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cd /tmp/workspace/attachments/d1346cb6-d762-4847-88f2-a50dbfbc5751/ && python3 -c " import pdfplumber with pdfplumber.open('501683527_Report_F2026-08-05T151114.pdf') as pdf: print(f'Total pages: {len(pdf.pages)}') for i, page in enumerate(pdf.pages): print(f'\n--- PAGE {i+1} ---') text = page.extract_text() if text: print(text) tables = page.extract_tables() if tables: print(f'[{len(tables)} table(s) found]') for t_idx, table in enumerate(tables): print(f'Table {t_idx+1}:') for row in table: print(row) "
This is a blood test report from Dr. Lal PathLabs for a 16-year-old male patient (Mr. Yawar), collected on 4 August 2026. Here is a detailed breakdown of every test and what it means:
Patient Details
| Field | Value |
|---|---|
| Name | Mr. Yawar |
| Age | 16 Years, Male |
| Lab No. | 501683527 |
| Referring Doctor | Dr. Muktinath Chaudhary MS |
| Collected | 4/8/2026, 5:46 PM |
| Reported | 5/8/2026, 3:10 PM |
1. HEMOGRAM (Complete Blood Count)
Red Blood Cell Parameters
| Test | Result | Reference Range | Status | Interpretation |
|---|---|---|---|---|
| Hemoglobin | 13.76 g/dL | 13.00 - 17.00 | ✅ Normal | Adequate oxygen-carrying capacity |
| PCV (Hematocrit) | 48.10% | 40.00 - 50.00 | ✅ Normal | Proportion of blood that is RBCs - normal |
| RBC Count | 4.96 mill/mm³ | 4.50 - 5.50 | ✅ Normal | Red cell number is normal |
| MCV | 96.90 fL | 83.00 - 101.00 | ✅ Normal | Average RBC size is normal (normocytic) |
| MCH | 27.70 pg | 27.00 - 32.00 | ✅ Normal | Average hemoglobin per cell - normal |
| MCHC | 28.60 g/dL | 31.50 - 34.50 | ⚠️ LOW | Average concentration of hemoglobin in RBCs is slightly low - suggests hypochromia (pale RBCs) |
| RDW-CV | 13.90% | 11.60 - 14.00 | ✅ Normal (borderline) | Variation in RBC size - within range but near upper limit |
Mentzer Index: 19.5
The Mentzer Index = MCV ÷ RBC Count = 96.90 ÷ 4.96 ≈ 19.5
- If > 13: Suggests Iron Deficiency Anaemia
- If < 13: Suggests Beta-Thalassemia trait
Since the value is 19.5 (> 13), this points toward Iron Deficiency Anaemia. However, the hemoglobin is currently in the normal range, so this may be an early/subclinical iron deficiency or a compensated state. The low MCHC (hypochromia) supports this suspicion.
White Blood Cell (Leukocyte) Parameters
| Test | Result | Reference Range | Status |
|---|---|---|---|
| TLC (Total Leukocyte Count) | 4.91 thou/mm³ | 4.00 - 10.00 | ✅ Normal |
| Neutrophils | 57.25% / 2.81 thou/mm³ | 40-80% / 2.0-7.0 | ✅ Normal |
| Lymphocytes | 39.26% / 1.93 thou/mm³ | 20-40% / 1.0-3.0 | ✅ Normal (borderline high %) |
| Monocytes | 0.71% / 0.03 thou/mm³ | 2-10% / 0.20-1.00 | ⚠️ LOW (absolute) |
| Eosinophils | 2.66% / 0.13 thou/mm³ | 1-6% / 0.02-0.50 | ✅ Normal |
| Basophils | 0.12% / 0.01 thou/mm³ | <2% / 0.02-0.10 | ⚠️ LOW (absolute, minor) |
- Low absolute monocytes (0.03): Mild monocytopenia. This can be seen in conditions like steroid use, aplastic anaemia, or sometimes just a transient finding. Needs clinical correlation.
- Overall white cell picture shows no infection or significant abnormality.
Platelet Parameters
| Test | Result | Reference Range | Status |
|---|---|---|---|
| Platelet Count | 196 thou/mm³ | 150 - 410 | ✅ Normal |
| Mean Platelet Volume (MPV) | 9.0 fL | 6.5 - 12.0 | ✅ Normal |
Inflammation Marker
| Test | Result | Reference Range | Status |
|---|---|---|---|
| ESR | 12 mm/hr | 0 - 15 | ✅ Normal |
ESR is normal, suggesting no significant acute or chronic inflammation.
2. URIC ACID (Serum)
| Test | Result | Reference Range | Status |
|---|---|---|---|
| Uric Acid | 5.89 mg/dL | 3.50 - 7.20 | ✅ Normal |
Uric acid is within the normal range. No risk of gout or hyperuricemia at this level.
3. FASTING BLOOD GLUCOSE
| Test | Result | Status |
|---|---|---|
| Fasting Plasma Glucose | Please Repeat Sample | ⚠️ INVALID - Sample issue |
The lab flagged this test with "Please Repeat Sample" (code: PREREP015). This means the sample was either insufficient, haemolysed, or improperly collected. This test needs to be redone - fasting blood sugar has not been reported.
4. RHEUMATOID FACTOR (Serum)
| Test | Result | Reference Range | Status |
|---|---|---|---|
| Rheumatoid Factor (RF) | < 10.00 IU/mL | < 14.00 | ✅ Negative |
RF is negative. No serological evidence of Rheumatoid Arthritis or other RF-associated conditions.
Summary of Key Findings
| Finding | Significance |
|---|---|
| ✅ Hemoglobin normal | Not currently anaemic |
| ⚠️ Low MCHC (28.60) | Hypochromia - RBCs are pale, may indicate early iron deficiency |
| ⚠️ Mentzer Index 19.5 (>13) | Suggests Iron Deficiency Anaemia tendency; thalassemia trait less likely |
| ⚠️ Low absolute monocytes | Mild, may be transient; worth clinical correlation |
| ⚠️ Fasting glucose not reported | Sample needs to be repeated |
| ✅ ESR, Platelets, TLC normal | No active infection or inflammation |
| ✅ Uric Acid normal | No gout risk |
| ✅ Rheumatoid Factor negative | No RF-related autoimmune disease |
What Should Be Done Next
- Repeat fasting blood sugar - the sample was rejected and the result is unavailable.
- Serum ferritin, serum iron, TIBC - to confirm or rule out iron deficiency, given the low MCHC and high Mentzer Index.
- Hb HPLC - while the Mentzer Index >13 makes thalassemia trait less likely, an HPLC can definitively rule it out if clinically warranted.
- Clinical correlation by Dr. Muktinath Chaudhary for the low absolute monocyte count.
Disclaimer: This explanation is for informational purposes only. All findings should be interpreted by the referring physician (Dr. Muktinath Chaudhary) in the context of the patient's clinical history and symptoms.
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