Reference: DR.SANTHIYA MBBS Ms. KAVITA T G R THIRUVERKADU Chennai Tel No : 9444255195 Sample Collected At: THIRUVERKADU PSC NO 33, LINGESWAR COMPLEX, 1ST FLOOR, SIVAN KOIL STREET, THIRUVERKADU, Processing Location:- Hitech Diagnostic Centre,935 GKS Towers,PH road Purasawalkam Chennai-84 PIN No: 600077 PID NO: P41023516413265 Age: 20 Year(s) Sex: Female VID: 230361503178753 Registered On: 03/01/2024 08:10 AM Collected On: 03/01/2024 8:05AM Reported On: 03/01/2024 12:56 PM CBC, Complete Blood Count Investigation Observed Value Unit Biological Reference Interval 4.72 mill/cu.mm 3.80-4.80 12.2 gm/dL 12.0-15.0 40.9 % 36.0-46.0 86.7 fL 83.0-101.0 25.8 pg 27.0-32.0 g/dL 31.5-34.5 13.5 % 11.6-14.0% 0.0 % 9250 cells/cu.mm 4000-11000 6096 cells/cu.mm 2500-7000 2359 cells/cu.mm 1550-4000 259 cells/cu.mm 200-1000 472 cells/cu.mm 40-400 28 cells/cu.mm 0-100 65.9 % 40.0-75.0 25.5 % 20-40 2.8 % 2.0-10.0 5.1 % 1.0-6.0 Erythrocytes Erythrocyte (RBC) Count (HYDRO DYNAMIC FOCUSING) Haemoglobin (Hb) (SLS- AUTOMATED) PCV (Packed Cell Volume) (AUTOMATED - PULSE HEIGHT DETECTION) MCV (Mean Corpuscular Volume) (Calculated) MCH (Mean Corpuscular Hb) (Calculated) MCHC (Mean Corpuscular Hb Concn.) 29.8 (Calculated) RDW (Red Cell Distribution Width) (Calculated) Nucleated RBC (AUTOMATED - FLOWCYTOMETRY) Leucocytes Total Leucocytes (WBC) count (AUTOMATED - FLOWCYTOMETRY) Absolute Neutrophils Count (Calculated) Absolute Lymphocyte Count (Calculated) Absolute Monocyte Count (Calculated) Absolute Eosinophil Count (Calculated) Absolute Basophil Count (Calculated) Neutrophils (AUTOMATED - FLOWCYTOMETRY) Lymphocytes (AUTOMATED - FLOWCYTOMETRY) Monocytes (AUTOMATED - FLOWCYTOMETRY) Eosinophils (AUTOMATED - FLOWCYTOMETRY) Page 1 of 4 Dr. Samudrala Bharathi MBBS ,MD Pathology. Chief of Lab Services. Reference: DR.SANTHIYA MBBS Ms. KAVITA T G R THIRUVERKADU Chennai Tel No : 9444255195 Sample Collected At: THIRUVERKADU PSC NO 33, LINGESWAR COMPLEX, 1ST FLOOR, SIVAN KOIL STREET, THIRUVERKADU, Processing Location:- Hitech Diagnostic Centre,935 GKS Towers,PH road Purasawalkam Chennai-84 PIN No: 600077 PID NO: P41023516413265 Age: 20 Year(s) Sex: Female Investigation Basophils VID: 230361503178753 Registered On: 03/01/2024 08:10 AM Collected On: 03/01/2024 8:05AM Reported On: 03/01/2024 12:56 PM Observed Value Unit Biological Reference Interval 0.3 % 0-1.0 0.4 % 3.52 Lakhs/cu.mm 1.50-4.50 10.1 fL 6-9.5 11.0 fL 9-17 (AUTOMATED - FLOWCYTOMETRY) IMMATURE GRANULOCYTE (AUTOMATED - FLOWCYTOMETRY) Platelets Platelet count (HYDRO DYNAMIC FOCUSING) MPV (Mean Platelet Volume) (Calculated) PDW (Platelet Distribution Width) (Calculated) All Abnormal Haemograms are reviewed confirmed microscopically. Tests marked with NABL symbol are accredited by NABL vide Certificate no MC-5586 Page 2 of 4 Dr. Samudrala Bharathi MBBS ,MD Pathology. Chief of Lab Services. Reference: DR.SANTHIYA MBBS Sample Collected At: THIRUVERKADU PSC NO 33, LINGESWAR COMPLEX, 1ST FLOOR, SIVAN KOIL STREET, THIRUVERKADU, Processing Location:- Hitech Diagnostic Centre,935 GKS Towers,PH road Purasawalkam Chennai-84 Ms. KAVITA T G R THIRUVERKADU Chennai Tel No : 9444255195 PIN No: 600077 PID NO: P41023516413265 Age: 20 Year(s) Sex: Female Investigation Complete Blood Count with ESR ESR - Erythrocyte Sedimentation Rate VID: 230361503178753 Registered On: 03/01/2024 08:10 AM Collected On: 03/01/2024 8:05AM Reported On: 03/01/2024 12:56 PM Observed Value Unit Biological Reference Interval 26 mm/hr 5-20 (EDTA Whole Blood,CAPILLARY PHOTOMETRY AGGREGATION/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. 2. 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. 3. It is also increased in pregnancy, multiple myeloma, menstruation, and hypothyroidism. Remark : ESR Performed using capillary photometric aggregation (for automated analysis) & westergrens (for manual testing). Tests marked with NABL symbol are accredited by NABL vide Certificate no MC-5586 Page 3 of 4 Dr. Samudrala Bharathi MBBS ,MD Pathology. Chief of Lab Services. Ms. KAVITA T G R THIRUVERKADU Chennai Tel No : 9444255195 PIN No: 600077 PID NO: P41023516413265 Age: 20 Year(s) Sex: Female Investigation Reference: DR.SANTHIYA MBBS Sample Collected At: THIRUVERKADU PSC NO 33, LINGESWAR COMPLEX, 1ST FLOOR, SIVAN KOIL STREET, THIRUVERKADU, Processing Location:- Hitech Diagnostic Centre,935 GKS Towers,PH road Purasawalkam Chennai-84 VID: 230361503178753 Registered On: 03/01/2024 08:10 AM Collected On: 03/01/2024 8:05AM Reported On: 03/01/2024 12:56 PM Observed Value Unit Biological Reference Interval T3 (Total) 127.5 ng/dL 91-218 T4 (Total) 8.56 ug/dl 5.9-13.2 Adults: 4.6-12.0 TSH 3RD GENERATION (hS TSH) 3.52 µIU/mL Adults: 0.35-5.50 1 Trimester : 0.1-2.50 2 Trimester : 0.2-3.00 3 Trimester : 0.3-3.00 Thyroid panel-1 (T3/T4/TSH) (Serum,ECLIA) INTERPRETATION TSH T3 / FT3 T4 / FT4 Suggested Interpretation for the Thyroid Function Tests Pattern Within Range Decreased Within Range • Isolated Low T3-often seen in elderly & associated Non-Thyroidal illness. In elderly the drop in T3 level can be upto 25%. Raised Within Range Within Range •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" Raised Decreased Decreased •Chronic Autoimmune Thyroiditis •Post thyroidectomy,Post radioiodine •Hypothyroid phase of transient thyroiditis" Raised or within Raised Range Raised or within Range •Interfering antibodies to thyroid hormones (anti-TPO antibodies) •Intermittent T4 therapy or T4 overdose •Drug interference- Amiodarone, Heparin,Beta blockers,steroids, anti-epileptics" Decreased Raised or within Range Raised or within Range •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" Decreased Decreased Decreased •Central Hypothyroidism •Non-Thyroidal illness •Recent treatment for Hyperthyroidism (TSH remains suppressed)" Decreased Raised Raised •Primary Hyperthyroidism (Graves’ disease),Multinodular goitre, Toxic nodule •Transient thyroiditis:Postpartum, Silent (lymphocytic), Postviral (granulomatous,subacute, DeQuervain’s),Gestational thyrotoxicosis with hyperemesis gravidarum" Decreased or within Range Raised Within Range •T3 toxicosis •Non-Thyroidal illness 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 -- End of Report -- Tests marked with NABL symbol are accredited by NABL vide Certificate no MC-5586 Page 4 of 4 Dr. Samudrala Bharathi MBBS ,MD Pathology. Chief of Lab Services.