered on : 03-Dec-2024 / 18:53 PM
Ref.By : PROVIDENCE GLOBAL CENTRE Collected on : 03-Dec-2024 / 18:49 PM
Req.No : BIL5011091 Reported on : 04-Dec-2024 / 12:53 PM
TEST REPORT Reference : Providence Global Centre

Interpretation: It measures the Glucose levels in the blood with a prior fasting of 9-12 hours. The test helps screen a
symptomatic/ asymptomatic person who is at risk for Diabetes. It is also used for regular monitoring of glucose levels
in people with Diabetes.

Reference: American Diabetes Association. Standards of Medical Care in Diabetes-2022

Glucose Post Prandial (PPBS)

Investigation Observed Value Biological Reference Interval

Glucose Post Prandial 98 Normal : <140 mg/dL

Method:Hexokinase Impaired PG: 140-199 mg/dL
Diabetes mellitus: >/=200 mg/dL

Interpretation: This test measures the blood sugar levels 2 hours after a normal meal. Abnormally high blood sugars
2 hours after a meal reflect that the body is not producing sufficient insulin which is indicative of Diabetes.

Reference: American Diabetes Association. Standards of Medical Care in Diabetes-2022

Glycosylated Hemoglobin (HbA1C)

Investigation Observed Value Biological Reference Interval

Glycosylated Hemoglobin (HbA1c) 5.0 Non-diabetic: <= 5.6 %

Method:High-Performance Liquid Chromatography Pre-diabetic: 5.7 - 6.4 %
Diabetic: >= 6.5 %
Estimated Average Glucose (eAG) 97 mg/dL
Method:Calculated
%

Interpretation:

It is an index of long-term blood glucose concentrations and a measure of the risk for developing microvascular
complications in patients with diabetes. Absolute risks of retinopathy and nephropathy are directly proportional to the
mean HbA1c concentration. In persons without diabetes, HbA1c is directly related to risk of cardiovascular disease.

1) Low glycated haemoglobin (below 4%) in a non-diabetic individual are often associated with systemic
inflammatory diseases, chronic anaemia (especially severe iron deficiency & haemolytic), chronic renal failure and
liver diseases. Clinical correlation suggested.

2) Interference of Hemoglobinopathies in HbA1c estimatiion:

A. For HbF > 25%, an alternate platform (Fructosamine) is recommended for testing of HbA1c.
B. Homozygous hemoglobinopathy is detected, fructosamine is recommended for monitoring diabetic status
C. Heterozygous state detected (D10 is corrected for HbS and HbC trait).
3) In known diabetic patients, HbA1c can be considered as a tool for monitoring the glycemic control.
Excellent Control - 6 to 7 %,
Fair to Good Control - 7 to 8 %,
Unsatisfactory Control - 8 to 10 %
and Poor Control - More than 10 %.
Reference: American Diabetes Association. Standards of Medical Care in Diabetes-2022.
Urea, Serum
Investigation Observed Value Biological Reference Interval
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Name : MR.RAJASEKHARAREDDY BIJJAM - 802411 TID/SID : UMR2241498/ 997638

Age / Gender : 34 Years / Male Registered on : 03-Dec-2024 / 18:53 PM
Ref.By : PROVIDENCE GLOBAL CENTRE Collected on : 03-Dec-2024 / 18:49 PM
Req.No : BIL5011091 Reported on : 04-Dec-2024 / 12:53 PM
TEST REPORT Reference : Providence Global Centre

Urea. 20.5 12.8-42.8 mg/dL

Method:Urease

Interpretation: Urea is the major nitrogen-containing metabolic product of protein and amino acid catabolism. It is
increased in pre-renal uraemic conditions such as high protein diet, increased protein catabolism, GI hemorrhage,
dehydration, heart failure, etc. post-renal uremia is seen in malignancy, nephrolithiasis and prostatism.

Vitamin B12 (Cyanocobalamin)

Investigation Observed Value Biological Reference Interval

Vitamin B12 ( Cyanocobalamin) ,Serum 239.0 197-771 pg/mL

Method:ECLIA
Note: Biological Reference Ranges are
changed due to change in method of
testing.

Interpretation:
1.Vitamin B12 is essential in DNA synthesis,haematopoiesis and CNS integrity.
2.Measurement of vitamin B12 is intended to identify and monitor vitamin B12 deficiency. This can arise from the following; (1)
defect in the secretion of Intrinsic Factor, resulting in inadequate absorption from food (pernicious anemia); (2) gastrectomy and
malabsorption due to surgical resection; and (3) a variety of bacterial or inflammatory diseases affecting the small intestine.(4)
Decreased dietary intake.
3.Reduced concentrations of vitamin B12 may indicate the presence of vitamin dependent anemia.
4.Elevated concentrations of vitamin B12 have been associated with pregnancy, the use of oral contraceptives and multivitamins
and in myeloproliferative diseases, such as chronic granulocytic leukemia and myelomonocytic leukemia. An elevated
concentration of vitamin B12 is not known to cause clinical problems.

* Sample processed at National Reference Laboratory,

Tenet Diagnostics,Hyderabad
--- End Of Report ---

Dr Afreen Anwar
Consultant Biochemist

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BIL5011091

Name : MR.RAJASEKHARAREDDY BIJJAM - 802411 TID/SID : UMR2241498/ 997638

Age / Gender : 34 Years / Male Registered on : 03-Dec-2024 / 18:53 PM
Ref.By : PROVIDENCE GLOBAL CENTRE Collected on : 03-Dec-2024 / 18:49 PM
Req.No : BIL5011091 Reported on : 04-Dec-2024 / 12:53 PM
TEST REPORT Reference : Providence Global Centre

DEPARTMENT OF CLINICAL CHEMISTRY I

Lipid Profile
Investigation Observed Value Biological Reference Interval

Total Cholesterol 191 Desirable: <200 mg/dL

Method:Cholesterol Oxidase Borderline: 200-239 mg/dL
High: >/=240 mg/dL
HDL Cholesterol 43 Low: <40 mg/dL
Method:Direct Measurement High: >/=60 mg/dL

VLDL Cholesterol 18.00 6.0-38.0 mg/dL

Method:Calculated

LDL Cholesterol 130 Optimum: <100 mg/dL

Near/above optimum: 100-129 mg/dL
Method:Calculated
Borderline: 130-159 mg/dL
High: 160-189 mg/dL
Very high: >/=190 mg/dL

Triglycerides 90 Normal:<150 mg/dL

Borderline: 150-199 mg/dL
Method:Glycerol LPL/GK
High: 200-499 mg/dL
Very high: >/=500 mg/dL

Chol/HDL Ratio 4.44 Low Risk: 3.3-4.4

Method:Calculated Average Risk: 4.5-7.1
Moderate Risk: 7.2-11.0
LDL Cholesterol/HDL Ratio 3.02 Desirable: 0.5-3.0
Method:Calculated Borderline Risk: 3.0-6.0
High Risk: >6.0
Non HDL Cholesterol 148 <130 mg/dL
Method:Calculated

Note Kindly correlate clinically

Interpretation: Lipids are fats and fat-like substances which are important constituents of cells and are rich sources of energy. A
lipid profile typically includes total cholesterol, high density lipoproteins (HDL), low density lipoprotein (LDL), chylomicrons,
triglycerides, very low density lipoproteins (VLDL), Cholesterol/HDL ratio .The lipid profile is used to assess the risk of developing
a heart disease and to monitor its treatment. The results of the lipid profile are evaluated along with other known risk factors
associated with heart disease to plan and monitor treatment. Treatment options require clinical correlation.

Reference: Third Report of the National Cholesterol Education program (NCEP) Expert Panel on Detection, Evaluation, and
Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III), JAMA 2001.

* Sample processed at National Reference Laboratory,

Tenet Diagnostics,Hyderabad
--- End Of Report ---

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BIL5011091

Name : MR.RAJASEKHARAREDDY BIJJAM - 802411 TID/SID : UMR2241498/

Age / Gender : 34 Years / Male Registered on : 03-Dec-2024 / 18:53 PM
Ref.By : PROVIDENCE GLOBAL CENTRE Collected on :
Req.No : BIL5011091 Reported on :
TEST REPORT Reference : Providence Global Centre

Dr Afreen Anwar
Consultant Biochemist

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BIL5011091

Name : MR.RAJASEKHARAREDDY BIJJAM - 802411 TID/SID : UMR2241498/ 997638

Age / Gender : 34 Years / Male Registered on : 03-Dec-2024 / 18:53 PM
Ref.By : PROVIDENCE GLOBAL CENTRE Collected on : 03-Dec-2024 / 18:49 PM
Req.No : BIL5011091 Reported on : 04-Dec-2024 / 12:53 PM
TEST REPORT Reference : Providence Global Centre

DEPARTMENT OF CLINICAL CHEMISTRY I

Liver Function Test (LFT)
Investigation Observed Value Biological Reference Interval

Total Bilirubin. 0.93 <1.2 mg/dL

Method:Diazo Method

Direct Bilirubin. 0.29 <0.30 mg/dL

Method:Diazo Method

Indirect Bilirubin. 0.64 <0.9 mg/dL

Method:Calculated

Alanine Aminotransferase ,(ALT/SGPT) 24 <45 U/L

Method:UV wtihout P5P

Aspartate Aminotransferase,(AST/SGOT) 24 <35 U/L

Method:UV wtihout P5P

ALP (Alkaline Phosphatase). 78 40-129 U/L

Method:PNPP-AMP Buffer

Gamma GT. 62 10-71 U/L

Method:GCNA

Total Protein. 8.2 6.6-8.7 g/dL

Method:Biuret & Bromocresol Green (BCG)

Albumin. 5.0 3.5-5.2 g/dL

Method:Bromocresol Green (BCG)

Globulin. 3.2 1.8-3.8 g/dL

Method:Calculated

A/GRatio. 1.56 0.8-2.0

Method:Calculated

AST/ALT Ratio 1 <1.00

Method:Calculated

Interpretation: Liver functions tests help to identify liver disease, its severity, and its type. Generally these tests are
performed in combination, are abnormal in liver disease, and the pattern of abnormality is indicative of the nature of
liver disease. An isolated abnormality of a single liver function test usually means a non-hepatic cause. If several
liver function tests are simultaneously abnormal, then hepatic etiology is likely.
* Sample processed at National Reference Laboratory,
Tenet Diagnostics,Hyderabad
--- End Of Report ---

Dr Afreen Anwar
Consultant Biochemist

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Name : MR.RAJASEKHARAREDDY BIJJAM - 802411 TID/SID : UMR2241498/ 997638

Age / Gender : 34 Years / Male Registered on : 03-Dec-2024 / 18:53 PM
Ref.By : PROVIDENCE GLOBAL CENTRE Collected on : 03-Dec-2024 / 18:49 PM
Req.No : BIL5011091 Reported on : 04-Dec-2024 / 12:53 PM
TEST REPORT Reference : Providence Global Centre

DEPARTMENT OF CLINICAL CHEMISTRY I

Thyroid Profile (T3,T4,TSH)
Investigation Observed Value Biological Reference Interval

Triiodothyronine Total (T3) 1.46 0.80-2.00 ng/mL

Method:ECLIA

Thyroxine Total (T4) 7.4 5.1-14.1 µg/dL

Method:ECLIA

Thyroid Stimulating Hormone (TSH) 26.82 0.27-4.20 µIU/mL

Method:ECLIA

Note Kindly correlate clinically

Interpretation:

A thyroid profile is used to evaluate thyroid function and/or help diagnose hypothyroidism and hyperthyroidism due
to various thyroid disorders. T4 and T3 are hormones produced by the thyroid gland. They help control the rate at
which the body uses energy, and are regulated by a feedback system. TSH from the pituitary gland stimulates the
production and release of T4 (primarily) and T3 by the thyroid. Most of the T4 and T3 circulate in the blood bound to
protein. A small percentage is free (not bound) and is the biologically active form of the hormones.
Reference: Tietz textbook of Clinial Chemistry and Molecular Diagnostics, Nader Rifia, Andrea Ritas Horvath, Carl
T. Wittwer.
* Sample processed at National Reference Laboratory,
Tenet Diagnostics,Hyderabad
--- End Of Report ---

Dr Afreen Anwar
Consultant Biochemist

Page 13 of 13