hi-tech diagnostic centre · hitech diagnostic centre user information document no : htdc/file/test...

HITECH DIAGNOSTIC CENTRE USER INFORMATION

Document No : HTDC/File/Test Information/4.7/F08 – C8 and user locations Issue No :2

of 85 Issue Date :03.01.2017

Prepared by: QM

Approved by: Lab Director

Location of the laboratory; Location of HI.TECH DIAGNOSTIC CENTRE HI TECH DIAGNOSTIC Centre is situated in the heart Kochi.The centre is located at Palarivattom Janatha bus stop, Behind canara bank on Edapally- Palarivattom road.Any one can easily access the centre.If you coming from Aluva get down at janatha bus stop.From ernakulam just get down at kaloor stadium stop ,walk forward.can see the lab on the right side of the road

Opening hours - morning 5.00 am to 11pm.

Types of clinical services offered by the laboratory including examinations referred to other laboratories; BIO CHEMISTRY

SI NO PARAMETER METHOD USED

ALBUMIN DRY CHEMISTRY

ALKALINE PHOSPHATASE DRY CHEMISTRY

ANA IFA ELISA

Anti DS DNA ELISA

ANTI CCP CMIA

ANTI HCV ELFA

ANTI THYROGLOBULIN ANTIBODY CMIA

ANTI HEV IgG ELISA

AFP ELIFA

BETA HCG ECI

CALCIUM DRY CHEMISTRY

CANCER ANTIGEN-125(CA-125) ELFA

CEA CMIA

HI-TECH DIAGNOSTIC CENTRE

Behind Canara Bank, Plarivattom Janatha, Kochi, Kerala, India, Pin- 682019 0484 2343113 / 2341441 [email protected]



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CORTISOL CMIA

CA19.9 ELFA

CHOLESTEROL DRY CHEMISTRY

CREATININE DRY CHEMISTRY

C.PEPTIDE CMIA

DHEAS CMIA

ESTRADIOLE (E2) ELFA

FASTING BLOOD SUGAR DRY CHEMISTRY

FERRITIN ECI

FREE TRIODTHYRONINE (FT3) CMIA

FREE THYROXINE (FT4) CMIA

FSH CMIA

GCT DRY CHEMISTRY

GAMMA GT G.GLUTAMYL-P-NITROANILIDE

HDL CHOLESTEROL DRY CHEMISTRY

HBA1C TOSOH HLC GX723

HBSAG CMIA

HIV1&2 ECI

HSV IgG ELISA

HSV IgM ELISA

IMMUNOGLOBULIN(IgE) ELFA

IRON DRY CHEMISTRY

INTACT PARATHYROID CMIA

INSULIN (POSTPARANDIAL) CMIA

INSULIN CMIA

LH ECI

LIPID PROFILE DRY CHEMISTRY

LITHIUM DRY CHEMISTRY

LFT DRY CHEMISTRY

MICROALBUMINUREA STRIP METHOD

PROGESTERONE ELFA

PROLACTIN ECI

PSA ECI

PHOSPHORUS DRY CHEMISTRY

POTTASSIUM DRY CHEMISTRY

RA FACTOR TURBIDOMETRIC

RANDOM BLOOD SUGAR DRY CHEMISTRY

RUBELLA IgG, IgM ELFA

SODIUM DRY CHEMISTRY

SGOT DRY CHEMISTRY

SGPT DRY CHEMISTRY

TRIGLYCERIDE DRY CHEMISTRY

TIBC DRY CHEMISTRY

TORCH IgG,IgM ELFA

TOXOPLASMA IgG,IgM ELFA

TOTAL BILIRUBIN DRY CHEMISTRY

TOTAL PROTIEN DRY CHEMISTRY

T3 CMIA

T4 CMIA

TSH CMIA

TESTO STERONE ELFA

UREA DRY CHEMISTRY

URIC ACID DRY CHEMISTRY

VIT D 25OH ECI

VIT-B12 CMIA

HAEMATOLOGY

SI NO TEST NAME METHOD



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1 ABSOLUTE EOSINOHPIL COUNT (AEC) MANUAL METHOD

2 AFB ZIEHL NEELSON METHOD

3 BENCE JOHNS PROTEIN MANUAL METHOD

4 BS FLOATATION METHOD

5 BP FOUCHETS METHOD

6 CRP DRY CHEMISTRY

7 CRT MANUAL METHOD

8 CBC SYSMEX-FULLY AUTOAMTIC ANALYZER

9 DIFFERENTIAL COUNT (DC) SYSMEX-FULLY AUTOAMTIC ANALYZER

10 DIRECT COOMBS TEST MANUAL METHOD

11 HB SYSMEX-FULLY AUTOAMTIC ANALYZER

12 INDIRECT COOMBS TEST MANUAL METHOD

13 MALARIAL PARASITE STRIP METHOD,CARD METHOD

14 MICROFILARIA MANUAL METHOD

15 PCV SYSMEX-FULLY AUTOAMTIC ANALYZER

16 PBF (SMEAR) MANUAL METHOD

17 PLATELET SYSMEX-FULLY AUTOAMTIC ANALYZER

18 PROTHROMBIN TIME STAGO AUTO ANALYZER

19 PORPHOBILINOGEN MANUAL METHOD

20 PREGNANACY TEST CARD TEST

21 RBC SYSMEX-FULLY AUTOAMTIC ANALYZER

22 RETICULATE MANUAL METHOD

23 SICKLE CELL MANUAL METHOD

24 URINE R/E FULLY AUTOMATED ANALYSER

25 UROBILINOGEN FULLY AUTOMATED ANALYSER

26 URINE OCCULATE TEST FULLY AUTOMATED ANALYSER

MICROBIOLOGY

SI NO TEST NAME METHOD

1 CHICKEN GUNIA CARD CARD TEST

2 DENGUE CARD CARD TEST

3 DENGUE ELISA ELISA

4 IM TEST LATEX AGGLUTINATION TEST

5 LEPTOTECK CARD CARD TEST

6 SMEAR FOR DIPHTHERIA STAINING METHOD

7 SMEAR FOR GRAM STAINING GRAM STAINING METHOD

8 SPUTUM AFB ZIEHL NEELSON

9 URINE AFB ZIEHL NEELSON

10 URNEC/S MANUAL METHOD

Instruction for filling request form Clinician request form Ref no-----.The clinician has to fill the column with the unique op/ip number of the patient. Patient name………patient name is filled either in English or in Malayalam. Age ……..The patient age is filled in years or month. Gender…..male/female or boy /girl. Adress…….in this patients current address is filled . Phone number….either patients landline number or mobile phone number is added.



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Ref by dr…….prescribed doctors details( name and hospital or clinic). Clinical details……The previous clinical history of the patient is filled. Test details…..The clinician has to tick which test has to be performed

Patient request form Patient name………patient name has to fill name either in English or in Malayalam. Age …….. age is filled in years or month. Gender…..has to tick /write ,either male/female or boy /girl. Date of birth.the patient has to write date,month and year of birth in this column. Adress…….patient is aked to fill the current address Phone number….either patients landline number or mobile phone number is added. Ref by Doctor…….prescribed doctors details( name and hospital or clinic). Test details…..The patient has to tick which test has to be performed.

PATIENT PREPARATION 1. PATIENT PREPARATION FOR BLOOD SAMPLES:- Specified fasting period is strictly followed for the following parameters:- a) Fasting glucose Preparation: This test requires an overnight fast. One should wait to eat and/or take a hypoglycemic agent (insulin or oral medication) until after sample has been drawn, unless told otherwise. Overnight fasting –minimum 9 hrs is required (Maximum 9-12 hrs) Delayed Fasting-As asked by the referring Clinician/Doctor b) Lipid profile Fasting period preferably 12 hrs; minimum (14 hrs) b) Post prandial glucose Blood specimen is collected 2hrs after meal is taken. d) Glucose Tolerance test

a) The patient should be on a normal diet containing normal daily requirement of carbohydrate (i.e. approximately 150gm per day) at least for 3 days prior to the test.

b) patient must come to the laboratory after overnight fasting c) The individual should not eat food ,drink tea or coffee, vigorously exercise or smoke cigarettes

during the test d) Since five blood specimen have to be collected at an interval of 30 minutes each the patient has

be made aware of the waiting period of 2-3 hrs at the collection center . e) 75 gm of glucose to be taken orally immediately after giving fasting blood and urine glucose

The next blood and urine sample to be collected at 30 minutes,1 hr 1 1/2 and 2 hrs after ingestion of glucose /as asked by the Referring Clinician/Doctor.

f) for pregnant patient 100 gm glucose is given instead of 75 gm. A complete 3 hrs oral GTT is done by taking blood and urine samples at 1 hour interval.

G) Timed collection



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For some hormonal studies, specimen is collected at specific timings .For S. cortisol: Blood specimen is collected at 8 A M &4.00 .The timing of Blood collection has clinical significance and hence must be clearly specified on the container. General instruction for patients scheduled for phlebotomy Following things may after test result, which should be kept in mind.

. Physical activities may influence the following parameters temporarily such as alkaline phosphates, creatinine kinase, Alkaline Amino Transfer raise (ALT) ,Lactate Dehydrogenate (LDH) that may usually return to normal after few hours.

.In general patients scheduled for phlebotomy should refrain from strenuous physical activity. alcohol, drugs or changes in diet for 24 hours prior to be ready for the procedure.

2.PATIENT PREPARATION FOR URINE SAMPLE :- a)Random Urine Specimen :- .First morning specimen whenever possible .Urine for pregnancy Test should preferably be first morning void sample .Specimen should be clean catch mid-stream sample .Specimen should be clean catch mid stream sample.

Specimen should be collected in the sterile container provided by Diagnostic Center Pathology department)

. c)24 hours urine collection

An unbreakable ,5 liter (approx) plastic container with proper preservative is used

Unless the physician indicate otherwise ,the patient is instructed to maintain usual amount of liquid intakes

Patient is asked not to consume alcohol

Instruct the patient that the preservative in the 24 hours container should not be discarded

Container should be kept in a refrigerator or at a cool place during the 24 hour collection period

Collect each void in a smaller container and carefully pour the urine into the 24 hours container .Do not pass urine directly in to the 24 hours container

On the day of collection, the patient must empty his/her bladder of first morning urine into toilet. (not to be included in the 24 hours collection ) Write the date and time of voiding, on the container label.

Add all subsequent voided into the container. The last sample collected should be the first specimen voided the following morning at the same time as the previous morning first voiding.

Submit the 24 urine container to the Diagnostics Center Laboratory Within one hour.



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d) Urine collected instruction about pediatric patient

Parents are instructed verbally to avoid contamination with Stool STOOL FOR OCCULT BLOOD Patient is instructed to avoid the following food item and drugs for 3 (three) days before and during the stool collection period:-

Red meat

Citrus fruits containing vitamin C , e.g. :Lemon, Orange etc

Anti –inflammatory drugs/NSAID

Iron supplements (iron tonics)

Specimens collected prior to or during menstrual period, bleeding hemorrhoids or haematuria are un acceptable



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COLLECTION OF STOOL

Give the patient a disposable wide mouthed plastic container to pass the specimen.

Patient should be asked to avoid contaminating the stool with urine . SEMEN

Abstinence for 3 to 5 days Just before you collect

Urinate

Wash genital area using WATER ONLY. Do not use soap on the genital area prior to collection .Soap may kill the sperm

Remove cap from the specimen container immediately prior to collection. Avoid touching the inside of the container or the inside of the container lid

Obtain the semen sample by masturbation only. Do not use saliva as a lubricant. The only acceptable lubricant is liquid glycerin. To avoid contamination, don’t open the container until just prior to ejaculation.

Ejaculate directly into the specimen container. ( The penis should not touch the inside of the container ).

Collect the entire ejaculate

Replace the container lid as soon as specimen is collected to avoid contamination Submit the Specimen to laboratory with in 30 minutes.

Sputum Specimen: Early morning specimen in a sterile disposable wide mouthed plastic container is preferred Which should be collected in a container provide by Diagnostic Center Laboratory Random sample can also be acceptable Instruction to the patient:

The mouth to be rinsed well by using water

The sputum must be coughed up from the lungs or bronchi the container to be recapped immediately and tightly.

The patient should be explained clearly the difference between saliva and sputum The patient needs washing his mouth three times with drinking water. He should

spit out all residual saliva .He/she is asked to cough forcefully at 10 times for collecting sputum. At least 10 cc. of sputum is necessary for smear and culture.

Sputum mixed with saliva is unsatisfactory for reporting and needs a repeat sample In non-ambulatory patient, through cleaning of mouth with sterile wet cotton is

mandatory before sputum collection Collection of effusions or fluids like pleural, pericardial, ascities, hydrocele fluids as a rule done

by the clinical consultants.



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PRIMARY SAMPLE STORAGE REQUIREMENTS TEST WISE

Sl.

no

TEST SPECIMEN/AMOUN

T

ADDIT

IVES

CONTAINE

R

STORA0GE/STAB

ILITY

1 Alanine Aminotransferase

ALT/SGPT

2 ml clotted blood - Plain Vial With red

top

Stable in whole blood at room

temperature for 12-

24 hrs. Stable in serum at 2-8 c up

to 3 weeks

2 Albumin 2 ml clotted blood - Plain Vial With red

top

Stable in whole blood at room

temperature or at 8

hrs. Stable in serum at 2-8 c up

to 2 weeks

3 Alkaline Phospharase

2 ml clotted blood - Plain Vial With red

top

Stable in whole blood at room up

to 12 hrs. Stable in

serum at 4 c up to 1 weeks

4 Aspartate

Aminotransferase AST/SGOT

2 ml clotted blood - Plain Vial

With red top

Stable in whole

blood at room temperature for 12

hrs. Stable in serum at 4c c up to

3 3weeks

5 Widal 2 ml clotted blood - Plain Vial

With red top

Stable up to 1

week stored at 8c

6 Bilirubin, total Bilirubin, Direct

2 ml clotted blood plain Vial with red top

Protect from light .stable in Whole

blood at room temp for 3 hrs Stable in

serum at 2-8 c up to 1 week

7 VDRL 2 ml clotted blood plain Vial

with red top

Stable is stored at

2-8 degree

8 Cholesterol/LDL

Cholesterol/

2 ml clotted blood plain Vial

with red top

Stable in Whole

blood at room



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HDL Cholesterol tempt or at 2-8 c up to 12 hrs

stable in serum at

2-8 c up to 72 hrs

9 Creatinine 2 ml clotted blood plain Vial with red top

Stable in Whole blood at room temp

or at 2-8 c up to 12hrs stable in

serum at 2-8 c up

to 24 hrs

10 Aso titre 2 ml clotted blood plain Vial with red top

Stable When stored at 2-8 degree for 1

1week

11 Glucose 1ml anticoagulated

blood(fasting,post prandial,

T6randomspecime Do not collect blood

from an arm recevingan i.v.

infution.

Vial with

greens Top

Stable in fluoride /

oxalate blood at room temp up to 3

hrs. Stable in plasma at2-8c for

up to 48 hrs

12 Ra factor 2 ml clotted blood plain Vial

with red top

Stable When stored

at 2-8 degree for 1 1week

13 Protein, total 2 ml clotted blood plain Vial

with red top

Stable in Whole

blood at room tempt up to 4hrs

stable in serum at

room temp for 4hrs at 2-8 c for up to 3

3days

14 CRP 2 ml clotted blood plain Vial with red top

Stable When stored at 2-8 degree for 1

week

15 Semen Patient should collect

full amount of an ejaculation

Clean dry

disposable container

Test as soon as

possible

16 Blood group & Rh 2ml anti coagulated

blood

EDTA with

violet top

Stable When stored

at 2-8 degree for 1 1week



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17 Triglycerides 2 ml clotted blood (fasting specimen) 12-

14 hrs

plain Vial with red top

Stable in Whole blood at room

tempt or at 2-8 c to

3hrs .Stable in serum at 2-8 c up

to 72 hrs

18 Uric acid 2ml clotted blood plain Vial with red top

Protect from daylight .stable in Whole blood at

room temp up to 12 12hrs

19 Urea 2ml clotted blood Plain Vial

With Red top

Stable in whole

blood at room temperature or at

2-8 c up to 12 hrs.

Stable in serum at 2-8 c up to 48 hrs

20 Bence jones

proein

24 hrs urine

preservative Boric acid 10-15 gm

5 liter

plastic container

Test as soon as

possible Refrigerated at if

the test is not done

within 1 1hrs

21 Bile pigment 5-10 ml urine Clean dry plastic

container

Test as soon as possible

Refrigerated at if the test is not done

within 1 1hrs

22 Glucose 5-10 ml urine Clean dry

plastic container

Test as soon as


the test is not done within 1 1hrs

23 Occult Blood 5-10 ml urine Clean dry plastic

container



within 1 1hrs

24 Ketones 5-10 ml urine Clean dry plastic

Clean dry

container


Refrigerated at if




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within 1 1hrs

25 pH 5-10 ml midstream urine

Clean dry container


Refrigerated at if

the test is not done within 1 1hrs

26 Protein

(qualitative)

5-10 ml urine Clean dry

plastic container

Test as soon as



within 1 1hrs

27 Sputum AFB No significance in Quantity Patient

should take sputum in a deep cough

Sterile disposable

container


28 Occult blood Collect a small sample patient should not eat

red meat or vegetables containing

citrus food for 3 days before the test

Clean dry plastic

container



within 1 1hrs

29 R/E 10 ml Clean dry plastic

container



within 1 1hrs

30 TC,DC,HB, PLATELET COUNT

PCV,MALARIAPARASITE ,CBC

EDTA bottle 2 ml blood

Violet top container

Test on the same day

31 ESR 3.8 sodium citrate bottle 1.6 ml Blood

Tube with Black Top

contain 0.4

ml sodium citrate(3.8

%)




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32 Bile Salt 10 ml urine Sterile disposable container


33 Urine microscopy 10 ml urine Sterile disposable container


34 Bence Jones Protein

30 ml urine Sterile disposable container


35 MP stix 2 ml EDTA blood EDTA bottle with violet

top


36 HIV 2 ml clotted blood Red Top clot

activator

Stable at 2-8 c for 1 week

37 HbsAg 2 ml clotted blood Clot activator

with red cap


38 HCV 2 ml clotted blood Clot activator

with red cap




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39 HbAIC 2 ml EDTA blood EDTA with violet top


40 Urine micro albumin

30 ml urine Sterile Plastic

container


Out patient sample collection Patient contact the receptionist on duty

The receptionist reads the prescription/requisition from ,and inform the patient if any of

the required tests not done at laboratory If patient accepts it he/she is informed about the charges and probable time of getting

the report Cash Memo is generated.

The receptionist informs the patient that the bill must be brought for collecting the

report The patient is escorted to the sample collection room

All collected samples are submitted to the respective divisions for testing

Special Timing of Collection:

SL NO TEST PATIENT CONDITION

1 Any time any test of biochemistry except sugar and lipid profile

Any time (P.F)

2 Glucose Fasting for FBS

3 P P PP two hours after meal

or heavy breakfast

4 Random Anytime

5 Lipid profile 12 hours fasting

(minimum 9 hrs)

6 HB, TC, DC, ESR, PLATELET, Malaria CBC Any time

7 Any serological test Any time(preferably fasting)

8 Microscopy and bio-chemistry Any time



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9 Urine Routine Any time(preferably first morning sample)

10 Stool for Routine Any time

11 Stool for OBT Any sample. The patient should avoid red meat

,citrus foods, iron tonic & anti –inflammatory drugs for for3 days

12 Hormone tests Preferably fasting sample

Special handling needs between time of collection and time received by the Laboratory:

Transport of blood, urine and others fluids and tissue specimen from collection site to the laboratory is important and few precautions are necessary during this period.

1. Specimen should be received by the laboratory staff within 30 minutes of

collection to allow timely completion of specimen processing 2. Avoid agitation of blood specimen to minimize hemolysis

3. Specimen should be protected from direct exposure to light ,Which cause breakdown of certain analyses e.g. Bilirubin

4. For analyses of unstable constituents, such as ammonia and acid phosphates, Specimens must be sent to the laboratory immediately after collection. Out side sample should be kept immediately at 4 c &transported on ice

5. All Laboratory specimens must be transported in a safe and convenient manner to prevent biohazard exposure or contamination of the specimen.

6. Specimen requiring refrigeration must be maintained between 2 c and 8 c and can be carried in an insulated container

7. Large volume urine specimen should be collected in a leak proof,5L container

8. The samples are transported in a box with test tube holding facility and the facility for holding urine/motion bottles.

Any requirements for patient consent (e.g. Consent to disclose clinical information and

family history to relevant healthcare professionals, where referral is needed). If any test like genetic test done by the referral laboratory require consent and/or family history, patient has

to comply with the requirements. The patients and users will be provided with adequate information on the clinical procedures

to be performed with an informed consent



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Sample rejection and acceptance criteria Sample are rejcted ,if Mismatched name or unique patient/sample identifier on test requisition and Specimen. No name or unique patient/sample identifier on test requisition. Incorrect container, device or transport media for test ordered . Haemolysed sample Highly lipemic sample. Delayed Sample. Unadequate quanitity of sample. Criteria for sample collected by patient Mismatched name or unique patient/sample identifier on test requisition and Specimen. No test requisition provided (if traceable) If the written documentation is not received, the specimen will be rejected No specimen/sample received Damaged – improper transport media Specimen/sample type unacceptable for test Quantity is not sufficient . Damaged due improper temperature condition Hemolyzed No test ordered on requisition Lipemic Damaged – too old No specimen/sample collection date on requisition Damaged ‐ broken or leaked sample No specimen/sample ID No specimen/sample collection site on requisition Damaged ‐ contaminated Damaged – expired transport media

Availability of clinical advice on ordering of examinations and on interpretation of examination results If any clarifications or clinical advice is needed, patient or clinician may call the laboratory. Simple queries will be handled by the receptionist. If further technical clarification is needed, the concerned section/personnel will address the query.



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The laboratory’s policy on protection of personal information

HI-TECH DIAGNOSTIC CENTRE has no involvement in any activities that would diminish confidence in the laboratory’s competence, impartiality, judgment or operational integrity. HI-TECH DIAGNOSTIC CENTRE is free from any undue commercial, financial, or other pressures and influences. We do not have formal tie up with any companies. We ensure that potential conflicts in competing interests if any are openly and appropriately declared and we don’t have any potential conflicts in competing interests. We follow appropriate procedures to ensure that our staffs treat human samples, tissues or remains according to relevant legal requirements. We ensure that confidentiality of information is maintained. A declaration to this effect has been signed by all the personnel. The laboratory’s complaint procedure

HITECH DIAGNOSTIC CENTRE have a documented procedure for the management of complaints or other feedback received from clinicians, patients, laboratory staff or other parties.

The complaint/suggestion box is kept in the reception. The complaint register is available in the reception. The receptionist check the complaint box every day for complaints. If any complaint, he/she reports it to the laboratory director. The complaints can be made orally or over phone also. The person attending the user directly or over the phone immediately registers that complaints in complaint book with available details and report it to laboratory director. There is provision for making complaint in the web site also. The web site complaint will be monitored by managing director. The negative feedback is also taken as complaint. The feedback is analyzed by the quality manager and the negative comments are taken as complaints.

In case of complaint, the laboratory director, delegate the appropriate person to record and analyze the complaint. The laboratory directors, with other personnel, propose and implement immediate remedy. Then, a root cause analysis is done and appropriate long term solutions are formulated and implemented. The laboratory director will report the necessary details to the person who made the complained. Records of all complaints and their investigation and the action taken are maintained. Test information



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ALBUMIN

Test information Albumin is the main protein in the plasma. It is decreased in cirrhosis, malnutrition and nephorotic syndrome.

primary sample volumes 1mL special precautions The sample should be taken in comfortable sitting for 3

minutes not in standing and not in lying down

turnaround time 1 hr

biological reference intervals Refer Appendix 1 clinical decision values Refer Appendix 1

interference Haemoglobin – positive interferance

ALKALINE PHOSPHATASE

Test information It is an enzyme present in serum. It is increased many fold in bone forming conditions like growing children, healing fracture, rickets, osteomalacia and Pagets disease. It is also increased in obstructive jaundice

primary sample volumes 2 mL

special precautions nil

turnaround time 1hr


interference Bilirubin, methotrexate , nitrofurantoin

ANA

Test information Anti nuclear antibody – the test done to diagnose immune disorders like Systemic Lupus Erythromatosis, Rheumatoid arthritis, Ankylosing spondylitis, etc



turnaround time 1hr

biological reference intervals Refer Appendix 1

clinical decision values Refer Appendix 1 interference

Anti DS DNA

Test information Anti double strand DNA antibody – the test done to diagnose immune disorders like Systemic Lupus Erythromatosis, Rheumatoid arthritis, Ankylosing spondylitis, etc



turnaround time 1hr


interference



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ANTI CCP

Test information CCP antibody primary sample volumes 2 mL special precautions nil

turnaround time 1hr


clinical decision values Refer Appendix 1

interference Other antibodies

ANTI HCV

Test information HCV antibodies primary sample volumes 2 mL


turnaround time 1hr




ANTI THYROGLOBULIN ANTIBODY

Test information Thyroglobulin antibody to find the autoimmune etiology primary sample volumes 2 mL


turnaround time 1hr biological reference intervals Refer Appendix 1



ANTI HEV IgG

Test information To detect HEV primary sample volumes 2 mL


turnaround time 1hr



interference

AFP

Test information Alfa feto protein -Tumour marker for liver and intestinal tumours



turnaround time 1hr





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interference

BETA HCG

Test information Pregnancy testing, missed abortion testing and as tumour marker



turnaround time 1hr


interference TSH, FSH, LH

CALCIUM

Test information To test calcium level and as a tumour marker primary sample volumes 2 mL special precautions nil

turnaround time 1hr



interference Mg, lactic acid

CANCER ANTIGEN-125(CA-125)

Test information Tumour marker primary sample volumes 2 mL


turnaround time 1hr



interference proteins

CEA





interference Similar hormones

CORTISOL

Test information Gluco corticoid level primary sample volumes 2 mL


turnaround time 1hr





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interference Dexamethasone, beta methasone

CA19.9





interference Other proteins

CHOLESTEROL

Test information Cholesterol is a component of our cell membranes. Increase levels are implicated in atherosclerosis.

primary sample volumes 1 mL special precautions nil

turnaround time 1hr



interference Gentistic acid, N-acetyl cysteine

CREATININE

Test information Formed in the muscles from ceratine. Excreted by the kidney mainly by filteration. Increased in renal failure and muscular dystrophy.



turnaround time 1hr



interference Dipyrone, haemoglobin, N-acetyl cystein

C.PEPTIDE

Test information Estimate of insulin secretion primary sample volumes 2 mL


turnaround time 1hr



interference Pro insulin

DHEAS

Test information Androgen primary sample volumes 2 mL

special precautions nil turnaround time 1hr



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interference Other steroids

ESTRADIOLE (E2)

Test information estrogen primary sample volumes 2 mL special precautions nil

turnaround time 1hr




FASTING BLOOD SUGAR

Test information This is used to diagnose diabetes mellitus. Normal persons will have a level less than 100mg/dL. If it is more than 126mg/dL Diabetes mellitus may be diagnosed



turnaround time 1hr



interference Total protein

FERRITIN

Test information Iron load primary sample volumes 2 mL


turnaround time 1hr



interference Hemosiderin, heme

FREE TRIODTHYRONINE (FT3)

Test information Free T3 primary sample volumes 2 mL




interference Reverse T3

FREE THYROXINE (FT4)

Test information Free T4 primary sample volumes 2 mL




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interference RT3

FSH

Test information Follicle stimulating hormone primary sample volumes 2 mL


turnaround time 1hr



interference LH, TSH

GCT

Test information Screening for gestational diabetes mellitus primary sample volumes 2 mL


turnaround time 1hr


clinical decision values Refer Appendix 1 interference protein

GAMMA GT

Test information For alcoholic hepatitis and obstructive jaundice primary sample volumes 2 mL




interference glutamate

HDL CHOLESTEROL

Test information Reverse cholesterol transport primary sample volumes 2 mL


turnaround time 1hr



interference Apo A

HBA1C

Test information This gives information about long term control of blood glucose level. For diabetic the level is more than 6.5%. Normal people will have level less than 5.6%. If it is in between, it is prediabetes,



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turnaround time 2hr



interference HbS

HBSAG

Test information Viral infection of liver primary sample volumes 2 mL


turnaround time 1hr


clinical decision values Refer Appendix 1 interference Other surface antigens

HIV1&2

Test information Screening for AIDS primary sample volumes 2 mL




interference Severe immunodepression

HSV IgG

Test information Viral infection marker primary sample volumes 2 mL


turnaround time 1hr



interference Surface antigens

HSV IgM

Test information Current viral infection primary sample volumes 2 mL


turnaround time 1hr


clinical decision values Refer Appendix 1 interference Surface antigen

IMMUNOGLOBULIN(IgE)

Test information Allergic reaction-immediate hypersensitivity primary sample volumes 2 mL



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interference proteins

IRON

Test information This is the total iron concentration in plasma. It is decreased in iron deficient anaemia. It is increased in hemochromatosis



turnaround time 2hr


interference Desferol, imferone

INTACT PARATHYROID

Test information This is the parathyroid harmone level. This is increased in renal failure and tumour


special precautions The sample is not stable, so it has to be analysed immediately

turnaround time 1hr


clinical decision values Refer Appendix 1 interference PTH fragments

INSULIN (POSTPARANDIAL)

Test information Inulin surge primary sample volumes 2 mL




interference Administered insulin

INSULIN

Test information Fasting insulin level primary sample volumes 2 mL


turnaround time 1hr



interference Insulin and c peptieds



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LH

Test information Ovulation marker primary sample volumes 2 mL


turnaround time 1hr



interference FSH, TSH

LIPID PROFILE

Test information This is a group of test – total cholesterol, HDL cholesterol, LDL cholesterol, Triglyceride, VLDL cholesterol and LDL/HDL ratio. This is useful in managing the patient with diabetes mellitus, ischemic heart disease etc


special precautions Fasting sample should be given

turnaround time 1hr



interference Refer individual tests

LITHIUM

Test information This is drug monitoring. The patient with maniac depressive illness is treated with Lithium. The therapeutic window is narrow.



turnaround time 1hr



interference Na,H+

LFT

Test information This is a group of test to assess the liver function. Albumin is produced in liver and its level shows the synthetic function of the liver. AST and ALT are transaminase enzymes. If elevated, the liver cell destruction may be inferred. The bilirubin level gives information about severity and type of jaundice. Alkaline phosphatase and gamma glutamyl transferase are elevated in obstructive jaudice





interference Refer individual test



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MICROALBUMINUREA

Test information If the urine albumin level is between 150mg/day to 300mg/day, it is called as micro albuminuria. This shows that the glomerular damage has begun in diabetic patient which can be slowed by ACE inhibitors.





interference Ca

PROGESTERONE

Test information Hormone level to support pregnancy primary sample volumes 2 mL


turnaround time 1hr




PROLACTIN

Test information Fertility screening primary sample volumes 2 mL


turnaround time 1hr


clinical decision values Refer Appendix 1 interference Growth hormone

PSA

Test information Prostatic cancer and benign hypertrophy of prostate marker primary sample volumes 2 mL




interference Serine proteases

PHOSPHORUS

Test information This is regulated by paratharmone. Phosphorus is elevated in chronic renal failure


turnaround time 1hr



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interference nil

POTTASSIUM

Test information This is an important electrolyte in serum. Both elevated and decrease level are fatal. The levels are altered in diarrhea, vomiting, dehydration, renal disorders, diuretic therapy etc





interference Sodium, hydrogen ion

RA FACTOR

Test information For rheumatoid arthritis primary sample volumes 2 mL


turnaround time 1hr




RANDOM BLOOD SUGAR

Test information More than 200mg/dL – diabetes mellitus Less than 50mg/dL - hypoglycemia



turnaround time 1hr



interference Total protein

RUBELLA IgG,IgM

Test information Screening women primary sample volumes 2 mL


turnaround time 1hr



interference Other antigens

SODIUM

Test information Important electrolyte in serum.Both increased and decreased condition affect brain.



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turnaround time 1hr



interference Hydrogen ion

SGOT

Test information This is a transaminase enzyme. This is elevated in liver cell destruction. This may be elevated in other conditions like hemolysis also.



turnaround time 1hr



interference nil

SGPT

Test information This is a transaminase enzyme. This is elevated in liver cell destruction. This may be elevated in other conditions like hemolysis also.



turnaround time 1hr



interference nil

TRIGLYCERIDE

Test information This is an estimate of fatty acid in serum. In fasting state it is an estimate of VLDL. In fed state chilomicron also contribute foe the triglyceride level. Triglyceride level in fasting sample is elevated in diabetes mellitus.



turnaround time 1hr



interference Free glycerol

TIBC

Test information This is an estimate of transferrin level in the serum. This used to analyze the severity of iron deficiency or excess.





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interference Desferol, imferon

TORCH IgG,IgM

Test information Screening women primary sample volumes 2 mL


turnaround time 1hr



interference Other antigens

TOXOPLASMA IgG,IgM

Test information Diagnosis of Toxoplasmosis primary sample volumes 2 mL


turnaround time 1hr


clinical decision values Refer Appendix 1 interference Other surface antigens

TOTAL BILIRUBIN

Test information This is an estimate of total bilirubin and hence the severity of jaundice.





interference Haemoglobin, levo dopa, amino salicylic acid, inazo pyridine, biliverdin

TOTAL PROTIEN

Test information This is the amount of protein in plasma. This is decreased in conditions like malnutrition, liver failure or cirrhosis, nephritic syndrome, this elevated in conditions like multiple myeloma.



turnaround time 1hr


clinical decision values Refer Appendix 1 interference Haemoglobin, bilirubin

T3



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Test information This is the level of the harmone T3. Mostly it is protein bound primary sample volumes 2 mL


turnaround time 1hr




T4

Test information This is the level of the harmone T4. Mostly it is protein bound primary sample volumes 2 mL





TSH

Test information Assess thyroid function and pituitary function primary sample volumes 2 mL


turnaround time 1hr



interference FSH, LH

TESTO STERONE

Test information Male sex hormone primary sample volumes 2 mL


turnaround time 1hr


clinical decision values Refer Appendix 1 interference Other steroids

UREA

Test information This is the end product of protein metabolism. Produced in liver and excreted by kidney mainly and also GIT. The level are elevated in kidney diseases, diarrhea, vomiting, dehydration etc



turnaround time 1hr


clinical decision values Refer Appendix 1 interference Haemoglobin,



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URIC ACID

Test information This is the end product of purine metabolism. This is increase due to increased production due to some enzyme disorders and high cell turn around condition. This also increased in renal failure and alcoholism. This causes gout.

primary sample volumes 1mL




interference Gentisic acid, hemoglobin

VIT D 25OH

Test information Vitamin D status primary sample volumes 2 mL


turnaround time 1hr




VIT-B12

Test information Vitamin B12 status primary sample volumes 2 mL


turnaround time 1hr


clinical decision values Refer Appendix 1 interference Other corinoids

Hematology ABSOLUTE EOSINOHPIL COUNT (AEC)

Test information For the diagnosis of allergy primary sample volumes 2 mL


turnaround time 1hr



interference neutrophils

AFB

Test information Acid fast bacilli, to diagnose tuberculosis



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turnaround time 1hr



interference Lepro bacili

BENCE JOHNS PROTEIN

Test information Marker for multiple myeloma primary sample volumes 2 mL


turnaround time 1hr


clinical decision values Refer Appendix 1 interference Albumin, calcium

BS

Test information Obstructive jaundice primary sample volumes 2 mL




interference Detergents

BP

Test information This is positive in obstructive jaundice. Negative in normal people.


turnaround time 1hr



interference Heme

CRP

Test information This is an acute phase reactant. This is elevated in any inflammation or stress.



turnaround time 1hr



interference Other proteins



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CBC

Test information Profile – complete blood count primary sample volumes 2 mL


turnaround time 1hr




DIFFERENTIAL COUNT (DC)

Test information % of different types of cells in the blood primary sample volumes 2 mL


turnaround time 1hr


interference Poor staining

DIRECT COOMBS TEST

Test information Screening for Rh incompatibility primary sample volumes 2 mL special precautions nil

turnaround time 1hr



interference Auto antibodies

HB

Test information For the diagnosis of anemia primary sample volumes 2 mL


turnaround time 1hr



interference heme

INDIRECT COOMBS TEST

Test information Screening for Rh incompatibility primary sample volumes 2 mL




interference Other auto antibodies

MALARIAL PARASITE



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Test information To diagnose malaria primary sample volumes 2 mL


turnaround time 1hr



interference Staining artifacts

MICROFILARIA

Test information To diagnose filaria primary sample volumes 2 mL




interference nil

PCV

Test information Packed cell volume, to diagnose and classify anemia primary sample volumes 2 mL


turnaround time 1hr



interference Hemolyis, increased WBC

PBF (SMEAR)

Test information To study the features of the cells primary sample volumes 2 mL


turnaround time 1hr


clinical decision values Refer Appendix 1 interference Anti coagulants

PLATELET

Test information Count of platelets, monitoring the patients with Dengue fever primary sample volumes 2 mL


turnaround time 1hr



interference RBC

PROTHROMBIN TIME

Test information To check the extrinsic pathway of clotting and warfarin



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therapy primary sample volumes 2 mL


turnaround time 1hr



interference platelets

PORPHOBILINOGEN

Test information To diagnose acute intermittent porphyria primary sample volumes 2 mL




interference heme

PREGNANACY TEST

Test information To diagnose pregnancy primary sample volumes 2 mL


turnaround time 1hr



interference FSH, LH, TSH

RBC

Test information Count of red blood cell, to diagnose anemia primary sample volumes 2 mL


turnaround time 1hr


clinical decision values Refer Appendix 1 interference Big platelets

RETICULATE

Test information To diagnose hemolytic anemia and response for the treatment of anemia





interference neutrophils

SICKLE CELL



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Test information To diagnose sickle cell anemia primary sample volumes 2 mL


turnaround time 1hr



interference nil

URINE R/E

Test information A profile of urine tests primary sample volumes 2 mL





UROBILINOGEN

Test information To diagnose obstructive jaundice primary sample volumes 2 mL


turnaround time 1hr



interference heme

URINE OCCULATE TEST

Test information To diagnose hematuria or hemoglobinuria primary sample volumes 2 mL


turnaround time 1hr


clinical decision values Refer Appendix 1 interference Pus cells

Microbiology CHICKEN GUNIA CARD primary sample volumes 2 mL


turnaround time 1hr

DENGUE CARD primary sample volumes 2 mL




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turnaround time 1hr

DENGUE ELISA primary sample volumes 2 mL


turnaround time 1hr

IM TEST primary sample volumes 2 mL special precautions nil

turnaround time 1hr

LEPTOTECK CARD primary sample volumes 2 mL


turnaround time 1hr

SMEAR FOR DIPHTHERIA primary sample volumes 2 mL


turnaround time 1hr

SMEAR FOR GRAM STAINING primary sample volumes 2 mL


SPUTUM AFB primary sample volumes 2 mL


turnaround time 1hr

URINE AFB primary sample volumes 2 mL


turnaround time 1hr

URNEC/S primary sample volumes 2 mL


turnaround time 1hr

URINE R/E primary sample volumes 2 mL


turnaround time 1hr



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APPENDIX 1

TEST NAME REFERENCE RANGE

% TRANSFERRIN SATURATION (TSA)

Female 1 Days 150 Years Female : 12-45 %

Male 1 Days 150 Years Male : 15-50 %

25 OH VITAMIN D TOTAL ( D3, D2 )

4th GENERATION HIV TRI-DOT + ANTIGEN p24

TEST

A/G RATIO*

TOTAL PROTEIN*

Female 1 Days 150 Years Umbilcal cord 4.8 - 8.0 Premature 3.6 - 6.0 New born 4.6 - 7.0 1 wk 4.4 - 7.6 7 moths - 1yr 5.1 - 7.5 1 - 2 yrs 5.6 - 7.5 > 3yrs 6.0 - 8.0 Adults- 6.4 - 8.3 g/dl

Male 1 Days 150 Years Umbilcal cord 4.8 - 8.0 Premature 3.6 - 6.0 New born 4.6 - 7.0 1 wk 4.4 - 7.6 7 moths - 1yr 5.1 - 7.5 1 - 2 yrs 5.6 - 7.5 > 3yrs 6.0 - 8.0 Adults- 6.4 - 8.3 g/dl

ALBUMIN - SERUM*

Female 1 Days 150 Years [ 3.5 - 5.0 ]

Male 1 Days 150 Years [ 3.5 - 5.0 ]

GLOBULIN - SERUM*



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Male 1 Days 150 Years [ 2.3 - 3.5 ]

A/G RATIO*

ABSOLUTE EOSINOPHIL COUNT (AEC)

Female 1 Days 150 Years Birth : 50 - 1,300 Children : 50 - 600 Adult : 50 - 450

Male 1 Days 150 Years Birth : 50 - 1,300 Children : 50 - 600 Adult : 50 - 450

ABSOLUTE LYMPHOCYTE COUNT

ABSOLUTE NEUTROPHILS COUNT

ACETONE

Female 1 Days 150 Years Negative: < 10mg/dl 1+ : 10 - 20mg/dl 2+ : 40 - 60mg/dl 3+ : 80 - 1000mg/dl 4+ : >150mg/dl

Male 1 Days 150 Years Negative: < 10mg/dl 1+ : 10 - 20mg/dl 2+ : 40 - 60mg/dl 3+ : 80 - 1000mg/dl 4+ : >150mg/dl

ACID PHOSPHATASE (TOTAL)

Female 1 Days 150 Years [ 0 - 4.7 ]

Male 1 Days 150 Years [ 0 - 4.7 ]

ACTIVATED PARTIAL THROMBOPLASTIN TIME

APTT TEST

APTT CONTROL



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Female 1 Days 150 Years [ 0 - 46 ]

Male 1 Days 150 Years [ 0 - 46 ]

AFB 24 HR URINE

AFB STAIN

ALBUMIN - SERUM*


Male 1 Days 150 Years [ 3.5 - 5.0 ]

ALBUMIN - URINE

Female 1 Days 150 Years Negative: < 15mg/dl Trace : 15 - 30mg/dl 1+ : 30 - 100mg/dl 2+ : 100 - 300mg/dl 3+ : 300 - 1000mg/dl 4+ : >1000mg/dl

Male 1 Days 150 Years Negative: < 15mg/dl Trace : 15 - 30mg/dl 1+ : 30 - 100mg/dl 2+ : 100 - 300mg/dl 3+ : 300 - 1000mg/dl 4+ : >1000mg/dl

ALKALINE PHOSPHATASE*



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Female 1 Days 150 Years Infant (1 days - 1 month) : 50 - 400 Child (2 months - 11 months) : 125 - 340 Child (1yr - 3 yrs) : 110 - 315 Child (4yrs - 6 yrs) : 100 - 300 Child (7yrs- 9 yrs) : 70 - 325 Child (10yrs - 12 yrs) : 50 - 330 Adolescent (13yrs - 15 yrs) : 50 - 162 Adolescent (16yrs - 17 yrs) : 50 - 150 Adult (18yrs - 150yrs) : 38 - 126

Male 1 Days 150 Years Infant (1 days - 1 month) : 75 - 315 Child (2 months - 11 months) : 80 - 380 Child (1yr - 3 yrs) : 100 - 350 Child (4yrs - 6 yrs) : 90 - 300 Child (7yrs- 9 yrs) : 90 - 315 Child (10yrs - 12 yrs) : 40 - 360 Adolescent (13yrs - 15 yrs) : 75 - 390 Adolescent (16yrs - 17 yrs) : 50 - 170 Adult (18yrs - 150yrs) : 38 - 126



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ALPHA FETO PROTEIN (AFP)

AMMONIA

Female 1 Days 150 Years 27 - 120

Male 1 Days 150 Years 27 - 120

AMYLASE

Female 1 Days 150 Years [ 30-110 ]

Male 1 Days 150 Years [ 30-110 ]

AMYLASE (URINE)



ANA - INDIRECT IMMUNOFLUORESCENCE METHOD

ANA SCREEN - IFA

DILUTION

PATTERN

INTENSITY

ANA PROFILE -17 ANTIGENS

ANA SCREEN - IFA

ANA SCREEN - IFA

DILUTION

PATTERN

INTENSITY

ANCA - IFA DIRECT

ANCA-PR3,E1A

ANOMALY OBSTETRICS

ANTI CCP

ANTI DNASE B (Anti deoxyribonucleuse B)

ANTI Ds DNA

ANTI MICROSOMAL ANTIBODY (AMA)

ANTI MULLARIAN HORMONE

ANTI SPERM ANTIBODY (ASAB)

ANTI THYROGLOBULIN ANTIBODY (ATG)

ARSENIC,RANDOM URINE

ASPERGILLUS ANTIBODIES IgG

BENCE JONES PROTEIN

BETA HCG (BHCG)

BICARBONATE*


Male 1 Days 150 Years [ 21 - 28 ]

BILE ACID TEST



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BILE PIGMENT

Female 1 Days 150 Years NIL

Male 1 Days 150 Years NIL

BILE SALT



BILIRUBIN DIRECT

Female 1 Days 150 Years < 0.3

Male 1 Days 150 Years < 0.3

BILIRUBIN INDIRECT


Male 1 Days 150 Years [ 0.1 - 1.0 ]

BILIRUBIN TOTAL*

Female 1 Days 1 Days < 5.8


Female 6 Days 1 Months < 5.8

Female 2 Months 150 Years 0.2 - 1.3


Male 1 Days 1 Days < 5.8



Male 6 Days 1 Months < 5.8

Male 2 Months 150 Years 0.2 - 1.3

BLEEDING TIME (BT)



BLOOD UREA NITROGEN (BUN)

Female 1 Days 150 Years [ 4.7 - 21 ]

Male 1 Days 150 Years [ 4.7 - 21 ]

BOMBAY GROUP

CALCIUM 24 HR URINE


Male 1 Days 150 Years [ 100 - 250 ]

TOTAL VOLUME

CALCIUM CORRECTED

Female 1 Days 150 Years 8.8 - 10.5 mg/dl

Male 1 Days 150 Years 8.8 - 10.5 mg/dl

CALCIUM CREATININE RATIO 24 HR URINE

Female 1 Days 150 Years [ 0 - 0.15 ]

Male 1 Days 150 Years [ 0 - 0.15 ]

CALCIUM FREE

CALCIUM*

Female 1 Days 150 Years Children (1 yr-14 yrs) : 8.0 - 11 Adult :8.4 - 10.2



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Male 1 Days 150 Years Children (1 yr-14 yrs) : 8.0 - 11 Adult :8.4 - 10.2

CALCIUM-URINE

TOTAL VOLUME

CANCER ANTIGEN 19.9 (CA 19.9)

CANCER ANTIGEN-125 (CA - 125)

CARCINO EMBRYONIC ANTIGEN (CEA)

CARCINO EMBRYONIC ANTIGEN (DILUTION)

CHIKUN GUNYA SCREENING TEST

CHLORIDE 24 HR URINE


Male 1 Days 150 Years [ 110 - 250 ]

TOTAL VOLUME

CHLORIDE*


Male 1 Days 150 Years [ 96 - 108 ]

CHOLESTEROL*

Female 1 Days 150 Years Less than 200 mg/dl - Desirable 200 - 239 mg/dl - Borderline high More than 239 mg/dl - High

Male 1 Days 150 Years Less than 200 mg/dl - Desirable 200 - 239 mg/dl - Borderline high More than 239 mg/dl - High

CK-MB



CLOT RETRACTION TIME (CRT)


Male 1 Days 150 Years [ 58 - 97 ]

CLOTTING TIME (CT)





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COMPLETE HAEMOGRAM (SYSMEX XN - 550 Automated 5 Part blood cell Analyser)

HAEMOGLOBIN (HB)

Female 1 Days 150 Years Birth :18.0 +/-4.0, Day 3:18.0+/-3.0, 1 month:14.0+/-2.5, 2 months 11.2+/-1.8, 3 months - 6 years 12.6 +/- 1.5, 6 - 12 years:13.5+/-2.0,. Adults : Male:13.0 -16.0; Female:12.0-15.0 g/dl

Male 1 Days 150 Years Birth :18.0 +/-4.0, Day 3:18.0+/-3.0, 1 month:14.0+/-2.5, 2 months 11.2+/-1.8, 3 months - 6 years 12.6 +/- 1.5, 6 - 12 years:13.5+/-2.0,. Adults : Male:13.0 -16.0; Female:12.0-15.0 g/dl

TOTAL WBC COUNT (TC)

Female 1 Days 150 Years Adults:4,000-11,000, Birth: 18000+/-8000, Day 3: 15000+/-8000, 1 month: 12000+/-7000, 2 month:10000+/-5000, 3-6 months:12000+/-6000, 1 year: 11000+/-5000, 2-6 years: 10000+/-5000,



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6-12 years 9000+/-4000 /Cmm

Male 1 Days 150 Years Adults:4,000-11,000, Birth: 18000+/-8000, Day 3: 15000+/-8000, 1 month: 12000+/-7000, 2 month:10000+/-5000, 3-6 months:12000+/-6000, 1 year: 11000+/-5000, 2-6 years: 10000+/-5000, 6-12 years 9000+/-4000 /Cmm

WBC DIFFERENTIAL COUNT (DC)

BLAST CELLS

ATYPICAL CELLS

PROMYELOCYTES

MYELOCYTES

METAMYELOCYTES

BAND FORMS



NEUTROPHILS

Female 1 Days 150 Years Adults: 40-65% New born: 30-60% Child <4yrs: 25-45%

Male 1 Days 150 Years Adults: 40-65% New born: 30-60% Child <4yrs: 25-45%

LYMPHOCYTES



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Female Days 150 Years Adults:20-45% New born: 25-35% Child <4yrs:35-65% Child 4-10yrs: 30-50 %

Male Days 150 Years Adults:20-45% New born: 25-35% Child <4yrs:35-65% Child 4-10yrs: 30-50 %

EOSINOPHILS

Female 1 Days 150 Years 1-5 %

Male 1 Days 150 Years 1-5 %

MONOCYTES



BASOPHILS



ERYTHROCYTE SEDIMENTATION RATE (ESR)

Female 1 Days 150 Years Male 0-10 mm/hr Female 0-20 mm/hr

Male 1 Days 150 Years Male 0-10 mm/hr Female 0-20 mm/hr

RBC


Male 1 Days 150 Years [ 3.71 - 5.52 ]

PLATELET COUNT

Female 1 Days 150 Years 1.4-4.4 Lakhs

Male 1 Days 150 Years 1.4-4.4 Lakhs

PACKED CELL VOLUME (PCV)

Female 1 Days 150 Years F :36-47%

Male 1 Days 150 Years M :40-54%

MCV

Female 1 Days 150 Years Adults:82.5-98, Birth:110+/- 10, Days3 : 105+/-13, 1 months:104+/-12, 2 months:95+/8, 3-6 months:76+/-8,



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1 year: 78+/-6, 2-6 years: 81+/-6, 6-12 years: 86+/-9.fl

Male 1 Days 150 Years Adults:82.5-98, Birth:110+/- 10, Days3 : 105+/-13, 1 months:104+/-12, 2 months:95+/8, 3-6 months:76+/-8, 1 year: 78+/-6, 2-6 years: 81+/-6, 6-12 years: 86+/-9.fl

MCH

Female 1 Days 150 Years Adults:26-32, Upto 1 month :34+/-3, 2 months:30+/-3, 3 months - 6 years:27+/-3, 6-12 years:29+/-4 pg

Male 1 Days 150 Years Adults:26-32, Upto 1 month :34+/-3, 2 months:30+/-3, 3 months - 6 years:27+/-3, 6-12 years:29+/-4 pg

MCHC

Female 1 Days 150 Years Adults:30.7-35.9, Birth to12 years 33+/-4 g/dl

Male 1 Days 150 Years Adults:30.7-35.9, Birth to12 years 33+/-4 g/dl



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LYM-TC

Female 1 Days 150 Years [ 900 - 3,400 ]

Male 1 Days 150 Years [ 900 - 3,400 ]

MXD-TC


Male 1 Days 150 Years [ 200 - 1,200 ]

NEUT-TC


Male 1 Days 150 Years [ 2200 - 7,100 ]

MONO-TC

EOS-TC

BASO-TC

RDW-SD


Male 1 Days 150 Years [ 39.1 - 51.6 ]

RDW-CV

MPV


Male 1 Days 150 Years [ 8.5 - 13.3 ]

P-LCR

CORTISOL - 8 AM

CORTISOL (CORT)

C-REACTIVE PROTEIN (CRP)

Female 1 Days 150 Years < 10

Male 1 Days 150 Years < 10

TOTAL VOLUME

CREATININE CLEARENCE 24 HR URINE

CREATININE KINASE (CK)


Male 1 Days 150 Years [ 55 - 170 ]

CREATININE*

Female 1 Days 150 Years Newborn (1-7 days) :0.6 - 1.1 Infant (8-31 days) : 0.3 - 0.7 Children (1 yr - 14 yrs) : 0.2 - 0.7 Adult: Male : 0.7 - 1.5 Female : 0.7 - 1.5



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Male 1 Days 150 Years Newborn (1-7 days) :0.6 - 1.1 Infant (8-31 days) : 0.3 - 0.7 Children (1 yr - 14 yrs) : 0.2 - 0.7 Adult: Male : 0.7 - 1.5 Female : 0.7 - 1.5

CSF PROTEIN

CSF DIFFERENTIAL COUNT (DC)

CULTURE & SENSITIVITY PENILE SWAB - FUNGAL

CULTURE & SENSITIVITY -CATHETER TIP

CULTURE & SENSITIVITY -FLUID

CULTURE & SENSITIVITY PENILE SWAB - BACTERIAL

CULTURE AFB ( URINE )

CYTOMEGALO VIRUS (CMV) - IgG

CYTOMEGALO VIRUS (CMV) - IgM

DENGUE CARD TEST NS1 Ag ,IgM&IgG

DENGUE NS1 Antigen

DENGUE CARD IgG

DENGUE CARD IgM

DENGUE IgG

DENGUE IgG

DHEA - SULPHATE (DHEAS)

DIRECT COOMB`S TEST

DIRECT LDL CHOLESTROL

Female 1 Days 150 Years Optimal : < 100 Near to above Optimal : 100 - 129 Borderline High : 130 - 159 High : 160 - 189



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Very High : > 190

Male 1 Days 150 Years Optimal : < 100 Near to above Optimal : 100 - 129 Borderline High : 130 - 159 High : 160 - 189 Very High : > 190

ELECTROLYTES

SODIUM*


Male 1 Days 150 Years [ 136 - 145 ]

POTASSIUM*

Female 1 Days 150 Years 3.5 - 5.1

Male 1 Days 150 Years 3.5 - 5.1

CHLORIDE*


Male 1 Days 150 Years [ 96 - 108 ]

BICARBONATE*


Male 1 Days 150 Years [ 21 - 28 ]

EOSIN IN SPUTUM

EOSINOPHILS-URINE

ERHTROCYTE CORPSUCULAR INDICES

HAEMOGLOBIN (HB)

Female 1 Days 150 Years Birth :18.0 +/-4.0, Day 3:18.0+/-3.0, 1 month:14.0+/-2.5, 2 months 11.2+/-1.8,



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3 months - 6 years 12.6 +/- 1.5, 6 - 12 years:13.5+/-2.0,. Adults : Male:13.0 -16.0; Female:12.0-15.0 g/dl





RBC


Male 1 Days 150 Years [ 3.71 - 5.52 ]

MCV

Female 1 Days 150 Years Adults:82.5-98, Birth:110+/- 10, Days3 : 105+/-13, 1 months:104+/-12, 2 months:95+/8, 3-6 months:76+/-8, 1 year: 78+/-6, 2-6 years: 81+/-6, 6-12 years: 86+/-9.fl



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MCH



MCHC



ERYTHROCYTE SEDIMENTATION RATE (ESR)

Female 1 Days 150 Years 0-20 mm/hr

Male 1 Days 150 Years 0-10 mm/hr

ERYTHROPOIETIN

ESTRADIOL (E2)



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Female 1 Days 150 Years Follicular phase : 18 - 147 pg/mL Pe-ovulatory peak : 93 - 575 pg/mL Luteal phase : 43 - 214 pg/mL Menopause : < 58 pg/mL

Male 1 Days 150 Years : < 62 pg/ml

EUROIMMUNE INHALATION ALLERGY PROFILE

EUROLINE FOOD ALLERGY PROFILE

FERRITIN

FOLLICLE STIMULATING HORMONES (FSH)

FREE THYROXINE (FT4)

Female 1 Days 150 Years Infant ( 0 days - < 3 days ) : 2.0 - 5.0 Infant ( 3 days - 30 days ) : 0.9 - 2.2 Child ( 1 months - 18 yrs ) : 0.8 - 2.0 Adult ( 19 yrs - 150 yrs ) : 0.78 - 2.19



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Male 1 Days 150 Years Infant ( 0 days - < 3 days ) : 2.0 - 5.0 Infant ( 3 days - 30 days ) : 0.9 - 2.2 Child ( 1 months - 18 yrs ) : 0.8 - 2.0 Adult ( 19 yrs - 150 yrs ) : 0.78 - 2.19

FREE TRIIODOTHYRONINE (FT3)

Female 1 Days 150 Years 1 Day - 1 Year : 2.80 - 5.07 1 Years - 5 Years : 2.47 - 4.68 6 Years - 10 years : 2.67 - 4.62 11 Years - 14 Years : 2.02 - 4.30 15 Years - 150Years : 1.71 - 3.71

Male 1 Days 150 Years 1 Day - 1 Year : 2.80 - 5.07 1 Years - 5 Years : 2.47 - 4.68 6 Years - 10 years : 2.67 - 4.62 11 Years - 14 Years : 2.02 - 4.30 15 Years - 150Years : 1.71 - 3.71

G6PD

GAMMA GT


Male 1 Days 150 Years [ 15 - 73 ]

GLOBULIN - SERUM*




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Male 1 Days 150 Years [ 2.3 - 3.5 ]

GLOMERULAR FILTRATION RATE ( GFR )

GLUCOSE CHALLENGE TEST

GLUCOSE CHALLENGE TEST

GCT URINE SUGAR

GLUCOSE CHALLENGE TEST With 50 gm glucose

PLASMA GLUCOSE ( 1 Hr.)

URINE SUGAR (1 Hr.)


URINE SUGAR (2 Hr.)

GLUCOSE CHALLENGE TEST With 75 gm glucose


URINE SUGAR (1 Hr.)


URINE SUGAR (2 Hr.)

GLUCOSE FLUID

GLUCOSE PLASMA FASTING WITH URINE SUGAR

GLUCOSE PLASMA FASTING *


Male 1 Days 150 Years [ 70 - 110 ]

FASTING URINE SUGAR

GLUCOSE PLASMA POST PRANDIAL ( AFTER BREAKFAST )

GLUCOSE PLASMA POST PRANDIAL ( AFTER BREAKFAST )

Female 1 Days 150 Years [80 - 160]

Male 1 Days 150 Years [80 - 160]

POST PRANDIAL URINE SUGAR (AFTER BREAKFAST)

GLUCOSE PLASMA POST PRANDIAL ( AFTER DINNER )

GLUCOSE PLASMA POST PRANDIAL ( AFTER DINNER )

Female 1 Days 150 Years [80 - 160 ]

Male 1 Days 150 Years [80 - 160 ]

POST PRANDIAL URINE SUGAR ( AFTER DINNER )

GLUCOSE PLASMA POST PRANDIAL ( AFTER LUNCH )

GLUCOSE PLASMA POST PRANDIAL ( AFTER LUNCH )




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Male 1 Days 150 Years [ 80 - 160 ]

POST PRANDIAL URINE SUGAR ( AFTER LUNCH )

GLUCOSE PLASMA POST PRANDIAL WITH URINE SUGAR

GLUCOSE PLASMA POST PRANDIAL*


Male 1 Days 150 Years [ 80 - 160 ]

POST PRANDIAL URINE SUGAR

GLUCOSE PLASMA POST PRANDIAL*


Male 1 Days 150 Years [ 80 - 160 ]

POST PRANDIAL URINE SUGAR

GLUCOSE PLASMA RANDOM *


Male 1 Days 150 Years [ 70 - 140 ]

RANDOM URINE SUGAR

GLUCOSE TOLERANCE TEST With 100 gm Glucose

PLASMA GLUCOSE (FASTING)

URINE SUGAR (F)

PLASMA GLUCOSE ( 1/2 Hr.)

URINE SUGAR (1/2 Hr.)


URINE SUGAR (1 Hr.)

PLASMA GLUCOSE ( 1 1/2 Hr.)

URINE SUGAR (1 1/2 Hr.)


URINE SUGAR (2 Hr.)




URINE SUGAR (3 Hr.)



GLUCOSE TOLERANCE TEST With 75 gm Glucose

PLASMA GLUCOSE (FASTING)

URINE SUGAR (F)

PLASMA GLUCOSE ( 1/2 Hr.)

URINE SUGAR (1/2 Hr.)


URINE SUGAR (1 Hr.)



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URINE SUGAR (2 Hr.)




URINE SUGAR (3 Hr.)




URINE SUGAR (4 Hr.)




URINE SUGAR (5 Hr.)

GLUCOSE URINE



GRAM STAIN ( CSF )

GROUP RH



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BLOOD GROUP

RH

DU

GROWTH HORMONE (GH)

GROWTH HORMONE RELEASING HORMONE

HAEMOGLOBIN (HB)

Female 1 Days 150 Years Birth :18.0 +/-4.0, Day 3:18.0+/-3.0, 1 month:14.0+/-2.5, 2 months 11.2+/-1.8, 3 months - 6 years 12.6 +/- 1.5, 6 - 12 years:13.5+/-2.0,. Adults : Male:13.0 -16.0; Female:12.0-15.0 g/dl


HB A1C

HBS AG (CARD TEST)

HDL CHOLESTEROL*

Female 1 Days 150 Years Females: Low risk > 65 Moderate risk - 45 - 65 High risk < 45 Males: Low risk > 55



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Moderate risk - 35 - 55 High risk < 35

Male 1 Days 150 Years Females: Low risk > 65 Moderate risk - 45 - 65 High risk < 45 Males: Low risk > 55 Moderate risk - 35 - 55 High risk < 35

HEPATITIS A VIRUS - IgM (HAV IgM)

HEPATITIS B CORE ANTIBODY - IGM (AHBC-IGM)

HEPATITIS B SURFACE ANTIGEN (HBsAg QUALITATIVE II )

HEPATITIS C ANTIBODY ( ANTI HCV )

HEPATITIS C ANTIBODY (ANTI HCV) RAPID

HEPATITIS E ANTIBODY (ANTI HEV) IgM

HERPES SIMPLEX VIRUS 1 (HSV)-IgG

HERPES SIMPLEX VIRUS 1&II (HSV)-IgM

HIV - WESTERN BLOT

HIV CARD TEST

HUMAN IMMUNODEFICIENCY VIRUS ( HIV I & II )

IMMUNOGLOBULIN IgE

INDIRECT COOMB`S TEST

INDIRECT COOMB`S TEST ( DILUTION )



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INSULIN

INSULIN ( FASTING )

INSULIN ( POST PRANDIAL )

INSULIN STIMULATED

Female 1 Years 150 Years < 20

Male 1 Years 150 Years < 20

INTACT PARATHYROID HORMONE (PTH)

IRON STUDIES

IRON

TOTAL IRON BINDING CAPACITY (TIBC)

% TRANSFERRIN SATURATION (TSA)

Female 1 Days 150 Years Female : 12-45 %

Male 1 Days 150 Years Male : 15-50 %

LDH

Female 1 Days 150 Years Neonates(4 - 20 Days) : Up to 620 Adult Male : 80 - 285 Adult Female : 103 - 227

Male 1 Days 150 Years Neonates(4 - 20 Days) : Up to 620 Adult Male : 80 - 285 Adult Female : 103 - 227

LE CELLS (LUPUS ERYTHEMATOSIS)

LEPTOSPIRA ANTIBODY - RAPID

LEPTOSPIRA ANTIBODY - RAPID

LEPTOSPIROSIS IgM

LEUTINISING HORMONE (LH)

LIPASE

LIPID PROFILE

CHOLESTEROL*



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Female 1 Days 150 Years Less than 200 mg/dl - Desirable 200 - 239 mg/dl - Borderline high More than 239 mg/dl - High

Male 1 Days 150 Years Less than 200 mg/dl - Desirable 200 - 239 mg/dl - Borderline high More than 239 mg/dl - High

TRIGLYCERIDES*

Female 1 Days 150 Years Less than 150 mg/dl - Normal 150-199 mg/dl - Borderline high 200-499 mg/dl - High More than 500 mg/dl - Very high

Male 1 Days 150 Years Less than 150 mg/dl - Normal 150-199 mg/dl - Borderline high 200-499 mg/dl - High More than 500 mg/dl - Very high

HDL CHOLESTEROL*

Female 1 Days 150 Years Females: Low risk > 65 Moderate risk - 45 - 65 High risk < 45 Males: Low risk > 55 Moderate risk - 35 - 55



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High risk < 35

Male 1 Days 150 Years Females: Low risk > 65 Moderate risk - 45 - 65 High risk < 45 Males: Low risk > 55 Moderate risk - 35 - 55 High risk < 35

LDL CHOLESTEROL

Female 1 Days 150 Years <100 - Optimal 100 - 129 - Near Optimal 130 - 159 - Borderline High 160 - 189 - High More than 190 - Very High

Male 1 Days 150 Years <100 - Optimal 100 - 129 - Near Optimal 130 - 159 - Borderline High 160 - 189 - High More than 190 - Very High

VLDL CHOLESTROL





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TC/HDL Cholesterol Ratio



LDL/HDL Ratio


Male 1 Days 150 Years [ 1.5 - 3.5 ]

LIPOPROTEIN (A)

LITHIUM

Female 1 Days 150 Years Therapeutic : 0.6 - 1.2 Potentially : > 1.5 Severely : > 2.5

Male 1 Days 150 Years Therapeutic : 0.6 - 1.2 Potentially : > 1.5 Severely : > 2.5

LIVER FUNCTION TEST (LFT)

BILIRUBIN TOTAL*



Female 6 Days 1 Months < 5.8

Female 2 Months 150 Years 0.2 - 1.3





Male 6 Days 1 Months < 5.8

Male 2 Months 150 Years 0.2 - 1.3

BILIRUBIN DIRECT



BILIRUBIN INDIRECT


Male 1 Days 150 Years [ 0.1 - 1.0 ]

SGOT*

Female 1 Days 150 Years Female: 14 - 36 Male : 17 - 59

Male 1 Days 150 Years Female: 14 - 36 Male : 17 - 59

SGPT*

Female 1 Days 150 Years Female : 09 - 52 Male : 21 - 72

Male 1 Days 150 Years Female : 09 - 52



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Male : 21 - 72

ALKALINE PHOSPHATASE*

Female 1 Days 150 Years Infant (1 days - 1 month) : 50 - 400 Child (2 months - 11 months) : 125 - 340 Child (1yr - 3 yrs) : 110 - 315 Child (4yrs - 6 yrs) : 100 - 300 Child (7yrs- 9 yrs) : 70 - 325 Child (10yrs - 12 yrs) : 50 - 330 Adolescent (13yrs - 15 yrs) : 50 - 162 Adolescent (16yrs - 17 yrs) : 50 - 150 Adult (18yrs - 150yrs) : 38 - 126

Male 1 Days 150 Years Infant (1 days - 1 month) : 75 - 315 Child (2 months - 11 months) : 80 - 380 Child (1yr - 3 yrs) : 100 - 350 Child (4yrs - 6 yrs) : 90 - 300 Child (7yrs- 9 yrs) : 90 - 315 Child (10yrs - 12 yrs) : 40 - 360 Adolescent (13yrs - 15 yrs) : 75 - 390 Adolescent (16yrs - 17 yrs) : 50 - 170



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Adult (18yrs - 150yrs) : 38 - 126

TOTAL PROTEIN*



ALBUMIN - SERUM*


Male 1 Days 150 Years [ 3.5 - 5.0 ]

GLOBULIN - SERUM*



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Male 1 Days 150 Years [ 2.3 - 3.5 ]

A/G RATIO*

DILUTION

GAMMA GT

Female 1 Days 150 Years Female [ 12 - 43 ] Male [ 15 - 73 ]

Male 1 Days 150 Years Female [ 12 - 43 ] Male [ 15 - 73 ]

LUPUS ANTI COAGULANT

Lupus Anticoagulant by d RVVT (DILUTE RUSSEL VIPER VENOM TIME)

MAGNESIUM


Male 1 Days 150 Years [ 1.8 - 2.6 ]

MAGNESIUM 24 HR URINE


Male 1 Days 150 Years [ 1.9 - 2.5 ]

TOTAL VOLUME

MALARIAL PARASITE (MP SMEAR)

MALARIAL PARASITE (MP -STIX)

MCH





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MCHC



MCV

Female 1 Days 150 Years Adults:82.5-98, Birth:110+/- 10, Days3 : 105+/-13, 1 months:104+/-12, 2 months:95+/8, 3-6 months:76+/-8, 1 year: 78+/-6, 2-6 years: 81+/-6, 6-12 years: 86+/-9.fl


MICRO FILARIA

MICROALBUMINURIA

Female 1 Days 150 Years <20

Male 1 Days 150 Years <20

MICROSCOPIC EXAMINATION (ME)

WBCs (Leucocytes)

Female 1 Days 150 Years 0-5 Cells/HPF

Male 1 Days 150 Years 0-5 Cells/HPF

RBCs (Erythrocytes)

Female 1 Days 150 Years 0-2 RBCS Cells/HPF

Male 1 Days 150 Years 0-2 RBCS Cells/HPF

Epithelial Cells

Female 1 Days 150 Years 0 - 3 Cells/HPF

Male 1 Days 150 Years 0 - 3 Cells/HPF



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Casts

Female 1 Days 150 Years Occ. Hyaline Cast/HPF

Male 1 Days 150 Years Occ. Hyaline Cast/HPF

Crystals

Female 1 Days 150 Years NIL/HPF

Male 1 Days 150 Years NIL/HPF

MOTION - OCCULT BLOOD

MOTION - PH

MOTION - REACTION

MOTION FAT ANALYSIS

MOTION ROUTINE EXAMINATION

OVA

CYST

AMOEBA

WBC/HPF

RBC/HPF

OTHERS

MPV


Male 1 Days 150 Years [ 8.5 - 13.3 ]

INTERPRETATION AND COMMENT :

Female 3 Days 1 Months Normal :>2.2U/g Hb

Female 3 Days 9 Months 3 To 5 Day Old INFANTS Negative:<30.0nmol/L Equivocal: 30-90 nmol/L(Require follow up) PRETERM (27-36 WEEKS) Negative : <60.0 nmol/L

Female 3 Days 1 Months Normal:0-10 Borderline: 10-20 Abnormal:>20

Male 3 Days 1 Months Normal :>2.2U/g Hb

Male 3 Days 9 Months 3 To 5 Day Old INFANTS Negative:<30.0nmol/L Equivocal: 30-90 nmol/L(Require follow up) PRETERM (27-36 WEEKS)



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Negative : <60.0 nmol/L

Male 3 Days 1 Months Normal:0-10 Borderline: 10-20 Abnormal:>20

25 OH VITAMIN D TOTAL ( D3, D2 )

Female 1 Days 150 Years Children (1 yr-14 yrs) : 8.0 - 11 Adult :8.4 - 10.2


Female # Years 150 Years [ 2.5 - 4.5 ]

Male 1 Days 150 Years Children (1 yr-14 yrs) : 8.0 - 11 Adult :8.4 - 10.2


Male # Years 150 Years [ 2.5 - 4.5 ]




PARASITES

PAUL BUNNELL (I M) TEST

PERITONIAL FLUID FOR AFB

PERITONIAL FLUID FOR AFB

PLATELET COUNT

Female 1 Days 150 Years 1.4-4.4 Lakhs

Male 1 Days 150 Years 1.4-4.4 Lakhs

POTASSIUM*


Male 1 Days 150 Years 3.5 - 5.1

POTTASIUM 24 HR URINE


Male 1 Days 150 Years [ 40 - 80 ]

TOTAL VOLUME



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PR3-ANCA (cANCA)

PREGNANCY (CARD TEST)

PRO-BNP (B-TYPE NATRI URETIC PEPTIDE)

PROGESTERONE

PROLACTIN (PRL)

PROSTATE SPECIFIC ANTIGEN (PSA)

PROTEIN 24 HR URINE

Female 1 Days 150 Years [ 0 - 150 mg/24 hrs ]

Male 1 Days 150 Years [ 0 - 150 mg/24 hrs ]

PROTEIN CREATININE RATIO24 HR URINE

PT INR (PROTHROMBIN TIME)

TEST

PUS FOR AFB

RA FACTOR

Female 1 Days 150 Years < 20

Male 1 Days 150 Years < 20

RBC


Male 1 Days 150 Years [ 3.71 - 5.52 ]

REDUCING SUBSTANCES

RETICULOCYTE COUNT

Female 1 Days 1 Months [ 2 - 6 ]

Female 2 Months 150 Years [ 0.2 - 2.0 ]

Male 1 Days 1 Months [ 2 - 6 ]

Male 2 Months 150 Years [ 0.2 - 2.0 ]

RUBELLA IgG

RUBELLA IgM

SEMEN FRUCTOSE

Male 1 Days 150 Years [ 234 - 268 ]

SERUM ELECTROPHORESIS

SGOT*



SGPT*



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Male 1 Days 150 Years Male : 21 - 72

SMEAR FOR AFB

SMEAR FOR GRAMSTAIN

SODIUM - URINE

SODIUM 24 HR URINE


Male 1 Days 150 Years [ 80 - 180 ]

TOTAL VOLUME

SODIUM*


Male 1 Days 150 Years [ 136 - 145 ]

SPECIFIC GRAVITY


Male 1 Days 150 Years 1.003 - 1.030

COLOUR

CLARITY

SPOT URINE CALCIUM

SPOT URINE CALCIUM CREATININE RATIO



SPOT URINE CHLORIDE

SPOT URINE CREATININE

SPOT URINE MAGNESIUM

SPOT URINE NITRITE

SPOT URINE PHOSPHORUS

SPOT URINE POTASSIUM

SPOT URINE PROTEIN

SPOT URINE PROTEIN CREATININE RATIO

SPOT URINE SODIUM

SPOT URINE UREA

SPOT URINE URIC ACID

SPUTUM - AFB

STONE ANALYSIS

STREPTOLYSIN O ANTI (ASO)




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Male 1 Days 150 Years [ 0 - 200 ]

SUGAR CSF

TESTOSTERONE (TOTAL TESTOSTERONE)

THYROID STIMULATING HORMONE (TSH)*

Female 1 Days 150 Years Infant (1 day - 11 months) : 0.98 - 5.63 Child (1 yr - 5 yrs) : 0.64 - 5.76 Child (6 yrs - 10 yrs) : 0.51 - 4.82 Adolescent (11 yrs - 14 yrs) : 0.53 - 5.27 Adult (15 yrs - 150 yrs) : 0.35 - 4.90

Male 1 Days 150 Years Infant (1 day - 11 months) : 0.98 - 5.63 Child (1 yr - 5 yrs) : 0.64 - 5.76 Child (6 yrs - 10 yrs) : 0.51 - 4.82 Adolescent (11 yrs - 14 yrs) : 0.53 - 5.27 Adult (15 yrs - 150 yrs) : 0.35 - 4.90

TORCH IgG, IgM

TOXOPLASMA IgG

TOXOPLASMA IgM

RUBELLA IgG

RUBELLA IgM

CYTOMEGALO VIRUS (CMV) - IgG

CYTOMEGALO VIRUS (CMV) - IgM

HERPES SIMPLEX VIRUS 1&II (HSV)-IgG

HERPES SIMPLEX VIRUS 1&II (HSV)-IgM

TOTAL IgE

TOTAL IRON BINDING CAPACITY (TIBC)

TOTAL PROTEIN*



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TOTAL THYROXINE (T4)*

Female 1 Days 150 Years Infant (1 day - 29 days) : 6.3 - 21.5 Infant (1 month - 11 months) : 4.9 - 13.7 Child (1 yr - 3 yrs) : 7.1 - 14.1 Child (4 yrs - 6 yrs) : 7.2 - 14.0 Child (7 yrs - 12 yrs) ; 6.1 - 12.1 Adult (13 yrs - 150 yrs) : 4.5 - 12.0



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Male 1 Days 150 Years Infant (1 day - 29 days) : 5.9 - 21.5 Infant (1 month - 11 months) : 6.4 - 13.9 Child (1 yr - 3 yrs) : 7.0 - 13.1 Child (4 yrs - 6 yrs) : 6.1 - 12.6 Child (7 yrs - 12 yrs) ; 6.7 - 13.4 Adult (13 yrs - 150 yrs) : 4.5 - 12.0

TOTAL TRIIODOTHYRONINE (T3)*

Female 1 Days 150 Years Infant ( 1 Day - 11 Months) 90 - 229.8 Child (1 Years - 5 Years) 92.4 - 200.5 Child (6 Years - 10 Years) 91.79 - 186.84 Child (11 Years - 14 Years) 67.7 - 186.84 Adult (15 Years - 150 Years) 58 - 159

Male 1 Days 150 Years Infant ( 1 Day - 11 Months) 90 - 229.8 Child (1 Years - 5 Years) 92.4 - 200.5 Child (6 Years - 10 Years) 91.79 - 186.84 Child (11 Years - 14 Years) 67.7 - 186.84 Adult (15 Years - 150 Years) 58 - 159

TOTAL WBC COUNT (TC)



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Female 1 Days 150 Years Adults:4,000-11,000, Birth: 18000+/-8000, Day 3: 15000+/-8000, 1 month: 12000+/-7000, 2 month:10000+/-5000, 3-6 months:12000+/-6000, 1 year: 11000+/-5000, 2-6 years: 10000+/-5000, 6-12 years 9000+/-4000 /Cmm

Male 1 Days 150 Years Adults:4,000-11,000, Birth: 18000+/-8000, Day 3: 15000+/-8000, 1 month: 12000+/-7000, 2 month:10000+/-5000, 3-6 months:12000+/-6000, 1 year: 11000+/-5000, 2-6 years: 10000+/-5000, 6-12 years 9000+/-4000 /Cmm

TOXOPLASMA IgG

TOXOPLASMA IgM

TPHA

TRIGLYCERIDES*

Female 1 Days 150 Years Less than 150 mg/dl - Normal 150-199 mg/dl - Borderline high 200-499 mg/dl - High



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More than 500 mg/dl - Very high

Male 1 Days 150 Years Less than 150 mg/dl - Normal 150-199 mg/dl - Borderline high 200-499 mg/dl - High More than 500 mg/dl - Very high

TROPONIN I - HIGH SENSITIVE

TRYPTASE

UREA 24 HR URINE

TOTAL VOLUME

UREA*


Male 1 Days 150 Years [ 10 - 45 ]

URIC ACID 24 HR URINE


Male 1 Days 150 Years [ 250 - 750 ]

TOTAL VOLUME

URIC ACID*

Female 1 Days 150 Years Female : [ 2.5 - 6.2 ] Male : [ 3.5 - 8.5 ]

Male 1 Days 150 Years Female : [ 2.5 - 6.2 ] Male : [ 3.5 - 8.5 ]

URINE - AFB

URINE - OCCULT BLOOD

URINE ANALYSIS

ALBUMIN - URINE

Female 1 Days 150 Years Negative: < 15mg/dl Trace : 15 - 30mg/dl 1+ : 30 - 100mg/dl 2+ : 100 - 300mg/dl 3+ : 300 - 1000mg/dl



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4+ : >1000mg/dl


GLUCOSE URINE




WBCs (Leucocytes)




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RBCs (Erythrocytes)



Epithelial Cells



Casts



Crystals



BACTERIA COUNT

Female 1 Days 150 Years Nil /HPF

Male 1 Days 150 Years Nil /HPF

YEAST CELLS



MUCUS

Female 1 Days 150 Years Nil

Male 1 Days 150 Years Nil

SPERMATOZOA

OTHERS

COMMENT

URINE COMPLETE ANALYSIS (SH - 600 and Fully automated Analyser - SYSMEX UF 1000i)

PHYSICAL EXAMINATION

VOLUME

COLOUR

CLARITY

URINE CHEMICAL EXAMINATION

SPECIFIC GRAVITY


Male 1 Days 150 Years 1.003 - 1.030

REACTION

Female 1 Days 150 Years 4.6 - 8.0 pH

Male 1 Days 150 Years 4.6 - 8.0 pH

NITRITES

Female 1 Days 150 Years NEGATIVE

Male 1 Days 150 Years NEGATIVE

ALBUMIN - URINE



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Female 1 Days 150 Years Negative: < 15mg/dl Trace : 15 - 30mg/dl 1+ : 30 - 100mg/dl 2+ : 100 - 300mg/dl 3+ : 300 - 1000mg/dl 4+ : >1000mg/dl


ACETONE


Male 1 Days 150 Years Negative: < 10mg/dl 1+ : 10 - 20mg/dl 2+ : 40 - 60mg/dl 3+ : 80 -



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1000mg/dl 4+ : >150mg/dl

UROBILINOGEN

Female 1 Years 150 Years Normal : < 2mg/dl 1+ : 2 - 3mg/dl 2+ : 4 - 6mg/dl 3+ : 8 - 12mg/dl 4+ : > 12mg/dl

Male 1 Years 150 Years Normal : < 2mg/dl 1+ : 2 - 3mg/dl 2+ : 4 - 6mg/dl 3+ : 8 - 12mg/dl 4+ : > 12mg/dl

BILE SALT



BILE PIGMENT



GLUCOSE URINE


Male 1 Days 150 Years Negative: < 50mg/dl 1+ : 50 - 100mg/dl 2+ : 100 -



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200mg/dl 3+ : 200 - 500mg/dl 4+ : >1000mg/dl

BLOOD

Female 1 Years 150 Years Negative: < 0.03mg/dl Trace : 0.03 - 0.06mg/dl 1+ : 0.06 - 0.2mg/dl 2+ : 0.2 - 1.0mg/dl 3+ : 1.0 - 2.0mg/dl 4+ : >2.0mg/dl

Male 1 Years 150 Years Negative: < 0.03mg/dl Trace : 0.03 - 0.06mg/dl 1+ : 0.06 - 0.2mg/dl 2+ : 0.2 - 1.0mg/dl 3+ : 1.0 - 2.0mg/dl 4+ : >2.0mg/dl


WBCs (Leucocytes)



RBCs (Erythrocytes)



Epithelial Cells



Casts





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Crystals



BACTERIA COUNT



YEAST CELLS



MUCUS

Female 1 Days 150 Years Nil

Male 1 Days 150 Years Nil

SPERMATOZOA

OTHERS

COMMENT

URINE COTININE

URINE MICROALBUMIN TO CREATININE RATIO ( UACR )

URINE MICROALBUMIN TO CREATININE RATIO ( UACR )

CREATININE.

MICROALBUMIN

URINE PH

Female 1 Days 150 Years 4.6 - 8.0 pH

Male 1 Days 150 Years 4.6 - 8.0 pH

UROBILINOGEN

UROBILINOGEN

Female v 1 Years 150 Years Normal : < 2mg/dl 1+ : 2 - 3mg/dl 2+ : 4 - 6mg/dl 3+ : 8 - 12mg/dl 4+ : > 12mg/dl

Male 1 Years 150 Years Normal : < 2mg/dl 1+ : 2 - 3mg/dl 2+ : 4 - 6mg/dl 3+ : 8 - 12mg/dl 4+ : > 12mg/dl



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V/T 1

V/T 2

V/T 3

VDRL

VDRL DILUTION

VITAMIN B12

WBC DIFFERENTIAL COUNT (DC)

ATYPICAL CELLS

BLAST CELLS

PROMYELOCYTES

MYELOCYTES

METAMYELOCYTES

BAND FORMS



NEUTROPHILS

Female 1 Days 150 Years Adults: 40-65% New born: 30-60% Child <4yrs: 25-45%

Male 1 Days 150 Years Adults: 40-65% New born: 30-60% Child <4yrs: 25-45%

LYMPHOCYTES

Female 1 Days 150 Years Adults:20-45% New born: 25-35% Child <4yrs:35-65%



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Child 4-10yrs: 30-50 %

Male 1 Days 150 Years Adults:20-45% New born: 25-35% Child <4yrs:35-65% Child 4-10yrs: 30-50 %

EOSINOPHILS



MONOCYTES



BASOPHILS



WESTERN BLOT

WIDAL

SALMONELLA TYPHI ` O `

SALMONELLA TYPHI ` H `

SALMONELLA PARATYPHI ` AH `

SALMONELLA PARATYPHI ` BH `

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