40 Year(s) 0 Months(s) 0
00000010703645
Name: KANCHAN MALA Age/Gender:
Day(s)/Female
Referred By: Dr. H K MISHRA. Client Name:
Collection Date: 25-04-2025 13:35:00 Report Release Date: 26-04-2025 01:31:34
No. Investigation Observed Value Unit Biological Reference Interval
Free TFT (Free T3,Free T4,TSH)
1 Free T3 5.39 pg/mL 2.3 - 4.2
Serum, Method: CLIA
2 Free T4 1.44 ng/dL 0.5-2.7
Serum, Method: CLIA
3 TSH (Thyroid Stimulating Hormone) 0.08 µIU/ml 0.35 - 5.5
Serum, Method: CLIA
Interpretation
1. Increased free T3 values are found in triiodothyronine toxicosis, hyperthyroidism, triiodothyronine thyrotoxicosis, and
thyroiditis and peripheral resistance syndrome.
2. Decreased free T3 values are found in primary and secondary hypothyroidism, starvation, stress, and acute illness, as well as
in the setting of reduced levels of thyroid-binding globulin and in the third trimester of pregnancy.
3. Free thyroxine (free T4) tests are used to help evaluate thyroid function and diagnose thyroid diseases, including
hyperthyroidism and hypothyroidism. The concentration of free T4 is only about 0.1% of that of total T4. Low T4 may seen in
hypothyroidism where as high T4 may seen in hyperthyroidism. The most common causes of thyroid dysfunction are related to
autoimmune disorders. Graves disease causes hyperthyroidism and Hashimoto thyroiditis causes hypothyroidism. Both
hyperthyroidism and hypothyroidism can also be caused by thyroiditis, thyroid cancer, and excessive or deficient production of
TSH. The effect of these conditions on thyroid hormone production can be detected and monitored by measuring the free T4.
4. Thyroid-stimulating hormone (TSH) stimulates the production and release of T4 (primarily) and T3. They help control the
rate at which the body uses energy and are regulated by a feedback system. Most of the T4 circulates in the blood bound to
protein, while a small percentage is free (not bound).
5. Free Thyroid hormones may show falsely elevated results when biotin concentrations are >10 ng/mL.
6. Thyroid hormone status during pregnancy:
Pregnancy stage TSH (µIU/ml) FT3 (pg/mL) FT4 (ng/dL)
First trimester 0.05-3.70 2.11-3.83 0.7-2.0
Second trimester 0.31-4.35 1.96 -3.38 0.5-1.6
Third trimester 0.41-5.18 1.96 -3.38 0.5-1.6
End Of Report
CRM No :10703645
Sample Recd. Time: 25-04-2025 23:13
Report Time: 26-04-2025 01:31 Authorized Signatory
Patient Name: KANCHAN MALA Dr. Prerna Choudhary
Patient ID: 10703645 MBBS,MD (Pathology)
Scan For Report Scan To Verify
Page 1 of 1
QUALITY POLICY
GENERAL DIAGNOSTICS INTERNATIONAL (P) Ltd. maintains the highest standards of quality control in all aspects
of laboratory work. The purpose of our laboratory’s Quality Management System is to ensure that:
Principles of all accreditations, including that of NABL - ISO1518:2012 (National Accreditation Board of Laboratories) are adhered
for each test in the scope of the accreditation, and beyond.
Test methods, processes and control mechanisms are timely updated and fully validated to ensure the accuracy and
reliability of our test results.
The objectives of our Quality Control system are:
Use Bar-Coded operations to enable full traceability throughout the sample flow process and to ensure sample handling
procedures and environmental conditions are managed well and there is no or minimal affect on the results.
Continually improve the practices of our clients, franchise partners, associate doctors, clinics and hospitals and monitor their
training needs. Be proactive in identifying gaps in the processes being followed. Guide them to ensure that the patients are
served in the best possible way.
Report the results with accuracy and clarity in a timely manner. Do a root cause analysis whenever there is a deviation against
protocols and find solutions to the identified causes.
Ensure a continual enhancement, implementation and maintenance of the quality system and seek improvement in the
effectiveness of the quality system from experts at regular intervals.
Meet and exceed expectations with respect to turn-around time, sample collection hygiene & reliability of service.
Ensure that each test is performed by qualified and trained staff. Provide opportunities to the staff so that they can increase
their knowledge and use the same for self and organizational betterment.
Ensure that the equipment used are best in class, properly maintained and calibrated and where possible, measurements are
traceable to recognized standards. Also explore methods which may lead to improvement in equipment performance and
methodologies used for conducting tests.
Enable technology upgrades to achieve higher accuracy and reduced complexities.
Use internal audits and other checks to ensure the quality system complies with requirements; ensure problems are
investigated promptly, root cause(s) established and effective action taken to prevent a recurrence.
Have a smooth communication mechanism to ensure information is made available as rapidly as possible to those who need
it, both internal and external to the organization.
Monitor, help and support our franchise and service partners to be sensitive on all aspects of service delivery and to ensure
quality standards are followed with no exceptions.
CONDITIONS of REPORTING
01. It is presumed that the specimen accompanying the TRF (Test Requisition Form where 07. For certain category of tests, the report may carry a “PRELIMINARY” status implying
the details of patient are recorded) is of the same patient whose details are there in the that the results are yet to be reported for one (or more) tests. For example, in the case
TRF. with certain microbiology tests, a “FINAL” culture, identification or drug susceptibility
02. A test requested might not be performed due to the following reasons(s): result might be pending. In such case, the status “RESULT PENDING” will be mentioned
2.1 Insufficient quantity of specimen required to conduct the test. on report. The same shall be replaced by the test results whenever it is ready.
2.2 Poor quality of the Specimen not meeting the quality criteria 08. If the collection date or any other details was not stated in the Test Requisition Form,
(hemolysis of sample/clotted.) the same will not be printed on the report. In cases where the missing information is
2.3 Incorrect specimen type as required to conduct a test. mandatory for report generation or meeting accreditation guidelines, the sample
03. Test(s) may be patly or fully cancelled due to incorrect test code, incorrect name of the shall not be processed at all.
test or incorrect type of specimen. A communication shall be made and it is expected 09. Tests parameters excluded from the “scope” of NABL accreditation shall be marked
that a fresh specimen will be sent to laboratory for analysis of same parameter(s). by asterisks.
04. The results of laboratory investigation are dependent on the quality of the specimen as 10. In case you are not the intended recipient of the report, please immediately inform
well as the assay procedures/technologies used. All samples collected for tests are the same to the issuing entity. Any use, disclosure, copy or distribution of any
required to be prepared, stored, labeled and brought to processing laboratory as per the contents of such report, is unlawful and is strictly prohibited.
prescribed guidelines of GENERAL DIAGNOSTICS. 11. Some test may be referred to other laboratories to provide a wider test menu to the
05. GENERAL DIAGNOSTICS laboratory cannot be held liable for incorrect results of a sample patients. The details of the laboratory where the sample was referred to, can be
which deviated from the guidelines issued. obtained from Customer Care department.
06. There can be several factors like sample’s unintended exposure to heat or travel through 12. Claims of comparing results against that from a different laboratory shall be looked
rough terrain which affect the quality of test results. Therefore a 2% chance of error/ into only if it was the same sample which was split and sent in same conditions to all
deviation in results is a possibility. laboratories and processed on the same technology.
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