Name: Mr.
Lakshman Prasad Singh UHID: MM02747984
DOB: 15 Feb 1983
Gender: M
(41 years)
Gastroenterology Doctor: Dr Neeraj Saraf Date: 14 Apr 2024 MC-2346
Department of Laboratory Medicine - BIOCHEMISTRY
Co lo rs Indicate: Abno rmal Bo rderline No rmal
Liver Function Test
03 Apr 2024 12 Apr 2024 14 Apr 2024 Reference
Test Name Your Value
05:08 15:05 04:20 Range
Bilirubin Total, mg/dL 0.70 0.80 1.40 High 0.2-1.3
Method Used:Azobilirubin/dyphylline
Bilirubin Indirect, mg/dL 0.40 0.40 0.80 Normal 0-1.1
Neonate: 0.6-10.5 mg/dl
Adult: 0.0-1.1 mg/dl
Method Used: Dual Wavelength Spectrophotometric
Method : Dual
Conjugated (direct) Bilirubin, mg/dL 0.00 0.00 0.00 - Wavelength
Spectrophotomet
Delta Bilirubin, mg/dL 0.30 0.40 0.60 - -
Bilirubin Direct, mg/dL 0.30 0.40 0.60 High 0-0.3
Neonate: 0.0-0.6 mg/dl
Adult: 0.0-0.3 mg/dl
Method Used: Dual Wavelength Spectrophotometric
Delta Bilirubin Percentage,
42.86 50.00 42.86 - -
Percentage
Total Protein, gm/dL 6.60 6.90 7.20 Normal 6.3-8.2
Method Used: Biuret (alkaline cupric sulf ate)
Albumin, gm/dL 3.40 3.70 3.70 Normal 3.5-5
Method Used: Bromocresol green dye binding
Globulin, gm/dL 3.20 3.20 3.50 Normal 2.4-3.5
A/G RATIO 1.1 1.2 1.1 Normal 0.9-2
SGOT (AST), U/L 94 134 159 High 17-59
Method Used: Kinetic (leuco dye) WITH PYRIDOXAL 5 PHOSPHATE (Visible method)
SGPT (ALT), U/L 73 97 99 High 0-50
Method Used:Kinetic WITH PYRIDOXAL 5 PHOSPHATE - (Lactate dehydrogenase/NA
Gamma GT, U/L 222 261 273 High 15-73
Method Used: L-gamma-glutamyl- 4-nitroanalide /glycylglycine Kinetic method
Alkaline Phosphatase, U/L 175 220 220 High 30-120
Method Used: 4-Nitrophenyl phosphat (pNPP)/AMP (2-amino-2-methyl-1-propanol) buf f er.
Page No. 1 of 2
Printed By Lakshman Prasad Singh on 16 Jun 2024 09:37 PM
Regd. Of f ice: Global Health Limited, E-18 Def ence colony, New Delhi, 110024 , India. Password to access via QR code:365889
T el: +91 11 4 4 11 4 4 11 Fax: +91 11 24 33 14 33 24 X7 hot-line: +91(124 )4 14 14 14 Emergency: 1068
Email: inf [email protected] www.medanta.org CIN: L85110DL2004 PLC128319
Name: Mr. Lakshman Prasad Singh UHID: MM02747984
DOB: 15 Feb 1983
Gender: M
(41 years)
Gastroenterology Doctor: Dr Neeraj Saraf Date: 14 Apr 2024
Department of Laboratory Medicine - BIOCHEMISTRY
Please Note
1. Test results are to be clinically correlated.
2. Storage and discard of biological specimen/materials shall be as per Medanta’s specimen retention policy.
3. The biological specimen/ materials may be used for educational and research purposes.
4. Test results are not valid for medico-legal purposes.
5. In case of any query related to the test results, please contact [ 0124 4141414 ].
Authorized by Released by
Dr Anuj Parkash Rahul Singh
Senior Consultant & Head
Specimen No: 1024243440, Specimen Type: Serum
Authorized: 14 Apr 2024 08:12, Released: 14 Apr 2024 05:59, Ordered: 14 Apr 2024 03:48, Collected: 14 Apr 2024 04:20,
Received: 14 Apr 2024 04:20, Registered: 14 Apr 2024 04:20
Page No. 2 of 2
Printed By Lakshman Prasad Singh on 16 Jun 2024 09:37 PM
Regd. Of f ice: Global Health Limited, E-18 Def ence colony, New Delhi, 110024 , India. Password to access via QR code:365889
T el: +91 11 4 4 11 4 4 11 Fax: +91 11 24 33 14 33 24 X7 hot-line: +91(124 )4 14 14 14 Emergency: 1068
Email: inf [email protected] www.medanta.org CIN: L85110DL2004 PLC128319
Name: Mr. Lakshman Prasad Singh UHID: MM02747984
DOB: 15 Feb 1983
Gender: M
(41 years)
Gastroenterology Doctor: Dr Neeraj Saraf Date: 14 Apr 2024 MC-2346
Department of Laboratory Medicine - HEMATOLOGY
Co lo rs Indicate: Abno rmal Bo rderline No rmal
CBC + DIFF
03 Apr 2024 12 Apr 2024 14 Apr 2024 Reference
Test Name Your Value
05:29 15:05 05:04 Range
Hemoglobin, gm/dL 12.9 12.3 12.8 Low 13-17
Method: SLS Hb - colorimetric
WBC, 103/μL 6.74 6.31 7.70 Normal 4-10
Method:Fluorescence f low cytometry
Neutrophil, Percentage 59.5 - 82.1 High 40-80
Method:Fluorescence f low cytometry
Lymphocyte, Percentage 19.6 - 5.6 Low 20-40
Method:Fluorescence f low cytometry
Eosinophil, Percentage 9.5 - 2.5 Normal 1-6
Method:Fluorescence f low cytometry
Monocyte, Percentage 10.8 - 9.2 Normal 2-10
Method:Fluorescence f low cytometry
Basophil, Percentage 0.6 - 0.6 Normal 0-2
Method:Fluorescence f low cytometry
Platelet Count, 103/μL 150 153 >150 Normal 150-410
03 Apr 2024 05:29 AM:
Multiple variable sized clumps seen
14 Apr 2024 05:04 AM:
Multiple variable sized clumps seen
Method:DC Impedance/Hydrodynamic f ocusing
RBC Count, Miln/Cumm 4.82 4.65 4.75 Normal 4.5-5.5
Method:DC Impedance/Hydrodynamic f ocusing
Hematocrit, Percentage 38.7 40.4 37.9 Low 40-50
Method:DC Impedance/Hydrodynamic f ocusing
MCV, fL 80.3 86.9 79.8 Low 83-101
Method:Automated Calculation
MCH, pg 26.8 26.5 26.9 Low 27-32
Method:Automated Calculation
MCHC, g/dl 33.3 30.4 33.8 Normal 31.5-34.5
Method:Automated Calculation
RDW, Percentage 14.4 14.6 14.6 High 11.6-14
Method: Derived
Absolute Neutrophil Count, 103/μL 4.01 - 6.32 Normal 1.8-7.8
Page No. 1 of 2
Printed By Lakshman Prasad Singh on 16 Jun 2024 09:37 PM
Regd. Of f ice: Global Health Limited, E-18 Def ence colony, New Delhi, 110024 , India. Password to access via QR code:365889
T el: +91 11 4 4 11 4 4 11 Fax: +91 11 24 33 14 33 24 X7 hot-line: +91(124 )4 14 14 14 Emergency: 1068
Email: inf [email protected] www.medanta.org CIN: L85110DL2004 PLC128319
Name: Mr. Lakshman Prasad Singh UHID: MM02747984
DOB: 15 Feb 1983
Gender: M
(41 years)
Gastroenterology Doctor: Dr Neeraj Saraf Date: 14 Apr 2024
Department of Laboratory Medicine - HEMATOLOGY
Please Note
1. Test results are to be clinically correlated.
2. Storage and discard of biological specimen/materials shall be as per Medanta’s specimen retention policy.
3. The biological specimen/ materials may be used for educational and research purposes.
4. Test results are not valid for medico-legal purposes.
5. In case of any query related to the test results, please contact [ 0124 4141414 ].
Authorized by Released by
Dr Ritu Chadha Ghanshyam
Associate Director
Specimen No: 2024169947, Specimen Type: Blood (EDTA)
Authorized: 14 Apr 2024 09:29, Released: 14 Apr 2024 05:51, Ordered: 14 Apr 2024 03:48, Collected: 14 Apr 2024 05:04,
Received: 14 Apr 2024 05:04, Registered: 14 Apr 2024 05:04
Page No. 2 of 2
Printed By Lakshman Prasad Singh on 16 Jun 2024 09:37 PM
Regd. Of f ice: Global Health Limited, E-18 Def ence colony, New Delhi, 110024 , India. Password to access via QR code:365889
T el: +91 11 4 4 11 4 4 11 Fax: +91 11 24 33 14 33 24 X7 hot-line: +91(124 )4 14 14 14 Emergency: 1068
Email: inf [email protected] www.medanta.org CIN: L85110DL2004 PLC128319
Medanta
Patient ID : MM02747984 Patient Name : Mr. Lakshman Prasad Singh
Gender : Male Age : 41Y
Encounter ID : 21269072 Encounter Type : Inpatient
Admission Date : 13/04/2024 08:29 Location : 6th Floor B1
Speciality : Gastroenterology Attending Practitioner : Dr Neeraj Saraf
HEPATOLOGY DISCHARGE SUMMARY
Patients Address : H NO. 324B, GALI NO. 14,NEAR BAL BHARTI SCHOOL,Gurgaon
H.O,GURGAON,India,122001
Discharge Summary : Hepatology Discharge Summary
Date of Discharge : 14/04/2024
Name Of Consultant : Dr Neeraj Saraf
Bed No : 4649
Reason for Admission : Medical Management
Diagnosis & Co-morbidities :
Hepatitis B Virus related Chronic liver disease
UGIE (14/03/2024) -mild PHG, small hiatus hernia, duodenal lymphangiectasia
Hepatocellular carcinoma with PVTT
Status post TARE- I (02.04.2024) and TARE 2 (13/4/2024)
Procedure/Surgery :
TARE 2 WAS DONE ON 13/4/2024
Allergies :
Not known
Medical History & Presenting Complaints
:
Mr. Lakshman Prasad Singh, 41 years old male, presented with complaints of abdominal pain since 13/03/2024.
Patient was admitted in Paras Hospital and diagnosed as HCC. HBV was diagnosed in 2014, took 2 years treatment
and stopped without consultation. Patient was admitted here for TARE 2.
Physical & Systemic Examination :
Patient conscious, oriented
Afebrile at the time of admission (37 °C)
Blood Pressure : 110/70mmHg
Pulse Rate : 78/min
Respiratory Rate : 20/min
Oxygen Saturation [SpO2 ] : 99% on room air
Per Abdomen : Soft, Basal sound present.
Investigations
Laboratory :
Attached
Radiology :
Attached
Course in Hospital
:
Patient was admitted under Hepatology team with above mentioned history and complaints for which all relevant
investigations were done which showed Haemoglobin -12.8 gm/dl, White Blood Cell Count - 7.70 x10³ /uL, Platelet
Count -150 10^3/uL, Total Bilirubin -1.40 mg/dl, Direct Bilirubin -0.60 mg/dl, Total Protein - 7.20 gm/dl, Albumin(Serum)
-3.70 gm/dl, Globulin -3.50 gm/dl, Albumin Globulin Ratio -1.1, Serum Glutamic Oxaloacetic Transaminase (SGOT) /
Serum Glutamate-Pyruvate Transaminase (SGPT) - 159 /99 U/L, Gamma-Glutamyl Transferase -273 U/L & Alkaline
Phosphate -220 U/L,
Authorized by Dr Rita Choudhary on 14 Apr 2024 17:48 This is a computer generated report. Signature is not required.
Regd. Of f ice: Global Health Limited, E-18 Def ence colony , New Delhi, 110024 , India T el: +91 11 4 4 11 4 4 11 Fax: +91 11 24 33 14 33
24 X7 help-line: +91(124 )4 14 14 14 Emergency: 1068 Email: inf [email protected] www.medanta.org CIN: L85110DL2004 PLC128319
Medanta
Patient ID : MM02747984 Patient Name : Mr. Lakshman Prasad Singh
Gender : Male Age : 41Y
Encounter ID : 21269072 Encounter Type : Inpatient
Admission Date : 13/04/2024 08:29 Location : 6th Floor B1
Speciality : Gastroenterology Attending Practitioner : Dr Neeraj Saraf
After informed consent patient underwent TARE II on 13/04/2024. Under local anesthesia, under ultrasound /
fluoroscopy guidance, 5fr short sheath in right CFA with microcath and wire into segment VIII, Segment 5 and sub
segmental VI arteries are cannulated and therapies and ministered from the site decided in TARE - I. No complication
seen.
Interventional radiology team review was done on 14/04/2024 on ultrasound puncture site is unremarkable, no
evidence of pseudoaneurysm, no hematoma seen.
During the hospital stay, he was managed with intravenous antibiotics, and other appropriate measures. Patient & his
family were well counselled regarding the disease condition. Now, he is being discharged in stable condition with
following advice and medication.
Significant Medication Given :
Injection Magnex
Condition at Discharge :
Stable
Advice on Discharge
Activity :
Symptoms limited
Diet :
Low salt high protein normal diet
Discharge Medication
Discharge Medication
Name of Medicine Dose Timings
Tablet CEFTUM 500mg twice daily for 5 days 10am-10pm
Tablet TENVIR 300mg once daily 8am
Tablet DOLO 650mg as and when required for pain/fever SOS
Tablet PANTOCID 40mg once daily before breakfast 6am
Capsule A to Z 1 capsule once daily 10am
Syrup LOOZ 30ml at bed time for constipation 10pm
WHEN TO OBTAIN URGENT CARE:
In case of any problem like:-
1. Fever more than 100 F
2. Uncontrolled Sugars
3. Chest Pain , Shortness of breath
4. Signs of infection (Redness , Swelling, Increased Pain, Pus)
5. Nausea and vomiting and unable to keep medicines down
6. Increased pain despite pain medications
7. Uncontrolled loose motion or black stools
Please report to the emergency department at Medanta -The Medicity at the earliest possible call Hepatology on call
- 8800494267
Authorized by Dr Rita Choudhary on 14 Apr 2024 17:48 This is a computer generated report. Signature is not required.
Regd. Of f ice: Global Health Limited, E-18 Def ence colony , New Delhi, 110024 , India T el: +91 11 4 4 11 4 4 11 Fax: +91 11 24 33 14 33
24 X7 help-line: +91(124 )4 14 14 14 Emergency: 1068 Email: inf [email protected] www.medanta.org CIN: L85110DL2004 PLC128319
Medanta
Patient ID : MM02747984 Patient Name : Mr. Lakshman Prasad Singh
Gender : Male Age : 41Y
Encounter ID : 21269072 Encounter Type : Inpatient
Admission Date : 13/04/2024 08:29 Location : 6th Floor B1
Speciality : Gastroenterology Attending Practitioner : Dr Neeraj Saraf
Follow up :
Follow-up in Hepatology OPD after 7 days with Complete Blood Count, Liver Function Test, Renal Function Test and
pending reports with prior appointment.
Follow-up in IR department after 7 days with prior appointment for ****
Consultant Transplant Hepatologist & Gastroentrologist
Dr. Neeraj Saraf : 9899077795
Dr. Narendra Choudhary : 8130188600
Dr. Swapnil Dhampalwar : 9167799782
Please contact:
For appointments, please call Hot line Number: 01244141414, Mr. Vijay: +919958512072 / 9205389710
Access your medical reports and follow up with Doctors through video conferencing by downloading Medanta
eCLINIC App or by visiting www.medanta.eclinic.org
Activate your eCLINIC account using Medanta Patient UHID (MM********)
For any assistance or query call +124-4855017 or write to [email protected]
FOR EMERGENCY AND AMBULANCE PLEASE CONTACT: 1068.
Medanta Care at Home provides services in the comfort of your home.
. Sample Collection
. Nursing Visits
. Medicine Delivery
. Child and Adult Vaccination
To book, Call +91 124 4834565 or Whatsapp 8130771414.
Authorized by Dr Rita Choudhary on 14 Apr 2024 17:48 This is a computer generated report. Signature is not required.
Regd. Of f ice: Global Health Limited, E-18 Def ence colony , New Delhi, 110024 , India T el: +91 11 4 4 11 4 4 11 Fax: +91 11 24 33 14 33
24 X7 help-line: +91(124 )4 14 14 14 Emergency: 1068 Email: inf [email protected] www.medanta.org CIN: L85110DL2004 PLC128319
