.

Name : Ms. YASHWANI VERMA

Lab No. : 452743763 Age : 69 Years
Ref By : SELF Gender : Female
Collected : 12/10/2023 12:37:00PM Reported : 13/10/2023 10:11:00AM
A/c Status : P Report Status : Interim
Collected at : PSC Shakti Nagar Home Visit Processed at : LPL-NATIONAL REFERENCE LAB
DELHI, DEL National Reference laboratory, Block E,
DELHI Sector 18, Rohini, New Delhi -110085

Test Report
Test Name Results Units Bio. Ref. Interval

COMPLETE BLOOD COUNT;CBC

Hemoglobin 12.10 g/dL 12.00 - 15.00

(Photometry)
Packed Cell Volume (PCV) 37.90 % 36.00 - 46.00
(Calculated)
RBC Count 4.37 mill/mm3 3.80 - 4.80
(Electrical Impedence)
MCV 86.70 fL 83.00 - 101.00
(Electrical Impedence)
MCH 27.70 pg 27.00 - 32.00
(Calculated)
MCHC 32.00 g/dL 31.50 - 34.50
(Calculated)
Red Cell Distribution Width (RDW) 15.60 % 11.60 - 14.00
(Electrical Impedence)
Total Leukocyte Count (TLC) 22.10 thou/mm3 4.00 - 10.00
(Electrical Impedence)
Differential Leucocyte Count (DLC)
(VCS Technology)
Segmented Neutrophils 83.80 % 40.00 - 80.00
Lymphocytes 5.90 % 20.00 - 40.00
Monocytes 9.50 % 2.00 - 10.00
Eosinophils 0.30 % 1.00 - 6.00
Basophils 0.50 % <2.00
Absolute Leucocyte Count
(Calculated)
Neutrophils 18.52 thou/mm3 2.00 - 7.00
Lymphocytes 1.30 thou/mm3 1.00 - 3.00
Monocytes 2.10 thou/mm3 0.20 - 1.00
Eosinophils 0.07 thou/mm3 0.02 - 0.50
Basophils 0.11 thou/mm3 0.02 - 0.10
Platelet Count 272 thou/mm3 150.00 - 410.00
(Electrical impedence)
Mean Platelet Volume 8.4 fL 6.5 - 12.0
(Electrical Impedence)
Note
1. As per the recommendation of International council for Standardization in Hematology, the differential

*452743763* Page 1 of 9
.

Name : Ms. YASHWANI VERMA

Lab No. : 452743763 Age : 69 Years
Ref By : SELF Gender : Female
Collected : 12/10/2023 12:37:00PM Reported : 13/10/2023 10:11:00AM
A/c Status : P Report Status : Interim
Collected at : PSC Shakti Nagar Home Visit Processed at : LPL-NATIONAL REFERENCE LAB
DELHI, DEL National Reference laboratory, Block E,
DELHI Sector 18, Rohini, New Delhi -110085

Test Report
Test Name Results Units Bio. Ref. Interval
leucocyte counts are additionally being reported as absolute numbers of each cell in per unit volume of
blood

2. Test conducted on EDTA whole blood

Comments
There is leucocytosis with neutrophilia
There is monocytosis
Advised:
Followup and clinical correlation

*452743763* Page 2 of 9
.

Name : Ms. YASHWANI VERMA

Lab No. : 452743763 Age : 69 Years
Ref By : SELF Gender : Female
Collected : 12/10/2023 12:37:00PM Reported : 13/10/2023 10:11:08AM
A/c Status : P Report Status : Interim
Collected at : PSC Shakti Nagar Home Visit Processed at : LPL-NATIONAL REFERENCE LAB
DELHI, DEL National Reference laboratory, Block E,
DELHI Sector 18, Rohini, New Delhi -110085

Test Report

Test Name Results Units Bio. Ref. Interval

WIDAL TEST, SERUM

(Tube Agglutination)

Salmonella typhi O (TO) Reactive upto Titre

1:80
Salmonella typhi H (TH) Reactive upto Titre
1:320
Salmonella paratyphi A, H (AH) Reactive upto Titre
1:80
Salmonella paratyphi B H (BH) Non Reactive

Interpretation
-------------------------------------------------------------------------------------
| RESULT | REMARKS |
|--------------|----------------------------------------------------------------------|
| Reactive | Indicates presence of IgM & IgG antibodies against Salmonella spp. |
|--------------|----------------------------------------------------------------------|
| Non-Reactive | Indicates absence of IgM & IgG antibodies against Salmonella spp. |
-------------------------------------------------------------------------------------

Note:
1.Titres ≥1:80 of “O” antigen & ≥1:160 of “H” antigen for Salmonella typhi and titres ≥1:80 of “H” antigen
for Salmonella paratyphi A & B are significant.
2. Rising titres in paired samples taken 7-10 days apart are more significant than a single test.
3. Reactive results indicates ongoing or recent infection by Salmonella spp. and the diagnosis should be
confirmed by gold standard test such as Blood culture prior to start of antibiotics.
4. The reactivity will vary with stage of the disease with appearance in 1st week to increase in titres till
end of 4th week post which it starts decreasing.
5. In TAB vaccinated patients, high titres of H antibody of ≥1:160 to each of Salmonellae is observed.
They tend to persist for many months and even years while O antibody shows lower titres and
disappears within 6 months.
6. Antibiotic treatment during 1st week before the appearance of antibodies tend to supress the immune
response in the form of no or decreasing antibody levels.
7. False positive results/anamnestic response may be seen in patients with past enteric infection during
unrelated fevers like Malaria, Influenzae etc. in the form of transient rise in H antibody in Widal test.
8. False negative results may be due to processing of sample collected early in the course of disease
(1st week) and immunosuppression.
9. Test conducted on serum.

*452743763* Page 3 of 9
.

Name : Ms. YASHWANI VERMA

Lab No. : 452743763 Age : 69 Years
Ref By : SELF Gender : Female
Collected : 12/10/2023 12:37:00PM Reported : 13/10/2023 10:11:08AM
A/c Status : P Report Status : Interim
Collected at : PSC Shakti Nagar Home Visit Processed at : LPL-NATIONAL REFERENCE LAB
DELHI, DEL National Reference laboratory, Block E,
DELHI Sector 18, Rohini, New Delhi -110085

Test Report

Test Name Results Units Bio. Ref. Interval

Uses
· To diagnose infection due to Salmonella spp. (Enteric fever).
· To monitor the progression of disease.
· To assess the response to therapy (decreasing titres) in patients being treated for Enteric fever.

C-REACTIVE PROTEIN; CRP, SERUM 145.64 mg/L <5.00

(Immunoturbidimetry)

Comments
CRP is an acute phase reactant which is used in inflammatory disorders for monitoring course and effect of
therapy. It is most useful as an indicator of activity in Rheumatoid arthritis, Rheumatic fever, tissue injury or
necrosis and infections. As compared to ESR, CRP shows an earlier rise in inflammatory disorders which
begins in 4-6 hrs, the intensity of the rise being higher than ESR and the recovery being earlier than ESR.
Unlike ESR, CRP levels are not influenced by hematologic conditions like Anemia, Polycythemia etc.
IMMUNOGLOBULIN IgM, SERUM 94.10 mg/dL 50.00 - 300.00
(Immunoturbidimetry)

Comments
IgM is the largest immunoglobulin molecule that makes 6% of the total immunoglobulins. It is the first specific
antibody to appear in serum after infection which is capable of activating complement and killing bacteria .
Post infection IgM returns rapidly to normal levels as compared to IgG. If IgM is prevalent, the infection is
acute whereas if IgG predominates, the infection is chronic. Polyclonal IgM increase is seen in viral, bacterial
and parasitic infections, Liver diseases, Rheumatoid arthritis, Scleroderma, Cystic fibrosis & heroin
addiction. Monoclonal IgM increase is seen in Waldenstroms macroglobulinemia. Decreased synthesis of
IgM is found in Congenital and Acquired Immunodeficiency diseases. Decreased IgM levels are seen in
Protein losing enteropathies and skin burns.

*452743763* Page 4 of 9
.

Name : Ms. YASHWANI VERMA

Lab No. : 452743763 Age : 69 Years
Ref By : SELF Gender : Female
Collected : 12/10/2023 12:37:00PM Reported : 13/10/2023 10:11:14AM
A/c Status : P Report Status : Interim
Collected at : PSC Shakti Nagar Home Visit Processed at : LPL-NATIONAL REFERENCE LAB
DELHI, DEL National Reference laboratory, Block E,
DELHI Sector 18, Rohini, New Delhi -110085

Test Report

Test Name Results Units Bio. Ref. Interval

DENGUE FEVER ANTIGEN, NS1, EIA, SERUM

(ELISA)

DENGUE FEVER ANTIGEN NS1 EIA 0.03 Index <0.90

Interpretation
------------------------------------------------------------------------------------------------
|RESULT IN INDEX | REMARKS |
|----------------|-------------------------------------------------------------------------------|
| Negative |No detectable Dengue NS1 antigen.The Result does not rule out Dengue infection.|
| (<0.90) |An additional sample should be tested for IgG & IgM serology in 7-14 days. |
|----------------|-------------------------------------------------------------------------------|
| Equivocal |Repeat sample after 1 week |
| (0.90 - 1.10) | |
|----------------|-------------------------------------------------------------------------------|
| Positive |Presence of detectable dengue NS1 antigen. Dengue IgG & IgM serology assay |
| (>1.10) |should be performed on follow up samples after 5-7 days of onset of fever,to |
| |confirm dengue infection. |
------------------------------------------------------------------------------------------------

Note: Recommended test is NS1 Antigen by ELISA in the first 5 days of fever. After 7-10 days of fever, the
recommended test is Dengue fever antibodies IgG & IgM by ELISA

Comments
Dengue viruses belong to the family Flaviviridae and have 4 subtypes (1-4). Dengue virus is transmitted by the
mosquito Aedes aegypti and Aedes albopictus, widely distributed in Tropical and Subtropical areas of the
world. Dengue is considered to be the most important arthropod borne viral disease due to the human
morbidity and mortality it causes. The disease may be subclinical, self limiting, febrile or may progress to a
severe form of Dengue hemorrhagic fever or Dengue shock syndrome

*452743763*
Page 5 of 9
.

Name : Ms. YASHWANI VERMA

Lab No. : 452743763 Age : 69 Years
Ref By : SELF Gender : Female
Collected : 12/10/2023 12:37:00PM Reported : 13/10/2023 10:11:20AM
A/c Status : P Report Status : Interim
Collected at : PSC Shakti Nagar Home Visit Processed at : LPL-NATIONAL REFERENCE LAB
DELHI, DEL National Reference laboratory, Block E,
DELHI Sector 18, Rohini, New Delhi -110085

Test Report

Test Name Results Units Bio. Ref. Interval

MALARIA PARASITE / BLOOD PARASITE No MP seen in smears
IDENTIFICATION examined.
(Microscopy)

Note: A Single negative smear does not rule out malaria

Test condcuted on whole blood.

Page 6 of 9

*452743763*
.

Name : Ms. YASHWANI VERMA

Lab No. : 452743763 Age : 69 Years
Ref By : SELF Gender : Female
Collected : 12/10/2023 12:37:00PM Reported : 13/10/2023 10:11:23AM
A/c Status : P Report Status : Interim
Collected at : PSC Shakti Nagar Home Visit Processed at : LPL-NATIONAL REFERENCE LAB
DELHI, DEL National Reference laboratory, Block E,
DELHI Sector 18, Rohini, New Delhi -110085

Test Report

Test Name Results Units Bio. Ref. Interval

URINE EXAMINATION, ROUTINE; URINE, R/E
(Automated Strip Test, Microscopy)

Physical

Colour Light Yellow Pale yellow

Specific Gravity 1.010 1.001 - 1.030

pH 5 5.0 - 8.0

Chemical

Proteins Negative Negative

Glucose Negative Negative

Ketones Negative Negative

Bilirubin Negative Negative

Urobilinogen Negative Negative

Leucocyte Esterase Negative Negative

Nitrite Negative Negative

Microscopy

R.B.C. Negative 0.0 - 2.0 RBC/hpf

Pus Cells Negative 0-5 WBC / hpf

Epithelial Cells 0-1 Epi Cells/hpf 0.0 - 5.0 Epi

cells/hpf
Casts None seen None seen/Lpf

Crystals None seen None seen

Others None seen None seen

*452743763*
Page 7 of 9
.

Name : Ms. YASHWANI VERMA

Lab No. : 452743763 Age : 69 Years
Ref By : SELF Gender : Female
Collected : 12/10/2023 12:37:00PM Reported : 13/10/2023 10:11:23AM
A/c Status : P Report Status : Interim
Collected at : PSC Shakti Nagar Home Visit Processed at : LPL-NATIONAL REFERENCE LAB
DELHI, DEL National Reference laboratory, Block E,
DELHI Sector 18, Rohini, New Delhi -110085

Test Report

Test Name Results Units Bio. Ref. Interval

Dr Ajay Gupta Dr Gurleen Oberoi Dr Himangshu Mazumdar Dr Jatin Munjal

MD, Pathology DM(Hematopathology), MD, Biochemistry MD,Pathology
Technical Director - Hematology & MD,DNB,MNAMS Sr. Consultant Biochemist Consultant Pathologist
Immunology Senior Consultant and Lead- NRL - Dr Lal PathLabs Ltd Dr Lal PathLabs Ltd
NRL - Dr Lal PathLabs Ltd Hematopathology
NRL - Dr Lal PathLabs Ltd

Dr.Kamal Modi Dr Nimmi Kansal Dr Sarita Kumari Lal Dr Shalabh Malik

MD, Biochemistry MD, Biochemistry MD, Pathology MD, Microbiology
Consultant Biochemist Technical Director - Clinical Chemistry Consultant Pathologist Technical Director - Microbiology,
NRL - Dr Lal PathLabs Ltd & Biochemical Genetics Dr Lal PathLabs Ltd Infectious Disease Molecular &
NRL - Dr Lal PathLabs Ltd Serology, Clinical Pathology
NRL - Dr Lal PathLabs Ltd

Dr Puneeta Singh Dr Sunanda

Ph.D (Microbiology) MD, Pathology
Principal Research Scientist Sr. Consultant Pathologist -
NRL - Dr Lal PathLabs Ltd Hematology & Immunology
NRL - Dr Lal PathLabs Ltd

AHEEEHAPMKHIBLANLCAGFPNCBILLJCECCLKCIKPJNKEDFJFAPPAHEEEHA
BNFFFNBPAPBHFGAGFGEGJOAPAOAHFHAKAONOBCJCBLEKMOJGNPBNFFFNB
CIEGFGFLJOPCAFNOPFIAAJHFJEFEHEDFLKPHENFLMLKIOEFLBKGDEHANP
DJOCKIFNBPFIEDIABJNELFMFANHLBKAFJIFEOAOAKCLJPDNLIDPBKEMEK
LDNOLHFJOJJFDIAIKEECKPJJKENNMBIHKKMDECEIPLKGKPNGKFFFOMMJD
KICBBEFNMICGDIHKIDIKBIPBADHFOFAINCFCBKDKALIKONNALNEIPOMCD
PPIMIJFJILODKCGIEKMONGFHIHAFJBALOLEPBLMIKJCHKJFLAJNNIDILD
NJJJAMFNALPELILJGANHDAAILKBMFMBHKFCCAMNNIIKNOPNOBNFMBHILL
NKGOJKFGJACGFAAGNPOIHEAKHMFFEKFBJFFKBLOFOOBIOCNKDJPHNEKLJ
OPFJIDFCEPBJJDCJKCFFGPNBBDFKPNJHKEPJADNLNKCKIGEOCAGKHJANK
HAIKOLFLGKCBMPAMPNBGCJEEINMOHKJBJMFEBFOFPNDMKPFKEPCIGCIEO
IKICGJFCPLDMGEJMHHGMPOBEIEOPPFOEAINPBLNOOLJBIKNJPKONHDICL
MNNNNNEHKFBIAOKJOCFLHGEHJBAHFHAJPKPFCMNLMKJCLFNPAHFHAHIKL
APBBBPAPBHKAEJBMKOBKCBKFAGFCHHCAONFEPLPGOLMHNLNFEDFHDBKHH
HHHHHHHPHPPPHPPPPPPPPPHPPHPPPPPPPPPHHHPPPHHHPHPHHHHHHHPHP

Result/s to follow:
CULTURE, URINE

*452743763*
Page 8 of 9
.

Name : Ms. YASHWANI VERMA

Lab No. : 452743763 Age : 69 Years
Ref By : SELF Gender : Female
Collected : 12/10/2023 12:37:00PM Reported : 13/10/2023 10:11:23AM
A/c Status : P Report Status : Interim
Collected at : PSC Shakti Nagar Home Visit Processed at : LPL-NATIONAL REFERENCE LAB
DELHI, DEL National Reference laboratory, Block E,
DELHI Sector 18, Rohini, New Delhi -110085

Test Report

Test Name Results Units Bio. Ref. Interval

IMPORTANT INSTRUCTIONS
ŸTest results released pertain to the specimen submitted .ŸAll test results are dependent on the quality of the sample received by the Laboratory .
ŸLaboratory investigations are only a tool to facilitate in arriving at a diagnosis and should be clinically correlated by the Referring Physician .ŸReport
delivery may be delayed due to unforeseen circumstances. Inconvenience is regretted .ŸCertain tests may require further testing at additional cost
for derivation of exact value. Kindly submit request within 72 hours post reporting.ŸTest results may show interlaboratory variations .ŸThe
Courts/Forum at Delhi shall have exclusive jurisdiction in all disputes /claims concerning the test(s) & or results of test(s).ŸTest results are not valid
for medico legal purposes.ŸThis is computer generated medical diagnostic report that has been validated by Authorized Medical
Practitioner/Doctor. ŸThe report does not need physical signature.
(#) Sample drawn from outside source.
If Test results are alarming or unexpected, client is advised to contact the Customer Care immediately for possible remedial action.
Tel: +91-11-49885050,Fax: - +91-11-2788-2134, E-mail: [email protected]
National Reference lab, Delhi, a CAP (7171001) Accredited, ISO 9001:2015 (FS60411) & ISO 27001:2013 (616691) Certified laboratory.

*452743763*
Page 9 of 9