REG250621787853

Patient NAME : Mrs.NANCY SHARMA Sample Collection Time : 21/Jun/2025 08:46AM

Age/Gender : 29 Y 0 M 0 D/F Sample Received in Lab Time : 21/Jun/2025 12:36PM
UAID/Oth.Lab Ref. : REG627896/ Reported Time : 21/Jun/2025 01:51PM
SIN No. : AFR60612 Ref. Doctor : Self

DEPARTMENT OF IMMUNOLOGY
Test Name Result Unit Bio. Ref. Range Method

*Ultrasensitive TSH
ULTRASENSITIVE TSH 3.152 uIU/mL 0.55 - 4.78 CMIA
Comment:
Interpretations(s):
TSH stimulates the production and secretion of the metabolically active thyroid hormones, thyroxine (T4) and triiodothyronine (T3), by interacting with a specific receptor on the thyroid cell surface. The synthesis and secretion of TSH
is stimulated by Thyrotropin releasing hormone (TRH), in response to low levels of circulating thyroid d hormones. Elevated levels of T3 and T4 suppress the production of TSH via a classic negative feedback mechanism. Failure at
any level of regulation of the hypothalamic-pituitary-thyroid axis will result in either underproduction (hypothyroidism) or overproduction (hyperthyroidism) of T4 and/or T3.

Limitations:
T3 and T4 circulates in reversibly bound form with Thyroid binding globulins (TBG), and to a lesser extent albumin and Thyroid binding Pre-Albumin, so conditions in which TBG and protein levels alter such as pregnancy, excess
estrogens, androgens, steroids may falsely affect the T3 and T4 levels. Normal levels of T4 can also be seen in Hyperthyroid patients with: T3 Thyrotoxicosis, hypoproteinaemia or Ingestion of certain drugs. Serum T4 levels in neonates
and infants are higher than values in the normal adult, due to the increased concentration of TBG in neonate serum, TSH may be normal in central hypothyroidism, recent rapid correction of hyperthyroidism or hypothyroidism,
pregnancy, phenytoin therapy. Autoimmune disorders may produce spurious result. Various drugs can interfere with the test result. TSH has a diurnal rhythm so values may vary if sample collection is done at different times of the day.
Recommended test for T3 and T4 is unbound fraction or free levels as it is metabolically active.
TSH levels are subject to circadian variation. The variation is of the order of 50%, hence time of the day has influence on the measured serum TSH concentrations.
Time of sampling or food intake alter TSH levels. Recommended sample for thyroid tests is morning fasting sample (Shriram Mahadevn et al)

Reference Intervals:
T3 (ng/ml) T4 (µg/dL) TSH (µIU/mL)
Age Females Males Age Females Males Age Females Males
1 - 30 Days 0.15 - 2.00 0.15 - 2.10 1 - 30 Days 6.30 - 21.5 5.90 - 21.5 1 - 30 Days 0.72 - 13.1 0.52 - 16.0
1 - 12 Months 0.50 - 2.64 0.95 - 2.75 1 - 12 Months 4.90 - 13.7 6.40 - 13.9 1 - 6 Months 0.46 - 8.10 0.55 - 7.10
1 - 5 Years 1.26 - 2.58 0.80 - 2.53 1 - 3 Years 7.10 - 14.1 7.00 - 13.1 7 – 16 Months 0.36 - 5.80 0.37 - 6.00
6 - 10 Years 1.04 - 2.27 0.96 - 2.23 4 - 6 Years 7.20 - 14.0 6.10 - 12.6 17 Months-5Years 0.46 – 8.10 0.35 – 7.10
11 - 15 years 0.96 - 2.11 0.73 - 1.99 7 - 12 Years 6.10 - 12.1 6.70 - 13.4 6 – 18 Years 0.36 – 5.80 0.37 – 6.00
16 - 18 Years 0.91 - 1.64 0.69 - 2.01 13 -1 5 Years 5.80 - 11.2 4.80 - 11.5 > 18 Years 0.35 – 5.50 0.35 – 5.50
> 18 Years 0.60 - 1.81 0.60 - 1.81 > 15 Years 3.20 - 12.6 3.20 - 12.6 For Pregnant females (As per American Thyroid Association)
First Trimester 0.10 – 2.50
Second Trimester 0.20 – 3.00
Third Trimester 0.30 – 3.00

CONDITIONS / PREREQUISITES OF REPORTING

1. Identity of patient is not verified. Test results released pertain to the specimen submitted.
2. All test results are dependent on the quality of the specimen received by the Laboratory.
3. Investigations are only a tool to facilitate in arriving at a diagnosis and should be clinically correlated by the Referring Physician.
4. Please note that results of the test(s) may vary from laboratory to laboratory depending on the technology and methodology used. Furthermore, some parameters may vary from time to time
even for the same patient. Test result may vary based on the time of collection, physiological condition, any medicine consumed, nutritional / diet change. Sometimes test(s) may have to be
repeated in the interest of quality assurance.
5. In certain instances, a second specimen may be required from the patient on account of an indeterminate result, or pre-analytical / analytical reason.
6. Some tests are referred to other laboratories to provide a wider test menu to the patient. In such cases, the test reports may get delayed and those tests are marked as #.
7. Delay in issuing test reports may occur due to unavoidable/unforeseen circumstances like shortage or non-availability of the test kits or instrument failure etc.
8. In the case of alarming and unexpected test results, you are advised to contact the laboratory immediately for further discussions and action. Laboratory results are meant to be correlated with
the patient's clinical history. In such circumstances please call at: 0172 455 8888 / 97795 99499
9. Reporting of tests will be as per the defined laboratory turnaround time (TAT) for each test. The same will be informed to the patient during registration and/or phlebotomy. Tests not under the
scope of NABL accreditation have been highlighted with an *.
10. Please note: Histopathology specimens are retained for 6 months only from the date of the sample collection and blocks & slides are retained for 10 years from the date of its reporting. A

Page 1 of 2

Jammu ATULAYA HEALTHCARE,JEWEL,JAMMU

B C Road
Jammu
 REG250621787853

Patient NAME : Mrs.NANCY SHARMA Sample Collection Time : 21/Jun/2025 08:46AM

Age/Gender : 29 Y 0 M 0 D/F Sample Received in Lab Time : 21/Jun/2025 12:36PM
UAID/Oth.Lab Ref. : REG627896/ Reported Time : 21/Jun/2025 01:51PM
SIN No. : AFR60612 Ref. Doctor : Self

DEPARTMENT OF IMMUNOLOGY
Test Name Result Unit Bio. Ref. Range Method
minimum of 48 hours prior notice is required for the issuing of the slides and blocks.
11. Test results are not valid for Medico Legal purposes. Neither Atulaya Healthcare nor its directors/employees/representatives assume any liability or responsibility, for any loss or damage or
expenditure that may be incurred by any person, including the patient, as a result of assuming the meaning or contents of this report without further validation.
12. To maintain confidentiality, certain reports may not be mailed at the discretion of the management.
13. Subject to the jurisdiction of the Courts of Law in the Union Territory of Chandigarh.
14. This medical diagnostic report has been e-signed by Authorized Medical Practitioner/Doctor. The report does not need physical signature.

*** End Of Report ***

Page 2 of 2

Jammu ATULAYA HEALTHCARE,JEWEL,JAMMU

B C Road
Jammu