Patient Name : MRS. KRISHNAMMA Referral : Dr.

SELF
Age / Gender : 47 years / Female Collection Time : Jun 10, 2025, 03:09 p.m.
Patient ID : 312862 Receiving Time : Jun 10, 2025, 03:52 p.m.
Source : Nisarga Poly Clinic Chikkjala - PUP00875 Reporting Time : Jun 10, 2025, 04:51 p.m.
Sample Type : Serum Report Status : Final
Sample ID :
251610379
Test Description Value(s) Reference Range Unit

SPECIAL BIOCHEMISTRY
Thyroid Function Test (TFT)
T3 (Tri-iodothyronine) Total 1.28 0.87 - 1.78 ng/mL
Method : CLIA
T4 (Thyroxine) Total 11.83 5.9 - 13.0 µg/dL
Method : CLIA
TSH (Thyroid Stimulating Hormone) 10.78 0.68 - 4.80 µIU/ml
Method : CLIA
Comments :

TSH T4 T3 INTERPRETATION
High Normal Normal Mild (subclinical) hypothyroidism

High Low Low Or Normal Hypothyroidism

Low Normal Normal Mild (subclinical) hyperthyroidism

Low High or normal High or normal Hyperthyroidism

Non-thyroidal illness; pituitary (secondary)

Normal High High Thyroid hormone resistance syndrome

**END OF REPORT*

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