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Metropolis Laboratory Rajkot 7573086693

Metropolis Laboratory Rajkot 7573086693

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Metropolis Laboratory Rajkot 7573086693

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  1. Reference: SELF VID: 230153504201733 Registered On: 04/02/2024 10:09 AM Mrs. BHARTIBEN PATEL RAJKOT,RAJKOT Rajkot.. Tel No : 9909962466 PIN No: 360007 Sample Collected At: Apsc-ra-govindbhai P. Matta Refugy Colony, Main Road, Quarter No. 89, Nr. Khushbu Medical, Rajkot, Gujarat - 360001 Processing Location:- Metropolis healthcare Ltd, Safal-3, Swami vivekananda road, Rajkot-360001 Collected On: PID NO: P43023518105448 04/02/2024 10:07AM Reported On: 04/02/2024 01:35 PM Age: 62 Year(s) Sex: Female CBC Haemogram Investigation Erythrocytes Observed Value Unit Biological Reference Interval 13.7 gm/dL 12.5-16 Haemoglobin (Hb) 4.66 mill/cu.mm 4.2-5.4 Erythrocyte (RBC) Count 39.8 % 37-47 PCV (Packed Cell Volume) 85.4 fL 78-100 MCV (Mean Corpuscular Volume) 29.3 pg 27-31 MCH (Mean Corpuscular Hb) MCHC (Mean Corpuscular Hb Concn.) 34.3 g/dL 32-36 13.5 % 11.5-14.0 RDW (Red Cell Distribution Width) Leucocytes 6,600 cells/cu.mm 4000-10500 Total Leucocytes (WBC) count 53 % 40-80 Neutrophils 38 % 20-40 Lymphocytes 6 % 2.0-10 Monocytes 2 % 1-6 Eosinophils 1 % 0-2 Basophils 3498 /c.mm 2000-7000 Absolute Neutrophils Count 2508 /c.mm 1000-3000 Absolute Lymphocyte Count 396 /c.mm 200-1000 Absolute Monocyte Count 132 /c.mm 20-500 Absolute Eosinophil Count 66 /c.mm 20-100 Absolute Basophil Count Platelets 287000 150000-450000 Platelet count / µl 7.9 fL 6-9.5 MPV (Mean Platelet Volume) 0.226 % 0.2-0.5 PCT ( Platelet Haematocrit) 16.7 % 9-17 PDW (Platelet Distribution Width) EDTA Whole Blood - Tests done on Automated Five Part Cell Counter. (WBC, RBC Platelet count by impedance method, WBC differential by VCS technology Hb measured by Photometric measurement,other parameters calculated) All Abnormal Haemograms are reviewed confirmed microscopically. Differential count is based on approximately 10,000 cells. Tests marked with NABL symbol are accredited by NABL vide Certificate no MC-2724 Page 1 of 11 Dr. Hardip Dharsandia. M.B. DCP (PATH.)

  2. Reference: SELF Sample Collected At: Apsc-ra-govindbhai P. Matta Refugy Colony, Main Road, Quarter No. 89, Nr. Khushbu Medical, Rajkot, Gujarat - 360001 Processing Location:- Metropolis healthcare Ltd, Safal-3, Swami vivekananda road, Rajkot-360001 VID: 230153504201733 Registered On: 04/02/2024 10:09 AM Mrs. BHARTIBEN PATEL RAJKOT,RAJKOT Rajkot.. Tel No : 9909962466 PIN No: 360007 Collected On: 04/02/2024 10:07AM Reported On: 04/02/2024 01:35 PM PID NO: P43023518105448 Age: 62 Year(s) Sex: Female Investigation Glucose fasting (Plasma-F,Hexokinase) Observed Value 129 Unit mg/dL Biological Reference Interval Normal: 70-99 Impaired Tolerance: 100-125 Diabetes mellitus: >= 126 (on more than one occassion) (American diabetes association guidelines 2021) Note: An individual may show higher fasting glucose level in comparison to post prandial glucose level due to following reasons : The glycaemic index and response to food consumed, Changes in body composition, Increased insulin response and sensitivity, Alimentary hypoglycemia, Renal glycosuria, Effect of oral hypoglycaemics & Insulin treatment. Associated Tests: HbA1c (H0018), Diabetes Profile – Maxi (D0021),HOMA Index (H0275), Insulin (I0275) BilirubinTotal, Direct, IndirectSerum 0.46 mg/dL 0.2-1.2 Bilirubin-Total (Serum,Diazo) Bilirubin-Direct (Serum,Diazo) Bilirubin- Indirect (Serum,Calculated) Proteins 0.18 mg/dL 0.0-0.5 0.28 mg/dL 0.1-1.0 6.5 g/dL 6.2-8.1 Total Protein (Serum,Biuret) Albumin (Serum,Bromocresol green) Globulin (Serum) A/G Ratio (Serum,Calculated) SGPT (ALT) (Serum,IFCC) SGOT (AST) (Serum,IFCC) Creatinine (Serum,Jaffe) Uric Acid (Serum,Uricase) Interpretation: • Increased in Gout, asymptomatic hyperuricemia, leukemia, polycythemia, hemolytic anemia, sickle cell anemia, resolving pneumonia, toxemia of pregnancy, psoriasis, lymphoma, metabolic acidosis, chronic lead poisoning. • Decreased in disorders of copper accumulation , kidney tubule disorder, Acromegaly, Celiac disease, Xanthine oxidase deficiency. • Its used to monitor gout and also chemotherapeutic treatment of neoplasm to avoid renal urate deposition with possible renal failure (tumor lysis syndrome). 4.4 g/dL 3.2-4.6 2.10 g/dL 1.8-3.6 2.1 1.1-2.2 33 U/L 0-34 25 U/L 9-36 0.63 mg/dL 0.57-1.11 4.6 mg/dL 2.6-6 Dr. HARDIP DHARSANDIA. M.B. DCP (PATH.) M.B. DCP (PATH.) Dr. HARDIP DHARSANDIA. Page 2 of 11

  3. Reference: SELF Sample Collected At: Apsc-ra-govindbhai P. Matta Refugy Colony, Main Road, Quarter No. 89, Nr. Khushbu Medical, Rajkot, Gujarat - 360001 Processing Location:- Metropolis healthcare Ltd, Safal-3, Swami vivekananda road, Rajkot-360001 VID: 230153504201733 Registered On: 04/02/2024 10:09 AM Mrs. BHARTIBEN PATEL RAJKOT,RAJKOT Rajkot.. Tel No : 9909962466 PIN No: 360007 Collected On: 04/02/2024 10:07AM Reported On: 04/02/2024 01:35 PM PID NO: P43023518105448 Age: 62 Year(s) Sex: Female Note:  • • A purine rich diet as well as sever exercise increases uric acid values. High protein-weight reduction diet and alcohol consumption can cause raised uric acid levels. Reeference: • • • • Package insert Wallach’s interpretation of diagnostic tests, Ed11, 2020. Henry's Clinical Diagnosis and Management by Laboratory Methods. 23rd ed; 2017. Tietz fundamentals of clinical chemistry 6th edition. Burtis CA, Ashwood ER, Bruns DE, 2008. 3.2 mg/dL 2.3-4.7 Phosphorous (Serum,Phospomolybdate) Calcium (Serum,o-cresolphthalein complexone) Lipid Profile-2 (Serum,Enzymatic) Cholesterol-Total 9.5 mg/dL 8.4-10.2 186 mg/dL Desirable: < 200 Borderline High: 200-239 High: >= 240 Normal: < 150 Borderline High: 150-199 High: 200-499 Very High: >= 500 Major risk factor for heart disease: < 40 Negative risk factor for heart disease: >= 60 Optimal: < 130 Desirable: 130-159 Borderline high: 159-189 High: 189-220 Very High: >= 220 Optimal: < 100 Near Optimal: 100-129 Borderline high: 130-159 High: 160-189 Very High: >= 190 6-38 115 mg/dL Triglycerides 41 mg/dL HDL Cholesterol mg/dL Non HDL Cholesterol 145.0 mg/dL LDL Cholesterol 122 23 mg/dL VLDL Cholesterol 2.98 2.5-3.5 LDL/HDL RATIO 4.54 3.5-5 CHOL/HDL RATIO Dr. HARDIP DHARSANDIA. M.B. DCP (PATH.) M.B. DCP (PATH.) Dr. HARDIP DHARSANDIA. Page 3 of 11

  4. Reference: SELF Sample Collected At: Apsc-ra-govindbhai P. Matta Refugy Colony, Main Road, Quarter No. 89, Nr. Khushbu Medical, Rajkot, Gujarat - 360001 Processing Location:- Metropolis healthcare Ltd, Safal-3, Swami vivekananda road, Rajkot-360001 VID: 230153504201733 Registered On: 04/02/2024 10:09 AM Mrs. BHARTIBEN PATEL RAJKOT,RAJKOT Rajkot.. Tel No : 9909962466 PIN No: 360007 Collected On: 04/02/2024 10:07AM Reported On: 04/02/2024 01:35 PM PID NO: P43023518105448 Age: 62 Year(s) Sex: Female Investigation Note: Reference Interval as per National Cholesterol Education Program (NCEP) Adult Treatment Panel III Report. Observed Value Unit Biological Reference Interval VLDL,CHOL/HDL RATIO,LDL/HDL RATIO,LDL Cholesterol,serum,Non HDL Colesterol are calculated parameters Electrolytes (Serum,ISE) Sodium 143 mmol/L 136-145 Interpretation: • Low levels are noted in prolonged vomiting or diarrhea, diminished reabsorption in the kidney and excessive fluid retention. High levels are seen in case of excessive fluid loss, high salt intake and increased kidney reabsorption 4.9 mmol/L 3.5-5.1 Potassium Interpretation: • Low levels are noted in reduced intake of dietary potassium or excessive loss of potassium from the body due to diarrhea, prolonged vomiting or increased renal excretion. High levels may be caused by dehydration or shock, severe burns, hemolysis, diabetic ketoacidosis, and retention of potassium by the kidney 107.0 mmol/L 98-107 Chlorides Interpretation: •  Low levels are noted in reduced dietary intake, prolonged vomiting and reduced renal reabsorption as well as some forms of acidosis and alkalosis. High levels are found in dehydration, kidney failure, some forms of acidosis, high dietary or parenteral chloride intake, and salicylate poisoning. Urea, Serum mg/dL 21-43 Urea Serum (Serum) BUN-Blood Urea Nitrogen (Serum,Urease) Remark: In blood, Urea is usually reported as BUN and expressed in mg/dl. BUN mass units can be converted to urea mass units by multiplying by 2.14. 18 mg/dL 9.8-20.1 8.0 Dr. HARDIP DHARSANDIA. Dr. HARDIP DHARSANDIA. Dr. HARDIP DHARSANDIA. M.B. DCP (PATH.) M.B. DCP (PATH.) M.B. DCP (PATH.) Page 4 of 11

  5. Reference: SELF Sample Collected At: Apsc-ra-govindbhai P. Matta Refugy Colony, Main Road, Quarter No. 89, Nr. Khushbu Medical, Rajkot, Gujarat - 360001 Processing Location:- Metropolis healthcare Ltd, Safal-3, Swami vivekananda road, Rajkot-360001 VID: 230153504201733 Registered On: 04/02/2024 10:09 AM Mrs. BHARTIBEN PATEL RAJKOT,RAJKOT Rajkot.. Tel No : 9909962466 PIN No: 360007 Collected On: 04/02/2024 10:07AM Reported On: 04/02/2024 01:35 PM PID NO: P43023518105448 Age: 62 Year(s) Sex: Female Investigation Tru health vital Observed Value Unit Biological Reference Interval mm/hr 0-20 ESR - Erythrocyte Sedimentation Rate (EDTA Whole Blood) 28 Method: Automated Westergren Interpretation: 1. It indicates presence and intensity of an inflammatory process, never diagnostic of a specific disease. Changes are more significant than a single abnormal test. It is a prognostic test and used to monitor the course or response to treatment of diseases like tuberculosis, bacterial endocarditis, acute rheumatic fever, rheumatoid arthritis, SLE, Hodgkins disease, temporal arteritis, polymyalgia rheumatica. It is also increased in pregnancy, multiple myeloma, menstruation, and hypothyroidism. 2. 3. Dr. HARDIP DHARSANDIA. M.B. DCP (PATH.) M.B. DCP (PATH.) Dr. HARDIP DHARSANDIA. Page 5 of 11

  6. Reference: SELF Sample Collected At: Apsc-ra-govindbhai P. Matta Refugy Colony, Main Road, Quarter No. 89, Nr. Khushbu Medical, Rajkot, Gujarat - 360001 Processing Location:- Metropolis healthcare Ltd, Safal-3, Swami vivekananda road, Rajkot-360001 VID: 230153504201733 Registered On: 04/02/2024 10:09 AM Mrs. BHARTIBEN PATEL RAJKOT,RAJKOT Rajkot.. Tel No : 9909962466 PIN No: 360007 Collected On: 04/02/2024 10:07AM Reported On: 04/02/2024 01:35 PM PID NO: P43023518105448 Age: 62 Year(s) Sex: Female Investigation Vitamin B12 level (Serum,ECLIA) Interpretation : Observed Value 353.2 Unit pg/mL Biological Reference Interval 197-771 1. Vit B12 levels are decreased in megaloblastic anemia, partial/total gastrectomy, pernicious anemia, peripheral neuropathies, chronic alcoholism, senile dementia, and treated epilepsy. 2. An associated increase in homocysteine levels is an independent risk marker for cardiovascular disease and deep vein thrombosis. 3. Holo Transcobalamin II levels are a more accurate marker of active VitB12 component. Caution:  • Patients on Biotin supplement may have interference in some immunoassays. With individuals taking high dose Biotin (more than 5 mg per day) supplements, at least 8-hour wait time before blood draw is recommended. Disclaimer: • High levels of Vitamin B12 may be due to exogenous supplementation. Kindly correlate clinically. Associated Tests • Active Vitamin B12 (V0012), Homocysteine reflex Vitamin B12-folate serum (H0310), Homocysteine Serum (H0254),RBC Folate R0007. Reference: 1. Package insert 2. Arch Pathol Lab Med—Vol 141, November 2017 ng/mL Deficiency: < 10 Insufficiency: 10-30 Sufficiency: 30-100 Hypervitaminosis: > 100 25 Hydroxy (OH) Vit D (Serum,ECLIA) 4.79 Interpretation: • Vitamin D is a fat soluble vitamin and exists in two main forms as D3 & D2. Both are converted to 25(OH) vitamin D in liver. • For diagnosis of vitamin D deficiency, it is recommended to have clinical correlation with serum 25(OH)vitamin D, serum calcium, serum iPTH & serum alkaline phosphatase • During monitoring of oral vitamin D therapy- suggested testing of serum 25(OH) vitamin D is after 12 weeks or 3 months of treatment. Caution:  • Patients on Biotin supplement may have interference in some immunoassays. With individuals taking high dose Biotin (more than 5 mg per day) supplements, at least 8-hour wait time before blood draw is recommended. Disclaimer: • The required dosage of vitamin D supplements & time to achieve sufficient vitamin D levels show significant seasonal (especially winter) & individual variability depending on age, body fat, sun exposure, physical activity, genetic factors (especially variable vitamin D receptor responses), associated liver or renal diseases, malabsorption syndromes and calcium or magnesium deficiency. • Vitamin D toxicity is known but very rare. Kindly correlate clinically, repeat with fresh sample if indicated. Associated Tests: • iPTH-Intact Molecule Parathyroid hormone Serum/Plasma (P0114), Calcium(C0017), Vitamin D plus profile(V0016) Reference: 1. Package insert 2. Arch Pathol Lab Med—Vol 141, November 2017 Dr. HARDIP DHARSANDIA. M.B. DCP (PATH.) M.B. DCP (PATH.) Dr. HARDIP DHARSANDIA. Page 6 of 11

  7. Reference: SELF Sample Collected At: Apsc-ra-govindbhai P. Matta Refugy Colony, Main Road, Quarter No. 89, Nr. Khushbu Medical, Rajkot, Gujarat - 360001 Processing Location:- Metropolis healthcare Ltd, Safal-3, Swami vivekananda road, Rajkot-360001 VID: 230153504201733 Registered On: 04/02/2024 10:09 AM Mrs. BHARTIBEN PATEL RAJKOT,RAJKOT Rajkot.. Tel No : 9909962466 PIN No: 360007 Collected On: 04/02/2024 10:07AM Reported On: 04/02/2024 01:35 PM PID NO: P43023518105448 Age: 62 Year(s) Sex: Female Tests marked with NABL symbol are accredited by NABL vide Certificate no MC-2724 Page 7 of 11 Dr. HARDIP DHARSANDIA. M.B. DCP (PATH.)

  8. Reference: SELF VID: 230153504201733 Registered On: 04/02/2024 10:09 AM Mrs. BHARTIBEN PATEL RAJKOT,RAJKOT Rajkot.. Tel No : 9909962466 PIN No: 360007 Sample Collected At: Apsc-ra-govindbhai P. Matta Refugy Colony, Main Road, Quarter No. 89, Nr. Khushbu Medical, Rajkot, Gujarat - 360001 Processing Location:- Metropolis healthcare Ltd, Safal-3, Swami vivekananda road, Rajkot-360001 Collected On: PID NO: P43023518105448 04/02/2024 10:07AM Reported On: 04/02/2024 01:35 PM Age: 62 Year(s) Sex: Female HbA1c- Glycated Haemoglobin, blood by HPLC method (EDTA Whole Blood) Investigation HbA1C- Glycated Haemoglobin (HPLC) Observed Value 6.9 Unit % Biological Reference Interval Non-diabetic: <= 5.6 Pre-diabetic: 5.7-6.4 Diabetic: >= 6.5 151 mg/dL Estimated Average Glucose (eAG) Interpretation & Remark:   1. 2. HbA1c is used for monitoring diabetic control. It reflects the estimated average glucose (eAG). HbA1c has been endorsed by clinical groups & ADA (American Diabetes Association) guidelines 2017, for diagnosis of diabetes using a cut-off point of 6.5%. Trends in HbA1c are a better indicator of diabetic control than a solitary test. 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. To estimate the eAG from the HbA1C value, the following equation is used: eAG(mg/dl) = 28.7*A1c-46.7 Interference of Haemoglobinopathies in HbA1c estimation.             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/ turbo is corrected for HbS and HbC trait). 3. 4. 5. 6.       7.   In known diabetic patients, following values 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 % . Note : Hemoglobin electrophoresis (HPLC method) is recommended for detecting hemoglobinopathy. Tests marked with NABL symbol are accredited by NABL vide Certificate no MC-2724 Page 8 of 11 Dr. Hardip Dharsandia. M.B. DCP (PATH.)

  9. Reference: SELF VID: 230153504201733 Registered On: 04/02/2024 10:09 AM Mrs. BHARTIBEN PATEL RAJKOT,RAJKOT Rajkot.. Tel No : 9909962466 PIN No: 360007 Sample Collected At: Apsc-ra-govindbhai P. Matta Refugy Colony, Main Road, Quarter No. 89, Nr. Khushbu Medical, Rajkot, Gujarat - 360001 Processing Location:- Metropolis healthcare Ltd, Safal-3, Swami vivekananda road, Rajkot-360001 Collected On: PID NO: P43023518105448 04/02/2024 10:07AM Reported On: 04/02/2024 01:35 PM Age: 62 Year(s) Sex: Female Investigation Tru health vital Observed Value Unit Biological Reference Interval Thyroid panel - 2( FT3, FT4, TSH) (Serum,ECLIA) Free T3 3.41 pg/mL 2.0-4.4 First Trimester: 2.46-3.49 Second Trimester: 2.09-3.55 Third trimester: 2.01-3.27 0.93-1.7 First Trimester Second Trimester Third trimester Reference Intervals for Children andAdultd Elecys Thyroid Tests Tietz fundamentals of clinical chemistry sixth edition 0.54-5.3 First Trimester: 0.33-4.59 Second Trimester: 0.35-4.10 Third trimester: 0.21-3.15 1.16 ng/dL Free T4 0.565 TSH(Ultrasensitive) µIU/mL INTERPRETATION Dr. Hardip Dharsandia. M.B. DCP (PATH.) Page 9 of 11

  10. Reference: SELF VID: 230153504201733 Registered On: 04/02/2024 10:09 AM Mrs. BHARTIBEN PATEL RAJKOT,RAJKOT Rajkot.. Tel No : 9909962466 PIN No: 360007 Sample Collected At: Apsc-ra-govindbhai P. Matta Refugy Colony, Main Road, Quarter No. 89, Nr. Khushbu Medical, Rajkot, Gujarat - 360001 Processing Location:- Metropolis healthcare Ltd, Safal-3, Swami vivekananda road, Rajkot-360001 Collected On: PID NO: P43023518105448 04/02/2024 10:07AM Reported On: 04/02/2024 01:35 PM Age: 62 Year(s) Sex: Female TSH Within Range T3 / FT3 Decreased T4 / FT4 Within Range Suggested Interpretation for the Thyroid Function Tests Pattern • Isolated Low T3-often seen in elderly & associated Non-Thyroidal illness. In elderly the drop in T3 level can be upto 25%. •Isolated High TSHespecially in the range of 4.7 to 15 mIU/ml is commonly associated with Physiological & Biological TSH Variability. •Subclinical Autoimmune Hypothyroidism •Intermittent T4 therapy for hypothyroidism •Recovery phase after Non-Thyroidal illness" •Chronic Autoimmune Thyroiditis •Post thyroidectomy,Post radioiodine •Hypothyroid phase of transient thyroiditis" •Interfering antibodies to thyroid hormones (anti-TPO antibodies) •Intermittent T4 therapy or T4 overdose •Drug interference- Amiodarone, Heparin,Beta blockers,steroids, anti-epileptics" •Isolated Low TSH -especially in the range of 0.1 to 0.4 often seen in elderly & associated with Non-Thyroidal illness •Subclinical Hyperthyroidism •Thyroxine ingestion" •Central Hypothyroidism •Non-Thyroidal illness •Recent treatment for Hyperthyroidism (TSH remains suppressed)" •Primary Hyperthyroidism (Graves’ disease),Multinodular goitre, Toxic nodule •Transient thyroiditis:Postpartum, Silent (lymphocytic), Postviral (granulomatous,subacute, DeQuervain’s),Gestational thyrotoxicosis with hyperemesis gravidarum" •T3 toxicosis •Non-Thyroidal illness Raised Within Range Within Range Raised Decreased Decreased Raised or within Range Raised Raised or within Range Decreased Raised or within Range Raised or within Range Decreased Decreased Decreased Decreased Raised Raised Decreased or within Range Raised Within Range References:  1. Interpretation of thyroid function tests. Dayan et al. THE LANCET • Vol 357 • February 24, 2001 2. Laboratory Evaluation of Thyroid Function, Indian Thyroid Guidelines, JAPI, January 2011,vol. 59 Tests marked with NABL symbol are accredited by NABL vide Certificate no MC-2724 Page 10 of 11 Dr. Hardip Dharsandia. M.B. DCP (PATH.)

  11. Reference: SELF VID: 230153504201733 Registered On: 04/02/2024 10:09 AM Mrs. BHARTIBEN PATEL RAJKOT,RAJKOT Rajkot.. Tel No : 9909962466 PIN No: 360007 Sample Collected At: Apsc-ra-govindbhai P. Matta Refugy Colony, Main Road, Quarter No. 89, Nr. Khushbu Medical, Rajkot, Gujarat - 360001 Processing Location:- Metropolis healthcare Ltd, Safal-3, Swami vivekananda road, Rajkot-360001 Collected On: PID NO: P43023518105448 04/02/2024 10:07AM Reported On: 04/02/2024 01:35 PM Age: 62 Year(s) Sex: Female ROUTINE EXAMINATION URINE Investigation Tru health vital Observed Value Unit Biological Reference Interval General Examination Pale Yellow Pale Yellow Colour Clear Clear Transparency (Appearance) 5.5 4.5-8 Reaction (pH) 1.015 1.010-1.030 Specific gravity Chemical Examination Absent Absent Urine Protein (Albumin) Absent Absent Urine Ketones (Acetone) Absent Absent Urine Glucose (sugar) Absent Absent Bile pigments Absent Absent Bile salts Normal Normal Urobilinogen Negative Negative Nitrite Microscopic Examination Absent /hpf Absent Red blood cells Absent /hpf 0-5 Pus cells (WBCs) 2.0 /hpf 0-4 Epithelial cells Absent Absent Crystals Absent Absent Cast Absent Absent Bacteria Note :1.Chemical examination through Dipstick includes test methods as Protein (Protein Error Principle), Glucose (Glucose oxidase-Peroxidase), Ketone (Legals Test), Bilirubin (Azo- Diazo reaction),Urobilinogen (Diazonium ion Reaction) Nitrite (Griess Method). Abnormal results of chemical examination are confirmed by manual methods. 2. Negative nitrite test does not exclude the urinary tract infections, Trace proteinuria can be seen with many physiological conditions like prolonged recumbency, exercise, high protein diet. False positive reactions for bile pigments, proteins, glucose and nitrites can be caused by peroxidase like activity by disinfectants, therapeutic dyes, ascorbic acid and certain drugs.3. Pre-test conditions : Void first urine ,collect mid-stream urine in clean sterile container to avoid contamination with perineal, vaginal or urethral discharge. -- End of Report -- Tests marked with NABL symbol are accredited by NABL vide Certificate no MC-2724 Page 11 of 11 Dr. Hardip Dharsandia. M.B. DCP (PATH.)

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