PO No :PO1679905933-685

Name : Mr.MD NISU AHMAD Client Name : TATA 1MG OKHLA

Age/Gender : 28/Male Referred By : Dr.
Patient ID : OKH2059962 Collection Date : 03/Apr/2025 10:52AM
Barcode ID/Order ID : D18847777 / 12456392 Report Date : 03/Apr/2025 03:57PM
Sample Type : EDTA Report Status : Final Report

HAEMATOLOGY
FEVER PACKAGE.
Test Name Result Unit Bio. Ref. Interval Method

Complete Blood Count

Hemoglobin 16.2 g/dL 13.0-17.0 Cyanide Free SLS
RBC 5.30 10^6/cu.mm 4.5 - 5.5 Impedance
HCT 48.9 % 40 - 50 Calculated
MCV 92.4 fL 83 - 101 RBC pulse measurement
MCH 30.7 pg 27 - 32 Calculated
MCHC 33.2 g/dL 31.5 - 34.5 Calculated
RDW-CV 13.3 % 11.6-14 Calculated
Total Leucocyte Count 3.80 10^3/µL 4 - 10 Impedance
Differential Leucocyte Count
Neutrophils 44.1 % 40-80 DHSS/Microscopy
Lymphocytes 46.5 % 20-40 DHSS/Microscopy
Monocytes 7.9 % 2-10 DHSS/Microscopy
Eosinophils 1.4 % 1-6 DHSS/Microscopy
Basophils 0.1 % 0-2 Impedance/Microscopy
Absolute Leucocyte Count
Absolute Neutrophil Count 1.68 10^3/µL 2-7 Calculated
Absolute Lymphocyte Count 1.77 10^3/µL 1-3 Calculated
Absolute Monocyte Count 0.3 10^3/µL 0.2 - 1 Calculated
Absolute Eosinophil Count 0.05 10^3/µL 0.02 - 0.5 Calculated
Absolute Basophil Count 0 10^3/µL 0.02-0.1 Calculated
Platelet Count 217 10^3/µL 150-410 Impedance /Microscopy
MPV 10.4 fL 6.5 - 12 Calculated
PDW 17.9 fL 9-17 Calculated

Comment:
As per the recommendation of International council for Standardization in Hematology, the differential leucocyte counts are
additionally being reported as absolute numbers of each cell in per unit volume of blood.
DHSS : Double Hydrodynamic Sequential System

Erythrocyte Sedimentation Rate

This test has been performed at

TATA 1MG OKHLA
Address: 2nd Floor, B-225, Okhla Phase I,
Okhla Industrial Estate, New Delhi, Delhi
110020

Page 1 of 7
PO No :PO1679905933-685

Name : Mr.MD NISU AHMAD Client Name : TATA 1MG OKHLA

Age/Gender : 28/Male Referred By : Dr.
Patient ID : OKH2059962 Collection Date : 03/Apr/2025 10:52AM
Barcode ID/Order ID : D18847777 / 12456392 Report Date : 03/Apr/2025 03:57PM
Sample Type : EDTA Report Status : Final Report

HAEMATOLOGY
FEVER PACKAGE.
Test Name Result Unit Bio. Ref. Interval Method
Erythrocyte Sedimentation Rate 3 mm/hr <=10 Capillary Photometry

Comment:

ESR provides an index of progress of the disease and is widely used as an indicator of inflammation, infection, trauma, or
malignant diseases. Changes are more significant than a single abnormal test
It is specifically indicated to monitor the course or response to the treatment of diseases like rheumatoid arthritis,
tuberculosis bacterial endocarditis ,acute rheumatic fever ,Hodgkins disease,temporal arthritis , and systemic lupus
erythematosis; and to diagnose and monitor giant cell arteritis and polymyalgia rheumatica.
An elevated ESR may also be associated with many other conditions, including autoimmune disease, anemia,
infection,malignancy,pregnancy, multiple myeloma, menstruation, and hypothyroidism.
Although a normal ESR cannot be taken to exclude the presence of organic disease, its rate is dependent on various
physiologic and pathologic factors.
The most important component influencing ESR is the composition of plasma. High level of C-Reactive Protein, fibrinogen,
haptoglobin, alpha-1antitrypsin, ceruloplasmin and immunoglobulins causes the elevation of Erythrocyte Sedimentation
Rate.
Drugs that may cause increase ESR levels include: dextran, methyldopa, oral contraceptives, penicillamine, procainamide,
theophylline, and Vitamin A. Drugs that may cause decrease levels include: aspirin, cortisone, and quinine

This test has been performed at

TATA 1MG OKHLA
Address: 2nd Floor, B-225, Okhla Phase I,
Okhla Industrial Estate, New Delhi, Delhi
110020

Page 2 of 7
 PO No :PO1679905933-685

Name : Mr.MD NISU AHMAD Client Name : TATA 1MG OKHLA

Age/Gender : 28/Male Referred By : Dr.
Patient ID : OKH2059962 Collection Date : 03/Apr/2025 10:52AM
Barcode ID/Order ID : D18847777 / 12456392 Report Date : 03/Apr/2025 05:12PM
Sample Type : Whole Blood-EDTA Report Status : Final Report

HAEMATOLOGY
FEVER PACKAGE.
Test Name Result Unit Bio. Ref. Interval Method

Malarial Parasite Identification by Smear Examination

Malaria parasite NOT DETECTED Not Detected Microscopy

Comment:

Test has been evaluated with both thick and thin smear examination.
A single negative smear does not rule out malaria and hence repeated smear examination can be required to rule out
false negativity.
Parasites are usually seen during febrile episode.
Peripheral smear examination is a screening test and other methods like malaria antigen test and PCR should be used for
confirmation especially in low parasitic index.
Parasitic index reflects severity of infestation (parasites per 100 RBC).

This test has been performed at

TATA 1MG OKHLA
Address: 2nd Floor, B-225, Okhla Phase I,
Okhla Industrial Estate, New Delhi, Delhi
110020

Page 3 of 7
 PO No :PO1679905933-685

Name : Mr.MD NISU AHMAD Client Name : TATA 1MG OKHLA

Age/Gender : 28/Male Referred By : Dr.
Patient ID : OKH2059962 Collection Date : 03/Apr/2025 10:52AM
Barcode ID/Order ID : D18847779 / 12456392 Report Date : 03/Apr/2025 07:04PM
Sample Type : Serum Report Status : Final Report

BIOCHEMISTRY
FEVER PACKAGE.
Test Name Result Unit Bio. Ref. Interval Method

Aspartate Aminotransferase
Aspartate Transaminase (SGOT) 29 U/L 11-34 NADH w/o P-5’-P

Comment:
SGOT/AST :

Present in large concentrations in liver, skeletal muscle, brain, red cells, and heart.
Released into the bloodstream when tissue is damaged, especially in liver injury.
Test is not indicatted for diagnosis of myocardial infarction.
AST/ALT ratio>1 suggests cirrhosis in patients wiyh hepatitis C.

Increased in: Acute viral hepatitis (ALT> AST),

: Biliary tract obstruction (cholangitis, choledocholithiasis),
: Alcoholic hepatitis and cirrhosis (AST> ALT)
: Other conditions - liver abscess, metastatic or primary liver cancer; right heart failure, ischemia or
hypoxia, injury to liver(“shock liver”), extensive trauma. Drugs that cause cholestasis or hepatotoxicity.

Decreased in: Pyridoxine (vitamin B6) deficiency.

SGPT (Alanine Transaminase)

SGPT (Alanine Transaminase) 72 U/L 0-55 NADH w/o P-5’-P

Comment:
SGPT/ALT :

Present in large concentrations in liver, kidney; in smaller amounts, in skeletal muscle and heart.
Released with tissue damage, particularly liver injury. ALT is the preferred enzyme for evaluation of liver injury.

Increased in : Acute viral hepatitis (ALT> AST)

: Biliary tract obstruction (cholangitis, choledocholithiasis)
: Alcoholic hepatitis and cirrhosis (AST> ALT)
: Other conditions - liver abscess, metastatic or primary liver cancer;right heart failure, ischemia or
hypoxia, injury to liver (“shock liver”),extensive trauma. Drugs that cause cholestasis or atotoxicity.
Decreased in: Pyridoxine (vitamin B6) deficiency.

This test has been performed at

TATA 1MG OKHLA
Address: 2nd Floor, B-225, Okhla Phase I,
Okhla Industrial Estate, New Delhi, Delhi
110020

Page 4 of 7
 PO No :PO1679905933-685

Name : Mr.MD NISU AHMAD Client Name : Tata 1mg

Age/Gender : 28/Male Referred By : Dr.
Patient ID : OKH2059962 Collection Date : 03/Apr/2025 10:52AM
Barcode ID/Order ID : D18847779 / 12456392 Report Date : 03/Apr/2025 04:49PM
Sample Type : Serum Report Status : Final Report

SEROLOGY
FEVER PACKAGE.

Widal Test (Slide Agglutination)

Result

S.No. ANTIGEN OBSERVED TITRE METHOD

1 Salmonella Typhi ‘O’ <1:20 Slide agglutination
2 Salmonella Typhi ‘H’ <1:20 Slide agglutination
3 Salmonella Paratyphi ‘AH’ <1:20 Slide agglutination
4 Salmonella Paratyphi ‘BH’ <1:20 Slide agglutination

Interpretation:
•Titers ≥ 1:80 of O antigen and ≥ 1:160 of H antigen of S. Typhi, S. paratyphi A & B are significant. Rising titres in paired samples
are more significant.
•A positive Widal test indicates Enteric fever or typhoid fever caused by Salmonella spp. and should be confirmed by gold standard
test such as Blood culture.
•In the case of Low titres, it is suggested to perform repeat test after a week. A four fold rise in titre within a gap of 1 week
confirms the Widal test.
•Persistent low titres are not suggestive of Enteric Fever caused by Salmonella Typhi or Salmonella paratyphi A and B.

Limitation:
•False Positive: Anamnestic response is seen in person who had prior enteric infection or immunization with TAB vaccination, False
positive result is seen during unrelated fever like Malaria, M.tuberculosis, Dengue, Brucellosis, Rheumatic fever etc. In such cases,
there is a temporary increase in H antibody titer, whereas enteric fever patients show a sustained rise in both H and O antibodies
•In endemic areas, people may show moderately elevated levels of ‘O’ and ‘H’ agglutinins.
•False negative: seen in early course of disease (1st week) and in immunosuppression. Antibiotic treatment during the first week,
before antibodies develop, may suppress the immune response, leading to lower antibody levels.

Comments:
•The Widal test is a serological assay used to detect and quantify antibodies against Salmonella antigens (‘H’ and ‘O’) in the serum
and help to detect infections due to Salmonella typhi and Salmonella paratyphi A and B.
•Typically, antibodies appear at the end of the first week of infection, peak after 1-2 weeks, and then decline.
•For accurate diagnosis, blood or stool cultures should be done in the first week, while the Widal test should be performed at the
end of the first or second week.
•Results should always correlated with clinical findings to arrive at final diagnosis.
•The Slide Widal test can occasionally produce a false positive result, Hence advised to verify by using the Tube Widal test.

This test has been performed at

TATA 1MG OKHLA
Address: 2nd Floor, B-225, Okhla Phase I,
Okhla Industrial Estate, New Delhi, Delhi
110020

Page 5 of 7
 PO No :PO1679905933-685

Name : Mr.MD NISU AHMAD Client Name : TATA 1MG OKHLA

Age/Gender : 28/Male Referred By : Dr.
Patient ID : OKH2059962 Collection Date : 03/Apr/2025 10:52AM
Barcode ID/Order ID : D18847780 / 12456392 Report Date : 03/Apr/2025 06:40PM
Sample Type : Urine Report Status : Final Report

CLINICAL PATHOLOGY
FEVER PACKAGE.
Test Name Result Unit Bio. Ref. Interval Method

Urine Routine & Microscopy

Urine Routine & Microscopy
Colour Pale Yellow Pale Yellow
Appearance Clear Clear
Specific gravity 1.015 1.003 - 1.035 pKa change
pH 6.0 4.6 - 8.0 Double Indicator
Glucose Negative Negative GOD-POD
Protein Negative Negative Protein Error Principle
Ketones Negative Negative Nitroprusside
Blood Negative Negative Peroxidase
Bilirubin Negative Negative Diazonium
Urobilinogen Normal Normal Ehrlich
Leucocyte Esterase Negative Negative Pyrrole
Nitrite Negative Negative P-arsanilic acid
Pus cells 1-2 /hpf 0-5 Microscopy
Red Blood Cells Nil /hpf 0-2 Microscopy
Epithelial cells 1-2 /hpf Few Microscopy
Casts Nil /lpf Nil Microscopy
Crystals Nil Nil Microscopy
Yeast Nil Nil Microscopy
Bacteria Nil Nil Microscopy

Comment:
•Note: Pre-test condition to be observed while submitting the sample-first void, mid stream urine, collected in a clean, dry, sterile
container is recommended for routine urine analysis, avoid contamination with any discharge from vaginal, urethra, perineum,
Avoid prolonged transit time & undue exposure to sunlight.
•During interpretation, points to be considered are 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.• Urine microscopy is done in centrifuged urine specimens

*** End Of Report ***

This test has been performed at

TATA 1MG OKHLA
Address: 2nd Floor, B-225, Okhla Phase I,
Okhla Industrial Estate, New Delhi, Delhi
110020

Page 6 of 7
 PO No :PO1679905933-685

Name : Mr.MD NISU AHMAD Client Name : TATA 1MG OKHLA

Age/Gender : 28/Male Referred By : Dr.
Patient ID : OKH2059962 Collection Date : 03/Apr/2025 10:52AM
Barcode ID/Order ID : D18847780 / 12456392 Report Date : 03/Apr/2025 06:40PM
Sample Type : Urine Report Status : Final Report

CLINICAL PATHOLOGY
FEVER PACKAGE.
Test Name Result Unit Bio. Ref. Interval Method
Conditions of Laboratory Testing & Reporting:
Test results released pertain to the sample, as received. Laboratory investigations are only a tool to facilitate in arriving at a diagnosis and should
be clinically correlated by the interpreting clinician. Result delays may happen because of unforeseen or uncontrollable circumstances. Test report
may vary depending on the assay method used. Test results may show inter-laboratory variations. Test results are not valid for medico-legal
purposes. Please mail your queries related to test results to Customer Care mall ID [email protected]

Disclaimer: Results relate only to the sample received. Test results marked "BOLD" indicate abnormal results i.e. higher or lower than normal. All
lab test results are subject to clinical interpretation by a qualified medical professional. This report cannot be used for any medico-legal purposes.
Partial reproduction of the test results is not permitted. Also, TATA 1mg Labs is not responsible for any misinterpretation or misuse of the
information. The test reports alone may not be conclusive of the disease/condition, hence clinical correlation is necessary. Reports should be
vetted by a qualified doctor only.

This test has been performed at

TATA 1MG OKHLA
Address: 2nd Floor, B-225, Okhla Phase I,
Okhla Industrial Estate, New Delhi, Delhi
110020

Page 7 of 7
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