Brochure July-2026 1-40pages

E ni e NDPC

North Delhi Pathology Clinic LLP

27/5, Shakti Nagar, Nangia Park, Delhi 110007 Mobile: 9873247824, 7291010101 Tele: 23841144 Email ID: [email protected] Website: www.ndpc.in Working Hours: 8:30am to 5:30pm | Sunday Closed

• Diabetes Control
• High Blood Pressure
• Obesity Overweight
• Heart Health
• Thyroid Disorders
• Allergy Screening
• Joint Pains- Osteoporosis
• Kidney Damage
• Liver Damage
• Vitamin D Deficiency
• Vitamin B12 Deficiency

PMOS/ PCOS

Founded in 1982, North Delhi Pathology Clinic has been a centre of excellence in laboratory medicine for over forty years. Dr Rakesh Sharma and a team of specialist doctors involved in all processes ensure that quality and precision are maintained right from the collection of samples to the final release of the report.

• www.ndpc.in
• Home Visit
• For Appointment Call
• between 9 am - 5 pm

LLP

Continuous Quality Improvement

Cover Contents About NDPC Accreditation & Certifications Discipline wise List of Tests Available Disease Related Tests Lifestyle Suggestions Preventive Health Profiles l Ageing Gracefully l Basic Information About Individual Tests l Basic Health Profile & Diabetic Profile l High Blood Pressure Profile l Comprehensive Profile for 30+ l Comprehensive Profile for 50+ & 65+ l Ultra Profile for 30+ , 50+, 65+ Basic Information on a few Health Challenges l Thyroid Disorders

l Heart Attack l Heart Failure and Heart Attack l Joint Pain & Connective Tissue Disorders l Food Intolerance Testing l Allergy Testing: Food & Air l Tests for PMOS / PCOS l Automated Seminal Fluid Examination l Cancer Markers l Celiac Disease: Gluten Sensitive Enteropathy l FNAC For Superficial Palpable Lumps l Molecular Diagnostics

24 25 26-27 28 29 30 31 32 32 33 34 l GeneXpert for diagnosis of MTB, MTB-MDR l Antibiotic Resistance l Inflammation Related Biomarkers a. C Reactive Protein (CRP) & HsCRP b. Procalcitonin (PCT) c. D Dimer l Comprehensive Complete Blood Count l Miscellaneous Concerns: a. Vitamin-D Deficiency b. Vitamin B12 Deficiency

38 39 c. Fecal Calprotectin d. H. pylori Antigen Detection in Stool

Allergy Prevention Suggestions

Disclaimer

This booklet contains information about resources, laboratory tests, and profiles available at North Delhi Pathology Clinic. While efforts are made to ensure accuracy, the constantly updated nature of medical information means absolute correctness cannot be guaranteed. Apologies are extended for errors, and identified ones should be reported for future improvements. The treating physician's opinion is conclusive, and consultation is advised for test result interpretation. Factors like age, ethnicity, and health history are crucial for the treating physician when interpreting laboratory reports. Inter-laboratory variations, especially in immunological tests, exist due to method differences. Self-interpretation and self-medication are strongly discouraged. Due to rapid technological advancements, parameter are subject to change without prior notice.

North Delhi Pathology Clinic (NDPC) was founded by Dr. Rakesh Sharma in 1982. Dr. Sharma's visionary leadership has been instrumental in establishing the clinic as a prominent name in pathology and laboratory medicine. Over the past 40 years, NDPC has maintained high standards of excellence, driven by Dr. Sharma's dedication to quality and precision.

Team and Diagnostic Process: The clinic boasts a team of specialists who meticulously oversee every aspect of the diagnostic process. From sample collection to the issuance of final reports, the team ensures unwavering commitment to accuracy and quality. This meticulous approach has been a cornerstone of NDPC's success.

Advanced Equipment and Techniques: NDPC conducts diverse laboratory investigations using state-of-the-art equipment, ensuring the highest accuracy in test results. The clinic was ahead of its time in adopting global quality control and assurance protocols, integrating these measures since its inception, long before they became industry standards in the late nineties.

Certifications and Accreditations: Over the last two decades, NDPC has achieved numerous relevant certifications. The clinic obtained ISO 9001:1995 accreditation in 2000 and ISO 9001:2001 in 2006. It also received ISO 17025 in 2002 and ISO 15189 in 2005. These accreditations highlight NDPC's commitment to maintaining the highest standards in laboratory practices and adherence to international benchmarks.

Proficiency Testing Programs: In 2001, Dr. Sharma and a few founding members of the Association of Practising Pathologists initiated the Voluntary Interlaboratory Comparison Program (VILAC) for the members. Under his leadership, this program has continued to be widely accepted and preferred as a comprehensive Proficiency Testing program amongst practising pathologists in the last two decades. VILAC promotes continuous improvement in laboratory results and knowledge sharing among pathology professionals, and this effect is apparent in patients' diagnosis, treatment, and followup care.

Professional Involvement and Contributions: Dr. Sharma has played pivotal roles in various national and international professional organizations and institutions, serving in advisory and governing capacities. His multifaceted involvement underscores his enduring commitment to advancing the field of pathology, contributing significantly to its growth and development.

Commitment to Quality: NDPC's success and recognition are attributed to its cutting-edge technology and rigorous quality assurance practices. The clinic's journey from its founding to its current status as a centre of excellence underscores a commitment to providing accurate, reliable, and high-quality diagnostic services.

Under Dr. Rakesh Sharma NDPC's unwavering dedication to continuous quality improvement, the clinic has ascended as a paragon of excellence in pathology. Integrating decades of expertise, steadfast devotion to quality, and an innovative approach to adhering to global standards, it perpetually progresses. Its profound impact on the field ensures sustained prominence in diagnostic healthcare advancement, securing its position as a frontrunner for the foreseeable future.

NORTH DELHI PATHOLOGY CLINIC LLP has been assessed and accredited in accordance with the standard

ISO 15189:2022

''Medical laboratories - Requirements for quality and competence'' for its facilities at 27/5, SHAKTI NAGAR, NANGIA PARK, DELHI, INDIA in the field of Medical Testing

• Certificate Number:
• Issue Date:
• MC-2777
• Valid Until:

This certificate supersedes the Certificate No. MC-2777 with issue date 08/07/2025 in view of change in legal entity of the laboratory.

NORTH DELHI PATHOLOGY CLINIC LLP

Pankaj Johri Director

Dr. Ramanand N. Shukla Chief Executive Officer

Quality Assurance and Accreditations Since its inception, Dr. Sharma has pioneered a culture of excellence, placing an unwavering commitment to quality assurance at the heart of the organization’s mission. The institution proactively aligned with global best practices by achieving ISO 9001 certification in 2000 and 2006, ensuring standardized and efficient processes.To provide world-class medical testing, the center secured prestigious ISO 17025 accreditation in 2002 and ISO 15189 accreditation in 2005, demonstrating strict adherence to rigorous diagnostic standards.

Clinical Biochemistry

5 Alpha DHT, Serum ACE, Serum ACTH, Plasma ADA-MTB, Body Fluids ADA-MTB, Serum Albumin, Serum Alk. Phosphatase, Serum Alpha Feto Protein, Serum AMH, Serum Ammonia, Plasma Amylase, Body Fluid Amylase, Serum ANA (Elisa), Serum ANA (IIF), Serum

Anti Thyroglobulin, Serum Anti TPO, Serum Anti TTG-IgA, Serum Apo A1, Serum Apo B, Serum Bicarbonate, Serum Bile Acids, Serum Bilirubin-Direct, Serum Bilirubin-Total, Serum CA 125, Serum CA 15.3, Serum CA 19.9, Serum NewCA 72.4 , Serum Calcium Ionic, Serum

ANA-ENA Profile, Serum Androstenedione, Serum Anti-Phospholipid Abs-IgG, Serum Anti-Phospholipid Abs-IgM, Serum Anti ANCA, Serum Anti Cardiolipin-IgG, Serum Anti Cardiolipin-IgM, Serum Anti CCP, Serum Anti DGP IgG, Serum Anti ds DNA, Serum Anti Gliadin IgA, Serum Anti Gliadin IgG, Serum

Calcium Total, Urine Calcium Total, Serum Carbamazepine, Serum CEA, Serum Ceruloplasmin, Serum Chloride, Serum Cholesterol, Serum CK, Serum CK MB, Serum Complement 3- C3, Serum Complement 4- C4, Serum

Cortisol Level, Serum Cortisol Level, Urine C-Peptide, Serum C Reactive Protein, Serum Creatinine, Serum Creatinine, Urine Creatinine Clearance Cystan C, Serum D Dimer, Plasma DHEA-S, Serum Dual Marker, Serum Electrophoresis-Protein, Serum Ferritin, Serum Folic Acid, Serum Food Intolerance IgG, Blood Free Beta HCG, Serum Free T3, Serum Free T4, Serum FSH, Serum Gamma G T, Serum Glucose, Plasma/Body Fluid GOT-AST, Serum GPT-ALT, Serum Growth Hormone, Serum GTT, Blood & Urine

• Dimension EXL 200 Integrated Chemistry System
• COBAS e411 Immunoassay System
• AVL 9180 Electrolyte Analyzer
• BTS Chemistry Analyzer
• Microplate Reader from Abbott Elisa Reader

Clinical Biochemistry hs C Reactive Protein, Serum hs Troponin I, Serum Hemoglobin A1c, Blood HCG Beta, Serum HDL Cholesterol, Serum Homocysteine, Serum IgE, Serum Immunoglobulin-IgA, Serum Immunoglobulin-IgG, Serum Immunoglobulin-IgM, Serum Instant Glucose, Blood Insulin, Serum Iron, Serum LDH, Body Fluid LDH, Serum LDL Cholesterol, Serum LH, Serum Lipase, Serum Lithium, Serum Lp (a), Serum Magnesium, Serum Microalbumin, Urine NT-Pro BNP, Serum Oestradiol (E2), Serum

Osmolality, Serum Osmolality, Urine PAPP-A, Serum Parathyroid Hormone, Serum Phenobarbital, Serum

Testosterone-Free, Serum Testosterone-Total, Serum TIBC, Serum Total Protein, Serum, Body Fluid Triglyceride, Serum

Phenytoin, Serum Phosphorus, Serum Phosphorus, Urine Porphobilinogen, Urine Potassium, Serum Potassium, Urine Procalcitonin, Serum Prog 17-OH, Serum Progesterone, Serum Prolactin, Serum Protein, Urine PSA-Total, Serum

Triple Marker, Serum TSH, Serum UE3 (Unconj Estriol), Serum Urea, Serum Urea, Urine Uric Acid, Serum Uric Acid, Urine Valproic Acid, Serum Vitamin B12, Serum Vitamin D Total, Serum NewZinc, Serum*

PSA-Free, Serum SHBG, Serum Sodium, Serum Sodium, Urine Specific IgE Panel-Air, Serum Specific IgE Panel-Food, Serum

• Mini Vidas Immunoassay System
• BioRad D-10 HB Chromatography System
• Nephstar Nephelometer
• BioRad ID Centrifuge
• Sysmex CA 50 Coagulation System

Hematology

Clinical Pathology

AEC, Blood APTT/ PTT/ PTTK, Plasma Blood Group Bone Marrow Examination Clot Retraction Time, Blood Coombs Test - Indirect Coombs Test -Direct DLC, Blood ESR-WG, Blood FDP, Plasma * G6PD, Blood Hemoglobin, Blood HB Chromatography (HBA2) Hemoglobin F, Blood LAC, Plasma Malaria Ag PV PF, Blood Malaria Parasite, Blood MCH, Blood MCHC, Blood MCV, Blood

Microfilaria, Blood Smear MPV, Blood Osmotic Fragility*, Blood PCV/HCT, Blood PDW, Blood Peripheral Smears Exam Platelet Count, Blood IPF - Immature Platelet Fraction Platelet Indices, Blood Prothrombin Time, Plasma RDW, Blood Reticulocyte Count, Blood Retic He, Blood TLC, Blood TRBC Ct, Blood

Aldehyde Test*, Serum Bence Jones Proteins, Urine Bilirubin, Urine NewH-Pylori Antigen, Stool Fructose, Semen Ketone, Urine Mantoux Test, I/D Test Occult blood, Stool Pregnancy Test, Urine Porphobilinogen , Urine Routine, Urine Routine, Stool Semen Examination, Semen Urobilinogen, Urine Fecal Calprotectin, Stool

Cytopathology

Cytology Routine, Body Fluid FNAC, Aspirate Pap Smear *

Sysmex XN 350 Automated Hematology Analyzer iCHROMA II Chemistry Analyzer

AliFax - Roller 20MC Automated ESR Analyzer

Qwik Check Gold Sperm/ Semen Quality Analyzer 7

• Infectious Serology
• Microbiology
• Amoebic Serology, Serum
• Monotest-IMN, Serum
• Anti HAV-IgM, Serum
• Rheumatoid Factor, Serum
• Anti HBc-IgM, Serum
• RPR, Serum
• Anti HBc-Total*, Serum
• Rubella-IgG, Serum
• Anti HBe, Serum
• Rubella-IgM, Serum
• Anti HBs, Serum
• New Scrub Typhus Serology, Serum
• Anti HCV-IgG, Serum
• T P H A, Serum
• Anti HEV-IgM, Serum
• Toxoplasma-IgG, Serum
• ASO Titre, Serum
• Toxoplasma-IgM, Serum
• Chikungunya IgM, Serum
• Typhi-IgM/IgG, Serum
• CMV-IgG, Serum
• Varicella zoster IgG, Serum
• CMV-IgM, Serum

Widal, Serum

Dengue NS1 Antigen, Serum Dengue Serology IgM, Serum Dengue Serology IgG, Serum H. Pylori-IgG, Serum

• Molecular
• Chikungunya PCR, Plasma/Serum
• HBeAg, Serum HBsAg, Serum

New EBV PCR Whole Blood Flu A,B & RSV Nasal Swab

HIV Screening, Serum HSV-IgG, Serum HSV-IgM, Serum

H3N2/H1N1 Nasal Swab HBV-DNA, Plasma HCV-RNA, Plasma

IGRA TB, Blood

HIV-1-RNA, Plasma HLA B27, Whole Blood HPV DNA-PCR Cervical Swab

New

Influenza A & B Nasal Swab Neisseria/Chlamydia PCR

New

Urethral/Cervical Swab, Urine Xpert MTB/RIF, Site Specific Specimen

AFB Stain, Pus AFB Stain, Sputum Albert Stain, Throat Swab C & S, Stool C & S, Pus C & S, Aspirate C & S, Body Fluids C & S, Blood-Rapid, Blood C & S, Conjunctival Swab C & S, Throat Swab C & S, Urine Fungus KOH Prep., Nails etc Fungus KOH Prep., Skin etc Meth. Blue Stain for Fungus, Fluid / Aspirate etc. Gram Stain, Pus Gram Stain, Sputum MTBCulture*,Pus Sputum

• * Not in NABL Scope
• VITEK 2 Compact Automated ID/AST Instrument
• BacT ALERT Microbial Growth Detection System

TrueLab UNO Dx Chip Based RT-PCR System

GeneXpert State of Art CBNAAT System

Cobas u 411 Automated Urine Analyzer

• Allergies:
• Available Disease Related Tests
• Arthritis/Joint Pain:
• Celiac Disease Screening:

Overreaction of Immune system against harmless allergen - Inhalation or Food Screening o Hemogram with AEC o IgE Further Tests o Specific IgE Panels: - Inhalation Panel - Food Panel

Amenorrhoea:

Absence of a woman's menstrual period during her reproductive age Screening o Complete Blood Counts o Prolactin o LH o Estradiol o FSH o TSH Further Tests o Testosterone - Total & Free o DHEA-S

Anemia Panel:

Disease/ Deficiencies causing p a i n f u l i n f l a m m a t i o n a n d stiffness of the joints Screening o Hemogram (CBC with ESR) o Blood Glucose o Uric Acid o Rheumatoid Factor o Calcium o Phosphorus o Vitamin D o Alk. Phosphatase o CRP Further Tests o Anti CCP o ASO o PTH o ANA-IIF o ANA/ENA Profile 17 Antigens o HLA B27

Cancer Markers:

Screening for a disease which presents especially in children as bloating, diarrhea, constipation & pain in the abdomen, leading to failure to thrive, irritability and behavioral issues Screening o Anti tTG IgA o IgA

Further Tests o Anti DGP IgG o Anti Gliadin-IgA/IgG

Coagulation Screening:

Tests for the factors associated with a bleeding problem. Screening o CBC with Platelet Count o Immat. Platelet Fraction-IPF o Prothrombin Time o APTT Further Tests o D Dimer

Diabetes Evaluation:

A definite diagnosis of Cancer can b e m a d e b y M i c r o s c o p i c examination of Biopsy- slide, Fine Needle Aspiration Cytology or smear examination of discharge (Pap Smear). However, following

Low hemoglobin levels, resulting in pallor & weakness. Screening o CBC with ESR o Reticulocyte Count o PBS

Cancer markers may be helpful in diagnosing and monitoring a few Cancers- the disease caused by the uncontrolled division of abnormal cells. o CA-125 (Ovary/Endomet) o CA-19.9 (Liver, Gall Bladder, o Iron profile with Ferritin Further Tests o TSH o Vitamin B12 o Folic Acid o HB Chromatography

Pancreas, Gastrointestinal) o CA-15.3 (Breast) New o CA-72.4 (Gastric)* o PSA Total & Free (Prostate) o hCG (Embryo/Testis) o AFP (HC & GC)

o Stool Occult Blood o CEA (Breast, GI) o M-Band (Myeloma)

D e t e c t i o n , e v a l u a t i o n a n d monitoring of Diabetes- a disease in which the body cannot control the level of sugar o Diabetic Profile o HOMA Score o Insulin Fasting & PP o C-Peptide

HOMA Score : Insulin Resistence

Insulin resistance occurs when muscles, fat and the liver do not respond well to insulin and may lead to overproduction of insulin by the pancreas o Glucose Fasting o Insulin Fasting o HOMA Score (calculated)

• Hirsutism:
• Infertility Males:
• Lipid Profile | Heart & Stroke:
• Atherosclerosis Levels
• Optimal
• Borderline
• High
• Dangerous
• Heart Attack

Stroke

Hirsutism is a medical condition characterized by excessive and unwanted hair growth in women, typically in areas where men tend to have hair, such as the face, chest, and back. It is often caused by hormonal imbalances, such as polycystic ovary syndrome (PCOS), and can be treated with medications or hair removal methods. Screening o Prolactin o LH o FSH o HOMA Score o Insulin Fasting & PP Further Tests o Testosterone- Total & Free o DHEA-S o 17-OHP

Infertility Females:

Tests for males who face the inability to cause pregnancy in a To evaluate presence of various fertile female lipids in the blood

Screening o Basic Profile o Prolactin o LH o FSH o Testosterone - Total Further Tests o Testosterone - Free o Estradiol o Semen Routine o Semen Fructose

Kidney Function Tests:

Basic Lipid Profile o Cholesterol o Triglyceride o HDL Cholesterol o LDL Cholesterol þ Non HDL Cholesterol þ VLDL Cholesterol þ Total/HDL Cholesterol Ratio þ HDL/LDL Cholesterol Ratio

Extended Lipid Profile

Tests to assess the increased risk of cardiovascular disease o Lipid Profile o Apo A1 & Apo B o Lp(a) Other Tests o hsCRP o Homocysteine

Liver Function Tests:

Basic evaluation of Kidney function Tests o Urea o Creatinine o Uric Acid

Female infertility refers to the inability of a woman to conceive or carry a pregnancy to term. It can result from various factors, including hormonal imbalances, structural issues, or reproductive disorders, and may require m e d i c a l e v a l u a t i o n a n d treatments like fertility drugs or o Calcium o Phosphorus o Alk. Phosphatase o Sodium|Potassium|Chloride o Total Protein o Albumin o Albumin Globulin Ratio

Kidney Function Tests (Detailed):

assisted reproductive techniques.

Detailed evaluation of Kidney

Screening function Tests o Basic Profile o Kidney Function Tests o Prolactin o eGFR (Calculated)

o LH o FSH o AMH o Alb/ Creat Ratio, Urine o Progesterone o PTH o Estradiol o Vitamin D

Further Tests o Creatinine Clearance o Testosterone- Total & Free

New o Cystatin C o 5 alpha DHT o Sodium Bicarbonate o Xpert MTB/RIF (Optional)

Tests that give information about functioning of liver o Bilirubin Total & Direct o SGOT o SGPT oGGT o Alk Phosphatase o Total Protein o Albumin

Liver Function Tests (Detailed):

Tests that give detailed information about functioning of liver o Liver Function Tests o Hepatitis Screening Panel o Prothrombin Time o Amoebic Serology o ANA o S. Bile Acid

DIC:

Food Intolerance:

Hepatitis: Screening

Condition in which blood clots f o r m t h r o u g h o u t t h e b o d y blocking small blood vessels Screening o Complete Blood Counts o Prothrombin Time o APTT Further Tests o D Dimer o FDP *

Fever Related-Basic:

Basic Evaluation: Abnormally high body temperature o Complete Blood Counts o CRP o Malaria Antigen o Typhi IgG & IgM o SGPT o Urine Routine o NS1 Antigen for Dengue o Blood Culture (optional) New o Scrub Typhus Serology (Qual)

Fever Related-Detailed:

Further Evaluation: Persistent High Fever o CBC with ESR o CRP o Typhi IgM & IgG o Widal o Malaria Antigen o SGPT o Urine R/M and C &S o Chikungunya PCR o Dengue NS1 o Dengue Serology IgM / IgG o Procalcitonin o Flu : H1N1 / H3N2 * New o Influenza A, B & RSV RT PCR * New o EBV PCR*

To evaluate Food Intolerance (IgG To ascertain the cause of Viral antibodies) against various food Hepatitis (inflammation of the items which may lead to Irritable liver) Bowel Syndrome-Bloating of o Liver Function Tests abdomen, tiredness for no o Anti HAV IgM apparent reason or headache o HbsAg þ Cereals (8 items)

o Anti HCV-IgG þ Nuts & Beans (7 items)

o Anti HEV-IgM þ Vegetables (10 items) þ Fruits (6 items)

Hepatitis: 'B' Work up þ Milk & Poultry (3 items) þ Fish & Meat (8 items) þ Pulses (4 items)

Ev a l u a t i o n o f B l o o d B o r n e Hepatitis B which may be of serious nature

Heart Attack/Failure:

o Liver Function Tests o Complete Blood Counts o HbsAg o Anti HBs o Anti HBc-IgM / Total* o HbeAg o Anti Hbe o HBV (Viral load)

A heart attack occurs when the Hepatitis: Enteric flow of blood to the heart is Ev a l u a t i o n o f Wa te r B o r n e blocked. The blockage is most

Hepatitis which are endemic and often a buildup of fat, cholesterol may be of serious nature and other substances. o HS Troponin-I o NT Pro BNP o CPK & CPK-MB o Liver Function Tests o Anti HAV-IgM o Anti HEV-IgM o SGOT | LDH o hsCRP o Homocysteine

Hemolysis:

To ascertain cause of destruction of red blood cells Screening o CBC with Retic Count o Immature Platelet Fraction o Bilirubin-Total & Direct o LDH Further Tests o HB Chromatography o Coomb's Test o G6PD o Plasma HB o Osmotic Fragility

Hepatitis: Blood Borne

Ev a l u a t i o n o f B l o o d B o r n e Hepatitis B and Hepatitis C which are of serious nature o Liver Function Tests o Complete Blood Counts o HbsAg o Anti HBc-IgM o Anti HCV-IgG o HBV (Viral Load) o HCV (Viral Load)

Hepatitis: Immune Status

To ascertain immunization status of Hepatitis A and B o Anti HAV-IgM o Anti Hbs (Quantitative)

• Pregnancy-Normal:
• PMOS / PCOS:
• Thyroid Function Tests:

Normal pregnancy o Complete Blood Counts o Glucose o Blood Group o Urine Routine o TSH o RPR o HbsAg o S. Bile Acid o HIV o HCV o HB Chromatography o TORCH Profile- IgG & IgM o Dual/Triple Marker

Pregnancy-Bad Obstetric History :

Evaluation of women who have had previous miscarriages

Hormonal imbalance in women of reproductive age Screening o Prolactin o LH o FSH o AMH o Insulin/ HOMA Score o Lipid Profile Further Tests o Testosterone Total & Free o DHEA-S o 17-OHP o Androstenedione o SHBG

STD / VD Related:

Evaluation of Thyroid functions o Free T3 o Free T4 o TSH

Thyroid Function Tests (Detailed):

Detailed evaluation of Thyroid functions o Free T3 o Free T4 o TSH Thyroid Antibodies o -Anti TG o -Anti TPO

Tuberculosis Related:

o Basic Profile o Blood Group o RPR o HBsAg | HCV | HIV

Had unprotected sex?

Get Tested o Anti-TPO & TG

Infections that may pass from one o HB Chromatography

Te s t s f o r e v a l u a t i o n a n d person to another through sexual confirmation of Tuberculosis- an o Progesterone contact.

infectious bacterial diseaseo Estradiol especially in the lungs o HBsAg | HCV | HIV o Lupus Anti Coagulant

Screening o RPR | TPHA o TORCH Profile - IgG & IgM o CBC with ESR o HSV- IgG & IgM o Anti-Phospholipid Abs-IgG & IgM o AFB Staining o Smear for Gonococci o Anticardiolipin - IgG & IgM o Mantoux Test o HIV-RT PCR (Viral Load)

o Dual/Triple Marker

Further Tests

New o Thyroid Profile with Anti TPO & TG o HPV-RT PCR* o ADA

New o S. Bile Acid o Neisseria / Chlamydia-RT PCR* o FNAC o ANA

(Viral Load)

* Not in NABL Scope o TB Culture* o Xpert MTB/RIF o TB -IGRA

Thalassemia Related:

An inherited blood disorder

Dad!! related to abnormal hemoglobin Have you production. ever tested Yourself o CBC with PS o Hb Chromatography

& Mom for Thalassemia Status o Iron Studies to ensure I am OK ? o Ferritin

Suggestions especially for Diabetes & High Blood Pressure related issues

The prevalence ofobesityis rising to epidemic proportions at an alarming rate in developed and developing countries worldwide. Non-communicable diseases such as diabetes now account for a large number of deaths each year worldwide. The twin epidemics of obesity and diabetes already represent the biggest public health challenge of the 21st century. Being overweight or obese seriously increases an individual's risk of developing other health problems such as diabetes, coronary heart disease, strokes and some forms of cancer. Of these, Diabetes is the most preventable consequence of obesity.

Suggested Weight - Kgs

Height

Weight

• Acceptable ± 10%
• Healthy Diet & Life Style
• SweetsSweetsSweets
• FatsFatsFats
• Proteins/ DairyProteins/ DairyProteins/ Dairy
• CarbohydratesCarbohydratesCarbohydrates
• Walk Regularly

VegetablesVegetablesVegetables & Fruits& Fruits& Fruits

Although obesity can affect anyone, the main risk factors are high-fat, high-energy dense diets & physical inactivity. We should promote the importance of eating a low-fat, lowenergy-dense diet & participating in physical activity to reduce the risks of becoming overweight or obese. It is estimated that at least half of all adult-onset diabetes patients would become normal if they control their weight.

Benefits of Weight Loss

Disease Diabetes

High BP and Lipid Profile

Benefits Weight loss of more than 5 kg decreases the risk of developing diabetes by 50%. Weight loss of 5-10% improves glucose control, sometimes allowing reduction or even medication withdrawal. Weight loss leads to a reduction in diabetes-related mortality.

Every 1 kg fall in weight leads to a falling in BP of 1-2 mm Hg. Weight loss leads to a fall in LDL cholesterol and Triglycerides (Bad lipids) and an increase in HDL Cholesterol (Good lipids).

Basic Information About Individual Tests

Laboratory Tests

Diabetes Monitoring Glucose Fasting HbA1c & eAG Kidney Function Tests Urea & Urea Nitrogen Creatinine Uric Acid Inorganic Phosphorus Calcium Electrolytes Sodium Potassium Chloride Liver Function Tests Bilirubin (Total/Direct) AST (SGOT) ALT (SGPT) Gamma GT Alkaline Phosphatase Protein Total & Albumin Albumin/Globulin Ratio LDH Lipid Profile/Heart Health Total Cholesterol HDL Cholesterol LDL Cholesterol VLDL Cholesterol Triglycerides CRP (C-Reactive Protein) Complete Blood Counts TLC Hemoglobin RBC & Absolute Values Platelets Diff. Leukocyte Count E.S.R. Thyroid Function Tests Free T3 Free T4 TSH Special Tests PTH (Parathyroid Hormone) Iron Vitamin D Vitamin B12 Microalbumin in Urine Homocysteine Allergy Screening (IgE) Urine Routine & Microscopy

Purpose of Tests

To track blood sugar levels and long-term control. Measures baseline blood sugar after overnight fasting. Indicates average blood sugar over 3 months. To assess kidney health and waste elimination. Evaluates protein metabolism and kidney function. Checks kidney filtration efficiency. Detects gout or kidney stone risk. Monitors bone health and kidney function. Assesses bone strength and muscle/nerve function. Maintains fluid balance and supports vital body functions. Regulates body fluids and nerve/muscle activity. Supports heart, muscle, and nerve function. Maintains acid-base balance and hydration. Check liver health and metabolic functions. Evaluates liver processing and bile production. Indicates liver or muscle damage. Detects liver cell injury or inflammation. Assesses bile duct or liver disorders. Indicates bile duct or bone issues. Measures protein levels for overall health. Evaluates liver, kidney, or immune function. Detects tissue damage or cell death. To monitor cholesterol and heart disease risk. Indicates overall cholesterol levels in the blood. “Good” cholesterol; protects against heart disease. “Bad” cholesterol; increases heart disease risk. Transports triglycerides; high levels harm arteries. Measures fats, high levels affect heart health. Indicates infection, crucial for assessing heart disease. Examine overall health and detects disorders. Measures white blood cells for immunity/infections. Indicates oxygen-carrying capacity of blood. Evaluates red blood cells for anemia or oxygen levels. Assists in blood clotting; checks bleeding risks. Classifies white cells for infection/allergy diagnosis. Identifies inflammation or infection in the body Evaluate thyroid gland activity and hormone levels. Elevated levels often signals hyperthyroidism. Usually increases in hypothyroidism, decreases in hyperthyroidism. Usually decreases in hyperthyroidism, increases in hypothyroidism. Cover additional health assessments for deficiencies or conditions. Monitors calcium balance and parathyroid function. Checks anaemia and oxygen transport efficiency. Essential for bone and immune health. Necessary for nerve and blood cell health. Detects early kidney damage in diabetics. Assesses heart and vascular health risks. Identifies allergies causing immune reactions. Detects infections, kidney, or metabolic disorders.

Ageing Gracefully

All of us are aware that it is crucial to lead a HEALTHY & HAPPY LIFESTYLE. We understand the importance of leading a regulated lifestyle for which CONTROL, DISCIPLINE & PATIENCE are a requirement.

Patients have complete confidence in their DOCTORS and have trust that the treatment prescribed will cure them. However, we should not forget that a doctor may treat the disease and save a life but may not return the happiness in life. Those of us, who have already suffered severe illnesses, well understand the value of the age-old saying, "Prevention is better than Cure."

Examples of common HEALTH CHALLENGES are Diabetes, High Blood Pressure, Heart attack and Strokes, Obesity, Joint Pains, Arthritis, Thyroid Disorders, Osteoporosis, PCOD, Allergy, Food Intolerance, Celiac Disease, Vitamin D Deficiency, Vitamin B12 Deficiency, Iron Deficiency, Cancer, Dementia, Cataract etc. The incidence of all of these disorders increases rapidly with ageing. Most of the conditions mentioned above can be avoided or delayed by making LIFESTYLE CHANGES and adding certain SUPPLEMENTS to the diet.

We at North Delhi Pathology Clinic have a few Preventive Health Profiles consisting of various Blood and Urine tests, which may help Physician DETECT most of 'silent' diseases EARLY and monitor the ageing process somewhat objectively.

Available Preventive Profiles

Basic Profile A Basic Health Profile Diabetic Profile For persons having Diabetes. High Blood Pressure Profile For persons having High BP.

Comprehensive Profilefor people who put their health on top priority. Comprehensive Profile For 30+ For every one who is health conscious, having Diabetes, High BP &/or are Overweight. Comprehensive Profile For 50+ Includes cancer markers Comprehensive Profile For 65+ Includes Test for heart Failure.

Ultra Profiles Go beyond Basics, with Deeper insights, lead life with certainty Ultra Profile For 30+ Complete care for Young generation. Ultra Profile For 50+ Complete care for Middle Aged. Ultra Profile For 65+ Complete care for the Elderly.

Please Note

Important: If you are interested you may please visit the laboratory in a Fasting state (10 to 12 hours after dinner). You will have to submit a Blood and a Urine sample. The test report, along with a brief interpretation and limitations, is ready by evening, and the hardcopy may be collected between 5:00-5:30 pm. It is also possible to send a softcopy by E-mail or WhatsApp on request. Patients must consult their treating Physician for interpretation, further investigations and management. Self-interpretation and self-medication are strongly discouraged.

Your Blueprint for Longevity and Wellness

Take control of your future by choosing certainty through proactive health screening. Our commitment to your longevity begins with proactive screening. We are proud to introduce a tiered approach to wellness, evolving from our foundational Executive Health Profiles to our Comprehensive options, and culminating in the newly launched Ultra Profiles. This tiered structure ensures that, whether you are seeking a routine check-in or a deep physiological dive, your diagnostic journey is supported by medical excellence and absolute certainty. The Executive Profiles focus on the “bare basics,” while the Comprehensive versions offer extensive biomarkers to forewarn you of age-related diseases. The pinnacle is the Ultra Profile, featuring 16 sophisticated tests. By evaluating Apolipoprotein ratios (Apo A1, Apo B, Apo B/A1) and hs-CRP, it provides a precision-based assessment of heart health and inflammation, identifying cardiovascular risks that standard cholesterol tests often miss. The Ultra package ensures exhaustive organ evaluation. The MAlb/Creat Ratio, eGFR and S. Bicarbonate detect early-stage kidney stress and acid-base balance, while the HOMA Score and Fasting Insulin provide insights into insulin resistance. We also include S. Magnesium and S. CPK to address muscle function, providing a ”sea change” in relieving common symptoms like malaise and unexplained fatigue. Finally, we address hormonal and nutritional integrity. S. Cortisol monitors stress, while Folic Acid ensures healthy red blood cells. Our specialised iron studies—S. TIBC, S. Transferrin,andTransferrin Saturation—prevent silent deficiencies or iron overload. Together, these additional tests empower you to manage the complexities of ageing, ensuring your health strategy is as informed as it is comprehensive. Your journey to certainty starts here.

Addional Test Now Included in Ultra Prevenve Health Packages l S. Bicarbonate l eGFR l MAlb/Creat Rao, Urine l S. Magnesium l S. CPK l S. TIBC l S. Transferrin l Transferrin Saturaon l Apo A1 l Apo B l Apo B/A1 Rao l hs-CRP l HOMA Score l Fasng Insulin & Glucose l S. Corsol-Morning l Folic Acid

Acid-base balance indicator Kidney filtraon rate assessment Early kidney damage detecon Muscle and nerve funcon Muscle injury/damage marker Iron-binding capacity measure Iron transport protein indicator Iron overload/deficiency assessment Good cholesterol carrier marker Bad cholesterol parcle indicator Heart disease risk predictor Inflammaon and heart risk Insulin resistance status check Diabetes risk & control Stress hormone level evaluaon Red blood cell formaon

• Basic
• Profile
• Basic Health Profile

Basic Annual Check up for all ages

This Profile consists of Important tests covering practically all parts of your body including Iron & Thyroid Function Tests : Diabetes

12 SGGTP 01 Bl. Glucose Fasting 13 S Alk Phos Kidney Function Tests

14 S. Proteins

02 S. Urea 03 S. Creatinine 04 S. Uric Acid 05 S. Sodium 06 S. Potassium

15 S. Albumin 16 A/ G Ratio Bones, Joints & Muscles 17 S. Calcium

07 S. Chloride Liver Function Tests 08 S.Total Bilirubin

18 S. Phosphorus 19 S. LDH Lipid Profile/Heart

09 S. Direct Bilirubin 10 SGOT 11 SGPT

20 S. Cholesterol 21 S. Triglyceride 22 S. HDL Chol

23 S. Non HDL Chol 24 S. LDL Chol 25 S. VLDL Chol 26 Total/HDL Chol 27 HDL/LDL Chol 28 CRP Hemogram/CBC 29 TLC 30 DLC 31 TRBC Count 32 Platelet Count 33 Hemoglobin 34 PCV 35 RDW

36 MCV 37 MCHC 38 MCH 39 ESR 40 S. Iron Thyroid Function Tests 41 Free T3 42 Free T4 43 TSH 44 Urine Routine

• Diabetic
• Profile
• Diabetic Profile

For Diabetics

This Profile consists of Important tests covering practically all parts of your body including Iron, Thyroid Function Tests, HbA1c and Microalbuminuria levels:

Diabetes 01 Bl. Glucose Fasting 02 HbA1c 03 Microalbuminuria Kidney Function Tests 04 S. Urea 05 S. Creatinine 06 S. Uric Acid 07 S. Sodium 08 S. Potassium 09 S. Chloride Liver Function Tests 10 S.Total Bilirubin 11 S. Direct Bilirubin 12 SGOT

13 SGPT 14 SGGTP 15 S Alk Phos 16 S. Proteins 17 S. Albumin 18 A/ G Ratio Bones, Joints & Muscles 19 S. Calcium 20 S. Phosphorus 21 S. LDH Lipid Profile/Heart 22 S. Cholesterol 23 S. Triglyceride 24 S. HDL Chol

25 S. Non HDL Chol 26 S. LDL Chol 27 S. VLDL Chol 28 Total/HDL Chol 29 HDL/LDL Chol 30 CRP Hemogram/CBC 31 TLC 32 DLC 33 TRBC Count 34 Platelet Count 35 Hemoglobin 36 PCV 37 RDW 38 MCV

39 MCHC 40 MCH 41 ESR 42 S. Iron Thyroid Fn. Tests 43 Free T3 44 Free T4 45 TSH 46 Urine Routine

• High BP
• Profile
• High Blood Pressure Profile

For High Blood Pressure Patients

This Profile consists of Important tests covering practically all parts of your body, including Iron, Thyroid Function Tests & BP related Homocysteine level : Diabetes

12 SGGTP 01 Bl. Glucose Fasting 13 S Alk Phos Kidney Function Tests

14 S. Proteins

02 S. Urea 03 S. Creatinine 04 S. Uric Acid 05 S. Sodium 06 S. Potassium

15 S. Albumin 16 A/ G Ratio Bones, Joints & Muscles 17 S. Calcium

07 S. Chloride Liver Function Tests 08 S.Total Bilirubin 09 S. Direct Bilirubin 10 SGOT 11 SGPT

18 S. Phosphorus 19 S. LDH Lipid Profile/Heart 20 S. Cholesterol 21 S. Triglyceride 22 S. HDL Chol

23 S. Non HDL Chol 24 S. LDL Chol 25 S. VLDL Chol 26 Total/HDL Chol 27 HDL/LDL Chol 28 CRP 29 Homocysteine Hemogram/CBC 30 TLC 31 DLC 32 TRBC Count 33 Platelet Count 34 Hemoglobin 35 PCV

36 RDW 37 MCV 38 MCHC 39 MCH 40 ESR 41 S. Iron Thyroid Function Tests 42 Free T3 43 Free T4 44 TSH 45 Urine Routine

30 For Diabetics, High BP &/or Overweight persons

Comprehensive Profile

This Profile consists of Important tests covering practically all parts of your body, including Iron, Thyroid Function Tests, Allergy Screening (IgE) & Special Tests: Homocysteine, HbA1c, Microalbuminuria, PTH , Vitamin D & Vitamin B12 levels.

Diabetes 01 Bl. Glucose Fasting 02 HbA1c 03 Microalbuminuria Kidney Function Tests 04 S. Urea 05 S. Creatinine 06 S. Uric Acid 07 S. Sodium 08 S. Potassium 09 S. Chloride Liver Function Tests 10 S.Total Bilirubin 11 S. Direct Bilirubin 12 SGOT

13 SGPT 14 SGGTP 15 S Alk Phos 16 S. Proteins 17 S. Albumin 18 A/ G Ratio Bones, Joints & Muscles 19 S. Calcium 20 S. Phosphorus 21 S. LDH 22 PTH Lipid Profile/Heart 23 S. Cholesterol 24 S. Triglyceride

25 S. HDL Chol 26 S. Non HDL Chol 27 S. LDL Chol 28 S. VLDL Chol 29 Total/HDL Chol 30 HDL/LDL Chol 31 CRP 32 Homocysteine Hemogram/CBC 33 TLC 34 DLC 35 TRBC Count 36 Platelet Count 37 Hemoglobin 38 PCV 39 RDW

40 MCV 41 MCHC 42 MCH 43 ESR 44 S. Iron Thyroid Fn. Tests 45 Free T3 46 Free T4 47 TSH Vitamins 48 Vitamin D 49 Vitamin B12 Allergy Screening 50 IgE 51 Urine Routine

Preventive Health Beyond Basics Be Proactive, Stay One Step Ahead

– Complete care for young generaon

Ultra Preventive Health Profile for 30+: The most detailed full-body check, going beyond basic tests with deeper insights, stronger prevention & total health assurance at every step, ensuring lasting protection & peace of mind. Tests included in this profile are as follows:

Hemogram/ CBC & ESR TLC DLC TRBC Count Platelet Count Hemoglobin PCV/ MCV/ RDW MCHC/ MCH ESR Chemistry Panel Diabetes BI. Glucose Fasting HbA1c with eAG Kidney Function Tests S. Urea S. Creatinine S. Uric Acid Electrolytes S. Sodium S. Potassium S. Chloride S. Bicarbonate eGFR MAlb/Creat Ratio,Urine

Liver Function Tests S.Total Bilirubin S. Bili: Direct/ Indirect SGOT SGPT SGGTP S. Alk Phos S. Proteins S. Globulin S. Albumin A/ G Ratio Bones, Joints & Mus. S. Calcium S. Phosphorus S. Magnesium S. LDH S. CPK S. PTH Iron Studies S. Iron S. TIBC S. Transferrin Transferin Saturation

Heart & Stroke Related Lipid Profile-Extended S. Cholesterol S. Triglyceride S. HDL Chol S. Non HDL Chol S. LDL Chol S. VLDL Chol Total/HDL Chol HDL/LDL Chol Apo A1 Apo B Apo B/A1 Ratio hs-CRP S. Homocysteine

HORMONES Thyroid Fn. Tests Free T3 Free T4 TSH S.PTH HOMA Score Fasting Insulin and Glucose S. Cortisol-Morn VITAMINS Vitamin D Vitamin B12 Folic Acid Allergy Screening IgE Urine Routine

• Tests added over standard Comprehensive 30+package.
• Stay Active
• Take Balanced Diet
• Manage Stress
• Stay Connected
• Quit Smoking
• Limit Alcohol
• Health Checks
• Consult Doctor

Preventive Health Beyond Basics Your Health Deserves The Best

Prevent risks, preserve strength & protect your tomorrow.

Ultra Preventive Health Profile for 50+: The most detailed full-body check, going beyond basic tests with deeper insights, stronger prevention & total health assurance at every step, Including relavent Cancer Markers, ensuring lasting protection & peace of mind. Tests included in this profile are as follows: Hemogram/ CBC & ESR TLC DLC TRBC Count Platelet Count Hemoglobin PCV/ MCV/ RDW MCHC/ MCH ESR Chemistry Panel Diabetes BI. Glucose Fasting HbA1c with eAG Kidney Function Tests S. Urea S. Creatinine S. Uric Acid Electrolytes S. Sodium S. Potassium S. Chloride S. Bicarbonate eGFR MAlb/Creat Ratio,Urine

Liver Function Tests S.Total Bilirubin S. Bili: Direct/ Indirect SGOT SGPT SGGTP S. Alk Phos S. Proteins S. Globulin S. Albumin A/ G Ratio Bones, Joints & Mus. S. Calcium S. Phosphorus S. Magnesium S. LDH S. CPK S. PTH Iron Studies S. Iron S. TIBC S. Transferrin Transferin Saturation

Heart & Stroke Related HORMONES Lipid Profile-Extended

Thyroid Fn. Tests

S. Cholesterol S. Triglyceride S. HDL Chol

• Free T3 Free T4 TSH
• S. Non HDL Chol
• S.PTH
• S. LDL Chol
• Testosterone(Men)
• S. VLDL Chol Total/HDL Chol
• HOMA Score Fasting Insulin
• HDL/LDL Chol and Glucose
• Apo A1
• S. Cortisol-Morn
• Apo B Apo B/A1 Ratio
• Cancer Markers CA 125(Women)

hs-CRP S. Homocysteine

PSA T&F(Men) AFP (Both) VITAMINS Vitamin D Vitamin B12 Folic Acid Allergy Screening IgE Urine Routine

50 A Profile consisting of Routine & Special tests for 50

Comprehensive Profile for 50

This profile is suggested for persons over 50. Besides other tests it consists of Allergy Screening :IgE, Testosterone (men), Two Vitamins: D & B12 and relevant Cancer Markers: PSA- Total & Free & AFP (men) and CA-125 & AFP (women). Diabetes

15 S Alk Phos

30 CRP

01 Bl. Glucose Fasting 16 S. Proteins 02 HbA1c

17 S. Albumin 03 Microalbuminuria 18 A/ G Ratio

31 Homocysteine Hemogram/CBC 32 TLC Kidney Function Tests Bones, Joints & Muscles 33 DLC 04 S. Urea

• 19 S. Calcium
• 34 TRBC Count
• 05 S. Creatinine
• 20 S. Phosphorus

35 Platelet Count

45 TSH 46 PTH 47 Testosterone(Men) Cancer Markers 48 CA 125 (women) 49 PSA T & F (Men) 50 AFP (Both)

06 S. Uric Acid 07 S. Sodium

21 S. LDH Lipid Profile/Heart

36 Hemoglobin 37 PCV

Vitamins etc. 51 Vitamin D

08 S. Potassium 09 S. Chloride Liver Function Tests 10 S.Total Bilirubin 11 S. Direct Bilirubin 12 SGOT 13 SGPT

22 S. Cholesterol 23 S. Triglyceride 24 S. HDL Chol 25 S. Non HDL Chol 26 S. LDL Chol 27 S. VLDL Chol 28 Total/HDL Chol

38 RDW 39 MCV 40 MCHC 41 MCH 42 ESR Hormones 43 Free T3

52 Vitamin B12 53 S. Iron Allergy Screening 54 IgE 55 Urine Routine

• 44 Free T4
• 29 HDL/LDL Chol
• 14 SGGTP

65 A Profile consisting of Routine & Special tests for 65

Comprehensive Profile for 65

This profile is suggested for persons who are 65 +. Besides all tests included in Comprehensive 50+ profile, an additional NT ProBNP estimation (useful in screening for heart failure) is performed.

Diabetes

15 S Alk Phos 01 Bl. Glucose Fasting 16 S. Proteins

30 CRP 31 Homocysteine

02 HbA1c

17 S. Albumin 03 Microalbuminuria 18 A/ G Ratio

Hemogram/CBC 32 TLC Kidney Function Tests Bones, Joints & Muscles 33 DLC 04 S. Urea

• 19 S. Calcium
• 34 TRBC Count
• 05 S. Creatinine
• 20 S. Phosphorus

35 Platelet Count

06 S. Uric Acid 07 S. Sodium 08 S. Potassium 09 S. Chloride Liver Function Tests 10 S.Total Bilirubin 11 S. Direct Bilirubin 12 SGOT 13 SGPT 14 SGGTP

21 S. LDH Lipid Profile/Heart 22 S. Cholesterol 23 S. Triglyceride 24 S. HDL Chol 25 S. Non HDL Chol 26 S. LDL Chol 27 S. VLDL Chol 28 Total/HDL Chol 29 HDL/LDL Chol

36 Hemoglobin 37 PCV 38 RDW 39 MCV 40 MCHC 41 MCH 42 ESR Heart Failure 43 NT ProBNP

Hormones 44 Free T3 45 Free T4 46 TSH

47 PTH 48 Testosterone (Men) Cancer Markers 49 CA 125(Women) 50 PSA T & F (Men) 51 AFP (Both) Vitamins etc. 52 Vitamin D 53 Vitamin B12 54 S. Iron Allergy Screening 55 IgE 56 Urine Routine

Preventive Health Beyond Basics Make Health Your First Priority

Don’t wait for signs - lead life with certainty.

Ultra Preventive Health Profile for 65+: The most detailed full-body check, going beyond basic tests with deeper insights, stronger prevention & total health assurance at every step, Including relavent Cancer Markers and test for Heart Failure, ensuring lasting protection & peace of mind. Tests included in this profile are as follows: Hemogram/ CBC & ESR TLC DLC TRBC Count Platelet Count Hemoglobin PCV/ MCV/ RDW MCHC/ MCH ESR Chemistry Panel Diabetes BI. Glucose Fasting HbA1c with eAG Kidney Function Tests S. Urea S. Creatinine S. Uric Acid Electrolytes S. Sodium S. Potassium S. Chloride S. Bicarbonate eGFR MAlb/Creat Ratio,Urine

Liver Function Tests S.Total Bilirubin S. Bili: Direct/ Indirect SGOT SGPT SGGTP S. Alk Phos S. Proteins S. Globulin S. Albumin A/ G Ratio Bones, Joints & Mus. S. Calcium S. Phosphorus S. Magnesium S. LDH S. CPK S. PTH Iron Studies S. Iron S. TIBC S. Transferrin Transferin Saturation

Heart & Stroke Related HORMONES Lipid Profile-Extended Thyroid Fn. Tests S. Cholesterol S. Triglyceride S. HDL Chol

• Free T3 Free T4 TSH
• S. Non HDL Chol
• S.PTH
• S. LDL Chol
• Testosterone(Men)
• S. VLDL Chol Total/HDL Chol
• HOMA Score Fasting Insulin
• HDL/LDL Chol and Glucose
• Apo A1
• S. Cortisol-Morn
• Apo B Apo B/A1 Ratio
• Cancer Markers CA 125(Women)

hs-CRP S. Homocysteine Heart Failure NT ProBNP

PSA T&F(Men) AFP (Both) VITAMINS Vitamin D Vitamin B12 Folic Acid Allergy Screening IgE Urine Routine

Thyroid Disorders

Thyroid diseases are more common than diabetes or heart disease. The incidence of hypothyroidism in women is higher than in men, and it hits hardest during pregnancy, mid-life, and older age. Symptoms of Hypothyroidism are usually vague and go unnoticed for years together. Thyroid diseases can affect every system and cell in the body, leaving it vulnerable to heart disease, osteoporosis, and other illnesses. The American Thyroid Association recommends that everyone over 35 years, especially women, be screened for thyroid disorders.

Available Thyroid Function Tests

Thyroid screening:

Serum TSH, Free T4 & Free T3 Detailed Thyroid profile: Serum TSH, Free T4, Free T3 & Thyroid Abs: Anti TPO & Anti TG

• Symptoms
• Hypothyroidism
• Weight Gain
• Lethargy
• Dry Skin
• Puffy Face
• Infertility Depression

Joint Pains Cold Intolerance Slow Heartbeat Forgetfulness Coarse &

• Brittle Nails
• Dry Hair Muscle Aches
• Heavy Periods Constipation
• Hyperthyroidism

Weight Loss Sweating Moist Palms Hair Loss Bulging Eyes Weakness

Rapid Pulse Nervousness Tremors in Hands Irritability Infertility Enlarged Thyroid Scanty Periods Frequent Bowel Movements

Subclinical Hypothyroidism

A significant number of patients who are screened for thyroid disease have marginally increased serum TSH (thyroid-stimulating hormone) levels, but their Free Thyroxine (T4) levels are within normal limits. This condition is, termed "subclinical hypothyroidism", which is an early stage of Hypothyroidism and is common in women and older persons. This condition's symptoms, which is usually fatigue and constipation, are usually ignored, thinking that they are because of ageing. Thyroid Antibodies (Anti TPO & TG) test should be performed on all such cases.

Algorithm for the Management of Subclinical Hypothyroidism

Normal Free T4 level & High TSH level

TSH >10 μU per mL

TSH 5 to 10 μU per mL

• Check Anti-TPO & Anti-TG
• Anti-TPO positive or symptoms present
• Anti-TPO negative & no symptoms
• Positive
• Negative
• No Symptoms
• Therapy Symptoms present
• Therapy
• Consider therapy
• Observe & retest every 6 months

Heart Attack

Heart Attack or Coronary artery disease is the leading cause of death in India and developed countries. The deposition of Fat, Cholesterol and other substances in arteries is known as Arteriosclerosis. If such accumulations are large, they are called plaque, and they can damage artery walls and block blood flow. Such a block may severely restrict blood flow in the heart muscle and may lead to symptoms such as chest pain and, ultimately, Heart Attack, which can be fatal. The above-mentioned disease process, which may lead to death, is probably due to unhealthy cholesterol & lipid levels. LDL- Cholesterol acts as a villain & HDL Cholesterol acts as a hero in the process. Progression of Arteriosclerosis

• Heart Attack : Simplified
• Balloon Angioplasty
• Plaque with fibrous cap
• Cap ruptures

Blood Clot Blocks artery

This process of Arteriosclerosis is enhanced by other risk factors, including high blood pressure, smoking, obesity, diabetes, and a sedentary lifestyle. When more than one of these risk factors is present, the risk is compounded. The effects of cholesterol on the heart may involve more than just the arteries. There is some evidence that unhealthy levels may affect the heart muscles and increase heart failure risk.

• High Blood Pressure Management
• Modification
• Recommendation
• Weight reduction Diet modification Salt Reduction

Try to maintain body weight as per table.

Consume a diet with low fat & high fibre contents (fruits, vegetables etc) Reduce salt intake

Physical activity Regular physical activity such as brisk walking (at least 30 minutes per day, most days of the week)

Alcohol Intake

Avoid alcohol or reduce consumption drastically

BP Reduction 5-20 mm Hg/ 10-kg weight loss

• 8-14 mm Hg
• 2-8 mm Hg
• 4-9 mm Hg
• 2-4 mm Hg

Heart Failure and Heart Attack

NT Pro BNP and HS Trop I : Laboratory tests for Early Diagnosis

Heart failure and heart attack are both forms of heart disease. Most heart attacks happen suddenly when one of the arteries leading to the heart becomes blocked and cuts off the blood flow. Without oxygen, the heart muscles start to die. Heart failure, on the other hand, usually develops gradually.

NT ProBNP for Heart Failure

HS Trop I for Heart Attack

With 23 million cases worldwide, Heart Every year, 16 million people worldwide die failure (HF) has been singled out as a major of cardiovascular diseases, specifically heart emerging epidemic. Since early symptoms attacks or stroke. Chest pain is among the top are usually vague and diagnosing heart 10 reasons to visit Physicians or Emergencies. failure (HF) in OPD is difficult, it is dangerous The expected prevalence of acute myocardial to ignore the symptoms.

Presentation of Heart Failure infarction (MI) is 10 to 20%.

• Presentation of Heart Attack
• Shortness of Breath
• Swelling over feet & legs
• Chronic lack of energy
• Difficulty in sleeping due to breathlessness
• Swollen abdomen and loss of appetite
• Cough with frothy sputum
• Increase urination at night
• Sudden weight gain

Typical Presentation and distribution of pain l

NT-proBNP is a useful and accurate l

Trop I (HS cTrop I) levels start rising blood test for ruling out the diagnosis of within 2 to 3 hours of the onset of chest pain heart failure. It excludes or confirms ACUTE & remains elevated for almost ten days. HEART FAILURE.

HS cTrop I (high sensitive Cardiac l

This cost-effective and specific test helps TroponinI) is a useful blood test for in EARLY initiation of appropriate treatment in confirming and optimising the management emergency situations. This improves patient of Acute Coronary Syndromes. This helps in outcome. Using NT-proBNP helps clinicians to improving patients outcome. optimize the management of patients. This l

In addition to clinical assessment and an may result in a significant decrease in-hospital electrocardiogram (ECG), Trop I (HS Trop I) is stay and reduced re-hospitalization. Interpretation now a mandatory investigation to make a definitive diagnosis of acute MI. International guidelines recommend a single l

Serial measurement of Trop I (HS cTrop low cut-off of 125 pg/mL to rule out HF for I) differentiates acute from chronic cardiac p at i e nt s p re s e nt i n g w i t h n o n - a c u te myocyte damage. symptoms. However, a study published in the Interpretation: Indian Journal of Endocrinology and Less than 19 ng/L : NEGATIVE Metabolism recommends an arbitrary value More than 100 ng/L : POSITIVE of 300 pg/mL for the management of Heart Individuals with values between 19 and 100 failure.

ng/L should be retested after 3 hours.

Joint Pain & Connective Tissue Disorders

Test for confirmation of CTD & Autoimmune Disorders

Arthritis (Joint Pains) presents as swelling, pain, stiffness and decreased range of motion in joints. Symptoms may be mild to severe and may stay for years. Severe arthritis can result in chronic pain, inability to do even daily activities. There are more than 100 types of arthritis and related conditions. It is most common among women and old age. Arthritis can cause permanent joint changes such as knobby finger joints. Some types of arthritis also affect the heart, eyes, lungs, kidneys and skin as well.

• Screening Tests:
• Further Tests:
• Special Tests:
• Available Joint Pain Related Tests

1 CBC with ESR 1 Rheumatoid Factor 1 Calcium

1 Bl. Glucose 1 Anti CCP 1 Phosphorus

1 ASO 1 ANA-Elisa

1 Vitamin D 1 ANA-IIF 1 ANA/ENA Profile (LIA-17 Antigens)

1 Uric Acid 1 CRP 1 Alk. Phosphatase 1 PTH 1 HLA B27-PCR

Autoimmune Disease & Relevant Antigens

Systemic lupus erythematosus (SLE)

Lupus erythematosus neonatal SLE - Drug Induced Sjogren's syndrome Systemic Scierosis (SSc) SSc - Diffuse & Limited forms Dermatomyositis Adult/ Juvenile Idiopathic Inflammatory myopathy Myosis (Polymyositis, Dermatomyositis, Idiopathic) Polymyositis / SSc overlap syndrome Mixed connective tissue disease Primary biliary cirrhosis & other chronic liver diseases RA dsDNA, Histones, Ku, PCNA, Ro-52, Nucleosomes, Ribosomal Protein, Sm, SS-A native, SS-B SS-A native, SS-B Histones SS-a native (60kDa), SS-B, Ro-52 recombinant AMA-M2, Ku, Ro-52 recombinant, Sci-70 Sci-70, Centromere A Mi-2 Ro-52 recombinant Ku, Jo-1, Mi-2

PM-Sci100 RNP/Sm AMA-M2, Centomere B

Histones

Risk of Common Autoimmune Diseases

Women 1 in 12 1 in 28 1 in 42 1 in 100 1 in 111 1 in 125 1 in 200 1 in 1000

Risk Over all risk Rheumatoid Arthritis Polymyalgia Rheumatica Giant Cell Arteritis Lupus Sjogrens Syndrome Psoriatic Arthritis Ankylosing Spondylitis

Joint Pain & Connective Tissue Disorders

Test for confirmation of CTD & Autoimmune Disorders ANA ELISA | ANA IIF | ANA/ ENA Profile | HLA-B27 PCR

Over the last ten years, ANA testing has experienced significant advances. Improvements in automation, the development of new methods and a clearer understanding of the diagnostic utility of this testing have widened the options for laboratories. Following methodologies to detect antinuclear antibodies are available with us: ANA by ELISA: Antinuclear antibody (ANA) tests identify antibodies present in serum that bind to autoantigens present in the nuclei of mammalian cells using the enzyme-linked immunosorbent assay (ELISA) method. It can be used for the qualitative/cumulative in vitro assay for human autoantibodies of the immunoglobulin class IgG against 27 antigens. ANA by IIF: Indirect immunofluorescence antibody technique, having a high sensitivity, is now considered the Gold standard for screening/detection, expressed in terms of the pattern and intensity of fluorescence and the titer of a positive test. It is possible to detect many autoantibodies using the HEp-2 cells. This technique has high sensitivity (95%–100% for the diagnosis of SLE), and the staining pattern may provide a clue to the diagnosis. ANA/ENA Profile by LIA: Line immunoassay technique is used for semi-quantitative detection of human autoantibodies of the IgG class to 17 different antigens: Mi-2, Ku, nRNP, Sm, SS-A (SS-A native and Ro-52), SS-B, Scl-70, PM-Scl, Jo-1, CENP B, PCNA, dsDNA, nucleosomes, histones, ribosomal P-protein & AMA-M2. This test may be performed on ALL POSITIVE serum samples for better semi-quantitative evaluation. HLA B27 PCR: Test for detection of a unique HLA-B27 antigen using PCR technique is available. This antigen is a protein found on the surface of white blood cells fighting infection. The most common autoimmune disorders connected with HLA-B27 antigen are Ankylosing spondylitis - a form of arthritis that affects the spine, Juvenile arthritis - which occurs in children and Reactive arthritis - a type of arthritis in the joints.

• Common ANA-IIF Patterns
• Homogeneous
• Speckled
• Nuclear Dots
• Nucleolar
• Centromeres
• Cytoplasmic

Food Intolerance Testing

- Available In Vitro Blood Tests for detection of Intolerance Intolerance vs Allergy

Allergy: A true food or inhalation allergy causes an immune system reaction that affects numerous organs in the body. It can cause a range of symptoms. In some cases, an allergic food reaction can be severe or life-threatening. Intolerance: In contrast, food intolerance symptoms are generally less serious and often limited to digestive problems. Test for Food Intolerance: A blood test that can detect Food Specific IgG antibodies against many food items may lead to various conditions such as digestive problems, irritable bowel syndrome, eczema and arthritis. Symptoms of Food Intolerance Symptoms of Food Intolerance include digestive issues such as bloating of the abdomen after eating certain types of foods, tiredness or headache for no apparent reason. Bloating of Abdomen | Flatulence | Stomach Cramps & Pain | Diarrhoea | Headache | Lethargy | Constipation | Eczema | Arthritis | Back Pain

Cereals

List of Food Items tested for Intolerance

• Nuts & Beans
• Vegetables
• Fruits
• Fish & Meat

Corn Wheat Gluten Oats Rice Rye Semolina Barley

Milk & Poultry

Almond Cashew Cocoa-Powder Peanut Soya-Bean Walnut Flaxseed

Pulses

Egg Milk Tea

Moong Dal Tur Dal Chana Dal Lentil

Broccoli Cabbage Carrot Cucumber Potato Tomato Onion Brinjal Garlic Ginger

Apple Black Raisin Olive Strawberry Banana Black Currant

Chicken Lamb Pork Fish-Surmai Mackerel Prawn Crab Shrimp

• Interpretation and Suggestions:
• Result
• Suggestion

Strong Positive Moderate Positive

Do not take that food item for 3 months. Reduce these foods to once every 4 days.

Weak Positive Negative

Observe the effect of eating these foods. Acceptable

Allergy Testing : Food & Air

- In Vitro Specific IgE Estimation for detection of Food and Air Allergens

An allergy is your immune system overreacting to a harmless substance (allergen), impacting multiple organs.

Causes:A combination of genetic tendencies and environmental exposure to airborne triggers, foods, insect stings, or medications.

Respiratory Allergies:Caused by inhaling allergens like pollen, dust mites, or pet dander. Symptoms: Sneezing, runny/stuffed nose, itchy/watery eyes, coughing, wheezing.

Food Allergies:Triggered by ingesting items like nuts or dairy. Symptoms: Hives, swelling of lips/tongue, abdominal pain, vomiting.

Skin Allergies:Caused by contact or ingestion. Symptoms: Red, itchy, dry, or blistered skin.

Severe Alert:Anaphylaxis is a life-threatening reaction causing throat swelling, breathing difficulty, and sudden low blood pressure. Seek emergency care immediately.

Food Allergy

Symptoms: Pain Abdomen | Diarrhoea | Vomiting | Erythema | Urticaria | Itchy Lips, Tongue or Throat

Food Allergens Tested**

1. Egg white 2. Egg yolk 3. Cow's milk 4. Yogurt 5. Wheat flour 6. Gluten 7. Oat flour 8. Maize flour

9. Rice 10. Soyabean 11. Peanut 12. Almond 13. Citrus Mix 14. Orange 15. Coconut 16. Apple

17. Grape 18. Pea 19. Tomato 20. Potato 21. Spinach 22. Garlic 23. Onion 24. Chickpea

25. Cucumber 26. Eggplant 27. Pigeon Pea 28. Mungbean 29. Beef 30. Chicken 31. Lamb 32. Mustardseed

33. Ginger 34. Spice mix 35. Codfish 36. Crab 37. Prawn/ Shrimp 38. Rohu

Air-Inhalation Allergy

Symptoms: RedwateryEyes Sneezing Congestion RunnyNose SoreThroat Cough BuzzingSounds

Inhalation Allergens Tested**

1. Timothy grass 2. Cultivated rye 3. Cultivated Corn 4. Eucalyptus

5. False ragweed 9. Der. pteronyssinus* 13. Dog

17. Aspergillus spp

6. Dandelion 7. Goldenrod 8. Sunflower

10. Der. farinae* 11. Cockroach 12. Cat

• 14. Cow
• 18. Trichophyton spp
• 15. Pigeon feathers 16. Chicken feathers

* Commonly Referred as House Dust Mite

** Allergens tested may change Periodically

Tests for PMOS / PCOS

Common Hormonal Disorder In Women of Reproductive Age

Polyendocrine Metabolic Ovarian Syndrome (PMOS), previously known as Polycystic Ovary Syndrome (PCOS), is a complex multi-system disorder. Core Characteristics: It is driven by multiple hormonal imbalances and insulin resistance, affecting ovulation, metabolism, and skin health. Symptoms : Reproductive: Irregular or missed menstrual cycles, anovulatory infertility, reduced sex drive. Androgenic: Hirsutism (excess body/facial hair), severe acne, male-pattern hair thinning. Metabolic Dysregulation: Weight gain, fatigue, dark skin patches (acanthosis nigricans), mood changes.

Rationale for Renaming PCOS to PMOS * PCOS was renamed Polyendocrine Metabolic Ovarian Syndrome (PMOS) because "cysts" is a misnomer (they are immature follicles, not true cysts). The old label wrongly framed a multisystem condition as purely ovarian. "PMOS" accurately reflects its underlying multi-hormonal and long-term metabolic impacts. Screening Tests

Basic Interpretation

LH & FSH

Elevated LH with low or normal FSH LH: FSH ratio greater than 2:1 indicates ovulatory dysfunction

AMH (Anti-Müllerian Hormone) Elevated levels reflect an increased pool of small antral follicles.

Metabolic Screening Fasting Glucose Fasting Insulin, HOMA Score

Further Confirmation

Androgens Total & Free Testosterone, DHEA- S, Androstenedione

• SHBG (Sex Hormone-Binding Globulin)
• Elevated levels indicate underlying insulin resistance.
• Interpretation

Elevated levels confirm clinical or biochemical hyperandrogenism and help rule out androgensecreting tumors.

Reduced levels account for increased circulating free, active testosterone.

• Exclusionary Panel
• TSH, Prolactin, 17-OHP, hCG
• Pelvic Ultrasound- Imaging
• Interpretation

Evaluated to systematically rule out hypothyroidism, hyperprolactinemia, non-classical congenital adrenal hyperplasia, or pregnancy.

Identifies polycystic ovarian morphology (multiple small immature follicles) and evaluates structural features.

*Ref:Teede, H., Piltonen, T., Dokras, A., Cree, M., et al. (2026). Polyendocrine Metabolic Ovarian Syndrome (PMOS): The Lancet, Published online May 12, 2026.

Automated Seminal Fluid Examination

SQA-QWIKCheck GOLD Semen Quality Analyzer xxxxx xxxxx xx xxxxx xxxxx xxxxx xxxxx

Specimen Report

At NDPC, we use SQA-QWIKCheck GOLD, a high performance, state of the art, a menu-driven analytical medical device for assessing Human Seminal Fluid. SQA- QWIKCheck GOLD uses a combination of electro-optics and computer algorithms to generate accurate and reproducible semen analysis results based on the WHO Laboratory Manual for the Examination and Processing of Human Semen: 6th edition (2021).

About WHO 2021 6th Guidelines

Semen analysis is the cornerstone of male fertility evaluation, with WHO guidelines providing the basis for procedural standardization and reference values worldwide. The first WHO manual was published in 1980, and five editions have been released over the last four decades. The 6th Ed. was published in July 2021. This new Edition has analyzed basic semen parameters more robustly, considering the criticisms and grey areas of the previous editions. Based on these WHO guidelines, it is now possible to evaluate semen more objectively in clinical practice using SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis.

About Various Seminal Fluid Parameters

Based on WHO Guidelines with Lower Reference Range-LRR in Bracket

Sperm Concentration (more than 16 mill/mL) Number of spermatozoa per unit volume of Semen. Total Motility(more than 42%): % of the Sperms that are moving.

Progressive Motile Sperm Concentration Total nos. of progressively moving motile cells per mL of sample. Functional Sperm Concentration: Progressive Motility (more than 30%): Spermatozoa Sperms having progressive motility & normal moving actively, either linearly or in a large circle, morphology. regardless of speed. a. Rapidly Progressive Motility in % b. Slow Progressive Motility in % Non Progressive Motility:

Average Path Velocity (more than 5 microns/sec): Time-averaged velocity of a sperm head along its average path. This path is computed by smoothing the curvilinear trajectory according to algorithms in All other patterns of motility with an absence of the instrument. progression, e.g. swimming in small circles, the Sperm Motility Index (more than 80): flagellar force hardly displacing the head, or when A quick reference parameter developed by MES. only a flagellar beat can be observed.

Anything over 80 equals a good sample.

Immotility:

Total Sperm Number (more than 39 million):

No movement.

Total nos. of spermatozoa in the entire ejaculate.

Morphology(% of Normal Forms- more than 4 %):

Semen Fructose Level:

% of Normal shape/sized sperms in the sample.

• Normo-spermic Semen Fructose levels:
• Motile Sperm Concentration
• 30 minutes after ejaculation: 200-300 mg/dL.

Total nos. of motile cells per mL of sample.

After about 4 hours of ejaculation: 100 mg/dL

IMPORTANT: WHO 2021 6th Guideline uses the term Lower reference limit /range instead of Biological Reference Interval. The new reference values have a clinical impact because they now classify men previously considered infertile as normal. The laboratory report should only be interpreted by a physician who can integrate other test results with the couple's assessment to determine overall status. Self-interpretation and self-medication are strongly discouraged.

Cancer Markers

Cancer markers are not diagnostic in themselves. A definitive diagnosis of cancer can be made by looking at biopsy specimens (e.g., of tissue) under a microscope or Fine Needle Aspiration Cytology (FNAC) and smear examination of discharge (Pap smear). However, cancer markers provide information that can be used in monitoring treatment, helping in diagnosis, staging & determining prognosis & recurrences.

Change in bowel habits (Colon) or bladder function (Bladder, Prostate) Sores that do not heal (Oral Cancer) White patches inside the mouth or white spots on the tongue (Precancerous Leukoplakia) Unusual bleeding or discharge (Lung, Kidney, Colon, Rectal, Cervical or the endometrial) Thickening or lump in the breast or other parts of the body Recent change in a wart or mole or any new skin change ( Skin-Melanoma) Nagging cough or hoarseness ( Lung, Larynx or Thyroid Gland)

• Cancer Markers Available
• Cancer Markers
• Cancers Detected*
• AFP

Liver, germ cell cancer of ovaries or testes

CA 19.9

Pancreatic, sometimes bowel and bile duct hCG PSA/Free PSA

Testicular & trophoblastic Prostate

CA 15.3 CA 125 CEA CA 72.4

Breast & others including lung, ovarian Ovarian Bowel, lung, breast, thyroid, liver, cervix & bladder etc. Gastric Cancer

*Cancer Markers may be elevated in a few benign diseases other than cancers also.

Celiac Disease - Gluten-sensitive Enteropathy

Celiac disease (gluten-sensitive enteropathy), sometimes called sprue or celiac, is an immune reaction to eating gluten, a protein found in wheat, barley and rye. If you have celiac disease, eating gluten triggers an immune response. Over a period of time, this reaction damages the small intestine's lining and prevents absorption of some nutrients, which in children may affect growth and development. There's no cure for celiac disease — but for most people, following a strict gluten-free diet can help manage symptoms and promote intestinal healing.

Signs & Symptoms

Laboratory Tests

Diarrhea Bloating & Gas Fatigue Weight Loss Constipation Depression Itchy Rash Iron-Def. Anemia

Screening: 1. tTG IgA Abs, Serum 2. IgA, Serum 3. DGP IgG Abs, Serum Further Confirmation: 1. Biopsy 2. Genetic Tests: HLA DQ2 & DQ8

Tests for General Assessment

Complete blood count (CBC) with ESR C-Reactive protein (CRP) Comprehensive metabolic panel (CMP) Vitamin D, Vitamin B12 and Folate Iron, TIBC, Transferrin & Ferritin

FNAC For Superficial Palpable Lumps

An inexpensive rapid test for diagnosis of superficial palpable masses

Fine Needle Aspiration Cytology (FNAC) is a simple, quick & inexpensive method to sample superficial suspicious masses such as palpable lymph nodes, thyroid nodules, breast, or any other lump in the body. Cytological examination of a smear made from aspirate can lead us to a definitive diagnosis early. It can rule out cancer, which is a significant worry that alleviates patent anxiety in many cases. Results: The stained smears from the aspirate are examined under a microscope, & a diagnosis based on the type of cells seen is reached. In some cases, the opinion may be inconclusive, & the actual diagnosis may require further testing, usually involving a surgical biopsy.

• FNAC Technique
• Palpable Mass
• Insert Needle into Lesion
• Apply Full Suction
• Redirect needle within mass. Apply suction.

Benefits and Limitations: FNAC is a rapid, effective test for determining the status of the suspect tissue. Compared to surgical biopsy, FNAC is an OPD procedure that causes minimal trauma, infection or scarring with minimal recovery time. Once the test is completed, the patient can continue normal activities. Smear prepared from the aspirate obtained through the procedure is stained, examined under a microscope, and an opinion is given.

FNA for Confirmation of MTB-Tuberculosis: In cases with Granulomatous lymphadenitis or purulent aspirates, Xpert MTB (CBNAAT) testing has an important role in confirming Extra Pulmonary Tuberculosis (EPTB).

Release negative pressure and withdraw needle.

Detach Needle & Fill Syringe With Air

Reattach needle. Express aspirate. Make smear.

Combining FNA with Xpert MTB (CBNAAT) can detect FNA missed cases, and significant numbers of cytomorphological TB NEGATIVE aspirates can be confirmed or diagnosed by Xpert MTB (CBNAAT). The Gene Xpert MTB/RIF is a fully automated diagnostic molecular test which simultaneously detects TB & RIF drug resistance. Implementing the Gen Xpert assay may dramatically improve the rapid diagnosis of Lymph Node TB/ extra pulmonary TB. The priority of Xpert MTB/ RIF as a diagnostic method of MTB is attributed to its feasibility, rapid turnaround time, reliability & high sensitivity & specificity, even in very low bacterial load.

GeneXpert - State of the Art CBNAAT System

Molecular Diagnostics

Cartridge Based Nucleic Acid Amplification Test (CBNAAT) : A Rapid cost effective RT-PCR for common infectious diseases & HLA B27

While RT-PCR has provided a sensitive and specific "quantum leap" in diagnosing infectious diseases over the last decade, it historically faced hurdles. Traditional molecular diagnostics often struggled with contamination, reagent stability, and lack of standardization, limiting their overall clinical utility. Furthermore, testing was largely restricted to large chain laboratories. To maintain affordability, these labs relied on batch testing, which significantly increased turn-around times (TAT) and delayed critical patient care decisions. The introduction of CB-NAAT (Cartridge Based Nucleic Acid Amplification Test) has been a game-changer. By integrating sample preparation and analysis into a sophisticated, closed system, it offers the precision of high-end RT-PCR while eliminating the risks of manual error and contamination. Realizing this potential, North Delhi Pathology Clinic has adopted CB-NAAT technology. This allows the clinic to deliver reliable, clinically validated results in just a few hours, providing patients with fast, cost-effective, and highly accurate molecular diagnostics.

Available CB-NAAT - RT PCR tests M.tuberculosis with RIF Resistance Specimen:Site Specific

Pulmonary:Sputum & Bronchial Aspirate etc. Extra-pulmonary:Pus, Fluids, FNA, Biopsy etc.

• Reporting: Same day
• Chikungunya
• Viral Load
• Specimen: Plasma Reporting: Same day
• HIV
• Viral Load
• Specimen: Plasma Reporting: Same day
• Hepatitis B
• Viral Load
• Specimen: Plasma Reporting: Same day
• Hepatitis C
• Viral Load
• Specimen: Plasma Reporting: Same day
• H1N1 / H3N2
• Qualitative
• Specimen: Nasal Swab Reporting: Same day
• New
• Influenza A,B & RSV
• Qualitative
• Specimen: Nasal Swab Reporting: Same day
• HLA B27
• Qualitative:for Ank Spondylitis
• Specimen: Blood Reporting: Same day New
• EBV RT-PCR
• Viral Load
• Specimen: EDTA, Plasma Reporting: Same day
• New
• HPV PCR
• Qualitative

Specimen: Cervical Swab Reporting: Same day New

Chlamydia/Neisseria

Qualitative

Specimen: Urethral/Cervical Swab, or Urine Reporting: Same day

* Not in NABL Scope

GeneXpert for MTB RIF

A Rapid cost effective RT-PCR for detection of MTB Rifampicin Resistance

GeneXpert a CBNAAT system from Cepheid for MTB, MDR

A few possible printouts

Specimen Machine Printout

MTB NOT DETECTED

Negative

Specimen Machine Printout

MTB DETECTED LOW; RIF Resistance NOT DETECTED

MTB Positive

• Specimen Machine Printout
• MTB Trace DETECTED RIF Resistance DETECTED
• MDR

GeneXpert Ultra represent a remarkable advancement in the diagnosis and treatment of tuberculosis (TB), a major global health concern. These cutting-edge diagnostic technologies, developed by Cepheid, have revolutionized the field by providing rapid and accurate detection of TB and its drug-resistant forms, leading to timely interventions and improved patient outcomes. Specimen:Site Specific Pulmonary:Sputum & Bronchial Aspirate etc. Extra-pulmonary:Pus, Body Fluids, FNA, Biopsy etc. Xpert MTB/RIF GeneXpert Ultra is designed to detect Mycobacterium tuberculosis (MTB) and determine rifampicin resistance, a key indicator of multidrug-resistant TB (MDR-TB). It employs real-time polymerase chain reaction (PCR) technology to amplify and detect specific DNA sequences in TB bacteria. Its exceptional sensitivity allows it to detect very low levels of MTB DNA, even in challenging cases like paucibacillary or extrapulmonary TB. With results available within just 2 hours, it enables healthcare providers to initiate treatment promptly, reducing transmission risk. Moreover, it identifies rifampicin resistance, guiding appropriate drug regimens. Summary: The impact of these technologies on TB management is profound. They enable early diagnosis, rapid drug resistance identification, effective infection control, reduced mortality rates, and remarkable sensitivity and specificity. In summary, GeneXpert uses MTB-RIF Ultra as a game-changer. It works as a pivotal tool in the fight against TB, significantly improving diagnostic accuracy, patient care, and disease control efforts on a global scale.

Under the National Tuberculosis Elimination Programme, it is mandatory for all medical laboratories and treating physicians to register the complete details of all MTB-positive patients on the NIKSHAY portal. 35

Antibiotic Resistance & Blood Culture

SUPERBUG - A Global Threat : Bacteria resistant to most of the antibiotics

Antibiotic resistance is one of the biggest threats to global health, food security, and development today. Antibiotic resistance can affect anyone, of any age, in any country. A growing number of infections such as PNEUMONIA, TUBERCULOSIS, GONORRHEA and SALMONELLOSIS (Typhoid)

are becoming harder to treat as the antibiotics used to treat them become less effective. Antibiotic resistance leads to longer hospital stays, higher medical costs, and increased mortality. Both the stakeholders - Patients & Doctors can solve this problem by taking the following measures; otherwise, we will positively end up in the preantibiotic era.

Antibiotics: Dos and Don'ts !!

WASH HANDS Maintain Hygiene

Antibiotics DO NOT WORK on Cold & Flu

Start Antibiotics on DOCTORS ADVICE only

If possible start Antibiotics after CULTURE TESTING

Take FULL COURSE of Antibiotics!!

Expectations from PATIENTS

Expectations from treating DOCTOR

O N LY A F E W i n f e c t i o n s r e q u i r e antibiotics. START antibiotics ONLY when prescribed by your PHYSICIAN. NEVER start a course on your own. TRUST YOUR PHYSICIAN !!! They will prescribe only when you need them. STRICTLY adhere to your PHYSICIAN's prescription and complete the course of antibiotics. NEVER SHARE or use leftover antibiotics. PREVENT infections by regularly washing hands, preparing food hygienically, avoiding close contact with sick people, practising safer sex, and keeping vaccinations up to date.

EDUCATE patients about the importance of building immunity and maintaining hyg i e n e i n p reve nt i n g i nfe c t i o n s (vaccination, hand washing, healthy diet, physical activity, safe sex etc.) PRESCRIBE antibiotics only according to current guidelines. AVOID empiric course of antibiotics treatment. CULTURE & SENSITIVITY testing should be ordered wherever appropriate (to avoid empiric therapy) before starting an antibiotic course. EXPLAIN to the patient in detail on how to take antibiotics, including the importance of completing the course and dangers of potential misuse of antibiotics.

• Inflammation / Sepsis Related Biomarkers
• PCT
• CRP
• CRP
• PCT
• 72 Time (hours)

Kinetic profiles of Serum CRP and PCT: biomarkers of bacterial infection

C-Reactive Protein (CRP) & Hs C-Reactive Protein

C-reactive protein (CRP) is a biomarker commonly used to assess inflammation in clinical medicine while high-sensitivity C-reactive protein (HsCRP) is used to evaluate cardiac risk. CRP in Inflammation:The CRP test is valuable in assessing the presence and severity of inflammation in various medical conditions, such as infections, autoimmune disorders, and chronic inflammatory diseases like rheumatoid arthritis. Elevated CRP levels in the blood indicate acute or chronic inflammation. Physicians use CRP as a general marker to monitor the response to treatment, guide therapeutic decisions, and diagnose inflammatory conditions. HsCRP in Cardiac Risk: High-sensitivity CRP (HsCRP) is a more sensitive version of the CRP test, capable of detecting lower levels of CRP in the blood. Elevated HsCRP levels are associated with increased risk of heart disease and stroke. It can help identify individuals at higher risk for atherosclerosis and coronary artery disease. This information can be crucial for risk stratification and determining the need for preventive measures like lifestyle changes or medication. In summary, both tests provide essential clinical information that guides treatment decisions and preventive strategies. Monitoring CRP and HsCRP levels can contribute to improved patient outcomes by identifying and addressing inflammation and heart disease risk early.

Importance: CRP for severity of inflammation | HsCRP is useful for cardiac risk assessment.

Procalcitonin (PCT)

Procalcitonin (PCT) is an early & specific test that becomes positive within 3-6 hours of infection & results of which are available in less than an hour. It is a useful test in differentiating between bacterial from viral infections and is of great help in starting & monitoring antibiotic therapy. Its level rises with increasing severity of the infection & returns to normal very early as the infection resolves. Due to better specificity, PCT has an advantage over established common markers for inflammation, i.e. CRP, ESR & TLC. Importance: A specific marker for bacterial infection and sepsis.

D-Dimer

Quantitative determination of D-Dimer is performed to rule out deep vein thrombosis (DVT), Pulmonary embolism disease, & evaluation of acute MI, unstable angina & disseminated intravascular coagulation (DIC). Elevated D-dimer levels are also observed in conditions where activation of coagulation & fibrinolysis occurs (surgery, trauma, infection, inflammation, pregnancy & cancer). Elevated Plasma D Dimer level is also observed in nearly 40% of pregnant women with preeclampsia. Importance: A specific marker for DVT, Pulmonary embolism disease & evaluation of acute MI.

Comprehensive Complete Blood Counts-CBC

Parameters available in Sysmex XN Series using Fluorescent Flowcytometry

At NDPC, we use the Sysmex XN Series haematology analyzer with advanced fluorescent flow cytometry technology. It delivers precise routine and advanced parameters, including Immature Platelet Fraction (IPF), Immature Granulocytes (IG), Nucleated RBCs (NRBC), and Reticulocyte count (RET-He). These parameters provide insights into cell transformation stages, aiding critical clinical decisions and therapy monitoring with exceptional accuracy and reliability.

Automated Hematology Analyzer of XN Series From Sysmex

• Cells Parameters
• Information Given
• Useful in Immature Platelet Fraction (IPF)
• Immature Granulocyte % (IG%)
• Nucleated RBCs
• Reticulocyte Hemoglobin (RET-He)
• Reticulocyte Count

% of immature platelets (indicates bone marrow platelet production

Differentiating Consumptive processes Dengue, ITP) & Bone Marrow Suppression (Aplasia, MDS)

IG% indicates severity of Rapid discrimination of bacterial from viral the early immune response infections, particularly in children. (patients with suppressed immune system).

Early recognition of bacterial infection and sepsis in adults ICU patients

Reflection of extreme increases in erythropoietic activity

Assessment of Acute hemolytic episodes, Thalassemia syndromes, Hematological malignancies, Bone marrow metastases of solid tumors. Extramedullary hematopoiesis, Hematopoietic stress (sepsis, massive hemorrhages)

Direct measurement of red cell hemoglobin content for rapid evaluation of changing iron status

Current iron availability for erythropoiesis.

Precise monitoring of treatment of Iron deficiency anemia. Evaluation of iron status in persons suffering from Kidney disease (on dialysis) and other chronic diseases (chronic infection or malignancy) Evaluate type of anemia and response to iron therapy.

Automated Body Fluid Analysis on Sysmex XN Class

The Sysmex XN-Series utilizes Fluorescence Flow Cytometry to automate body fluid analysis, replacing manual microscopy. By employing a specialized BF mode, it uses semiconductor lasers and proprietary reagents to label nucleic acids, allowing for the precise differentiation of White Blood Cells (WBC-BF) from High-Fluorescence Body Fluid cells (HF-BF). This technique ensures rapid turnaround times, eliminates inter-operator subjectivity, and provides high sensitivity even in low-cellularity samples like CSF.

• Miscellaneous Concerns
• Vitamin D Deficiency
• Importance of VITAMIN D
• Bone & Muscle Health

Causes muscle weakness, pains, rickets, osteoporosis, and osteomalacia.

Brain Disorders Immune System

Lung Issues

Linked to schizophrenia and depression. Associated with type II diabetes, multiple sclerosis, rheumatoid arthritis, and weaker disease resistance. May contribute to asthma. Circulatory Issues : Linked to hypertension, heart disease, and strokes. Cancer

Possibly associated with colon, prostate, and ovarian cancers. Probable Cause: Less exposure to SUNLIGHT due to life style changes & pollution

• Vitamin B12 Deficiency
• Importance of VITAMIN B12
• Basic Info
• Symptoms

Organs Involved Sources Testing Gap

Essential water-soluble vitamin for red blood cell production and nerve function Tingling in fingers/toes, fatigue, memory issues, confusion, depression, tremors, weight loss, shortness of breath Nervous system, blood cells, brain, cardiovascular system Animal foods (meat, fish, poultry, eggs, dairy) Deficiency often overlooked as routine tests are rarely performed, leading to delayed diagnosis.

Probable Cause: Deficiency of Vitamin B12 in Indian diet which is primarily vegetarian.

• Fecal Calprotectin
• Irritable Bowel Syndrome
• Purpose Mechanism
• Utility
• Benefits

Significance

Diagnoses & monitors Inflammatory Bowel Disease (IBD). Measures calprotectin, a protein released during bowel inflammation. Differentiates IBD (elevated levels) from Irritable Bowel Syndrome (IBS) (normal levels). Aids in therapy monitoring, relapse detection, & reducing unnecessary invasive procedures like colonoscopy. A non-invasive, specific test for bowel inflammation.

Important: For differentiating between IBD & IBS and to monitor IBD therapy.

• H. pylori Antigen Detection in Stool
• H. Pylori Antigen
• Purpose
• Mechanism Symptoms Results

Significance

Diagnoses and monitors Helicobacter pylori infection, a cause of stomach and duodenal ulcers. Detects H. pylori-specific antigens in stool. Abdominal pain, nausea, bloating, gastritis Positive :Indicates active infection. Negative : No current infection or successful treatment. Non-invasive, aids in diagnosis and post-treatment monitoring of H. pylori-related conditions.

Important: For early diagnosis, treatment and complications related to H. pylori Infection

Allergy Prevention Suggestions

How to avoid Allergic Reactions on a Day-to-Day Basis

Due to uncontrolled pollution leading to significantly high SPM –Suspended Particulate Material in the atmosphere, which primarily consists of dust particles and pollens, allergic reactions are widespread. In addition, many allergens and atmospheric conditions may lead to severe reactions that precipitate quickly.

Patient-Centric Care

About us

Guarding Your Family’s Health since 1982 Legacy & Leadership since 1982

Founded with an unwavering commitment to excellence in Pathology, Laboratory Medicine and Microbiology.

Accredited since 2002

Among the first few standalone NABL-accredited medical laboratories in the country.

Expert Oversight, Trusted Results

Dr. Sharma himself with his team of specialist doctors & technologists ensure accurate & reliable test results using State of the art equipment.

Patient-Centric Care

Personalized attention from sample collection to release of final report.

Home Collection

Convenient blood testing at home for the sick and elderly.

Fast & Reliable

Urgent reporting and quality results trusted for over 40 years.

LLP

Please Note

We DO NOT have any collection centre, branch or Imaging / X-Ray set up.

July 2026 The information in this booklet is subject to change as medicine and diagnostics evolve. NDPC regularly updates test procedures, equipment, and menus to reflect advancements. Future editions incorporate these updates, ensuring alignment with the latest developments.