मॉडल एवं सुपर पेससअसलटी अपताल, कममचारी रा煍य बीमा निगम MODEL AND SUPER SPECIALITY HOSPITAL EMPLOYEES’ STATE INSURANCE CORPORATION अश्रामम, को쥍लम, केरल -691 002, ASRAMAM, KOLLAM, KERALA -691002 Website: www.esichsuperspecialitykollam.com, Email: [email protected]

Ph: 0474 – 2742833, 2766618 (M.S) Fax: 0474- 2768837

[आई.एस.ओ 9001:2008 प्रमाणित ISO 9001:2008 CERTIFIED]

No. 542/D/25/13/Imaging/2018 Dt: 01.03.2018

TENDER NOTICE – FOR LAB INVESTIGATIONS & IMAGING INVESTIGATIONS FOR ONE YEAR FROM APRIL 2018

The Medical Superintendent, ESIC Model & Super specialty Hospital, Asramam, Kollam invites Sealed tenders from reputed laboratories and investigation centers for lab investigations and Imaging investigations for the period from April 2018 to March 2019

GENERAL CONDITIONS

1. Agencies/Establishments must have at least three years of standing in their respective line of activity. Evidence to this effect should be reflected in the tender document. 2. Each tenderer must remit earnest money deposit by means of a Demand Draft drawn in favor of ESIC FUND, Account No. II, of Rs. 5000/-(Rupees Five Thousand Only) and the D.D should accompany the tender. 3. The contract will normally be valid up to March 2019.. The Medical Superintendent, ESIC Model & Super specialty Hospital Asramam, Kollam reserves the right to terminate the contract at any time, before the expiry of one year, by giving one months notice. The contract can be extended up to a maximum period of one year beyond this period, on the same terms and conditions. 4. The selected tenderer should deposit an amount equal to 5 % of value of the estimated tender value for one year as Security Deposit within 7 days. It shall be refunded after satisfactory completion of contract without any interest. The tenderer should have valid PAN Number and copy of the same should be attached with the tender document. Income Tax will be deducted at the rates applicable.

PROCEDURE FOR SUBMISSION OF TENDERS / BIDS:

I. The tender should be submitted in ‘TWO BID’ SYSTEM:-

1. TECHNICAL BIDS: a) TECHNICAL BIDS in one separate envelope, sealed, super scribed with the wordings “TECHNICAL BID”. b) The original copy of tender duly completed and signed, should be submitted/returned back, enclosed along with the “TECHNICAL BID”. c) The “Technical Bid” shall contain Earnest Money, in the form of demand drafts as prescribed herein before, and all the technical details & documents. Each page of the

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tender document should be numbered and signed. d) Prices / Costs should not be indicated anywhere in the Technical Bid. This should be followed meticulously failing which the tender is liable to be cancelled.

2. PRICE (FINANCE) BID:

PRICE (FINANCE) BID is to be submitted in SEPARATE sealed envelopes, super scribed with the wordings “PRICE (FINANCIAL) BID”. This should be followed meticulously failing which the tender is liable to be cancelled.

II. Both the Technical Bid envelope and the Price (Financial) Bid envelope, prepared as above, are to be kept in a larger single envelope super-scribed with “TENDER (TWO BID SYSTEM) FOR LAB INVESTIGATIONS AND IMAGING INVESTIGATIONS FOR ESIC MODEL & SUPER SPECIALTY HOSPITAL, ASRAMAM, KOLLAM FOR ONE YEAR APRIL 2018” so as to give a double cover protection.

III. The outer cover should also be sealed and addressed to the Medical Superintendent, ESIC Model & Super Speciality hospital, Asramam, Kollam, Kerala - 691002.

IV. Tenders submitted without following the 'Two Bid' System procedure will be rejected. Special conditions for lab investigation / Imaging investigation

1 The lab should have been recognized/approved by the competent authority and should have all in- house facilities for testing the samples. 2 In case of a tie up arrangement, the lab should have been an authorized franchise of reputed laboratory for not less than a period of three years. 3 The Investigation Center will provide all the investigations on cashless basis to the ESI beneficiaries referred for tests/investigations by this hospital. No registration fee or' other fee whatsoever will be charged by the center from these beneficiaries. 4 Result will be issued to ESI beneficiaries at the earliest In case of specialized investigation the report should be supplied within three days. In case of emergency the report should be given on the same day. 5 The lab shall be subject to inspection at the time of award of initial contract and subject to repeat inspections as desired by the Hospital authorities. 6 Lab should have all the requisite equipment and man power required for testing as per statutory provision. 7 The lab shall post minimum one lab technician in the hospital in order to draw the sample, label, collect and transport the sample to lab. 8 The Investigation Center should provide ambulance service for patients who require CT & MRI scans. 9 Criteria of counting the firm as reputed lab is the sole right of Medical Superintendent, ESIC Model & Super specialty Hospital Asramam.

Last date of receipt of tender is 22.03.2018 upto 1 p.m

Tender will be opened on the same day at 2 P.M. The tenderers may remain present for the opening of the tender if they desire.

The Medical Superintendent, ESIC Model & Super Specialty Hospital, Asramam, Kol1am reserves the right to accept or reject the tender without assigning reason. Selected tenderer should sign an Page 2 of 28 agreement with the Superintendent specifying terms and conditions of contract before taking up the awarded work.

List of tests/investigations are noted in ANNEXURE - I

MEDICAL SUPERINTENDENT

PROFORMA FOR LABORATORY & IMAGING INVESTIGATIONS

Name of Lab/ Investigation Center

Address

E-mail Address

Contact No.

PAN/TAN No.(Attach PAN card copy)

Demand Draft Details

License No. (Attach copy)

ESIC Code No. (Employer Code No.)

Signature of the vendor

Name & Address of the Vendor & Telephone No.

Check List (While submitting Technical Bid)

(i) Duly filled tender document (Annexure-I not required)

(ii) Copy of License

(iii) Copy of PAN/TAN

(iv) DD (EMD)

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(v) Affidavit showing three year experience

(vi) If authorized franchise of reputed laboratory for three years, an affidavit is to be submitted.

Check List (While submitting Financial Bid)

(i) Duly filled Tender document including Annexure-1

ANNEXURE-1 (This may not be submitted in the Technical Bid) LIST OF INVESTIGATIONS IMAGING INVESTIGATIONS

Sl. Test Rate No. ULTRASOUND SCAN/ DOPPLER

1 Whole abdomen including pelvis 2 USG Pelvis 3 USG Obstetric (Dating, NT, Growth) 4 USG Obstetric (anomaly/foetal morphology) 5 USG Obstetric - Growth scan with DOPPLER 6 Thyroid 7 USG- BREAST ( UL , B/L) 8 B-Scan (Eye) ( U/L , B/L) 9 USG KUB 10 USG Scrotum with Doppler 11 Follicular Study 12 USG Thorax 13 USG Neck 14 USG Salivary gland 15 USG Obstetric for AFI 16 USG Neuro Sonography 17 USG Soft tissue/ joints 18 TRUS 19 USG SHOULDER ( U/L , B/L) USG obstetric 4-D WITH FOETAL ECHO 20 21 VENOUS DOPPLER for DVT ( UL , B/L) lower/upper limb 22 VENOUS DOPPLER DEEP & SUPERFICIAL ( UL , B/L) 23 ARTERIAL DOPPLER ( UL , B/L) lower/upper limb

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DOPPLER- AVF 24 25 Carotid Doppler 26 USG – Guided FNAC 27 ARTERIAL & VENOUS DOPPLER ( U/L , B/L) 28 Doppler of Renal Vessels/ Abdominal Aorta 29 Doppler SPLEENO PORTAL AXIS

CT SCAN 30 Head–with& Without contrast 31 Brain & PNS 32 Orbit –with & Without contrast 33 Facial bones 34 Neck –with& Without contrast 35 PNS 36 Temporal Bone-HRCT 37 Thorax - with and Without contrast 38 HRCT-Thorax 39 Abdomen & Pelvis with and without contrast 40 CT Abdomen contrast (Triple Phase) 41 Soft Tissue with and without contrast 42 CT UROGRAM 43 CT Mandible (Plain and with contrast) 44 CT ANGIOGRAM PULMONARY, AORTIC , BRAIN, PERIPHERAL VESSELS, NECK VESSELS, CORONARY 45 CT Scan Skull base –with& Without contrast 46 CT- Sella –with& Without contrast 47 Cervical /Thoracic/ Lumbar Spine with and without contrast 48 Knee/Foot/Hand Ankle/Hip 49 CT Guided biopsy 50 CT Scan limb with and without contrast 51 CT for assessing retrosternal extension of thyroid MRI 50 MRI Brain- with and without contrast 51 MRI Spine- with and without contrast 52 MRCP 53 MRI Orbits(with and without contrast) 54 Abdomen- with and without contrast 55 MRI Various Joints 56 Pelvis- with and without contrast 57 Fistulogram 58 Abdomen & Pelvis- with and without contrast Page 5 of 28

59 Neck- with and without contrast 60 MRI screening 61 Breast 62 MR Angiography 63 Venogram 64 Urography 65 MR Spectroscopy X-ray 66 Digital X - ray 67 Denta1(OPG) 68 Occlusal view 69 IVP 70 MCU 71 SIALOGRAM 72 Barium contrast studies 73 Mammography UL/BL OTHERS 74 DEXA 75 Electromyography(EMG) 76 EEG(plain) with report 77 Nerve conduction study 78 Optical Coherence Tomography (OCT) eye 79 Ocular Fundus Photography (eye) 80 Fundus Flurescent Angiography (FFA) eye 81 Fundus Photography 82 Evoked Potential Study-BAEP/VEP 83 Urodynamic Study NUCLEAR MEDICINE/IMAGING 84 NM Bone scan 85 NM Hepatobiliary 86 Kidney-DMSA, DTPA 87 Kidney Ga-67 88 Kidney GFR 89 Parathyroid SPECT 90 Parathyroid planar scan 91 GI Bleeding 92 GI Emptying 93 Bladder Reflux 94 Adrenal MIBG

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95 Iodine scan/ V/Q Scan 96 PET-CT LIST OF LAB INVESTIGATIONS PATHOLOGY : HAEMATOLOGY TESTS

1 Acid Hemolysis Test 2 Clot Retraction Time 3 Direct Coomb's Test 4 Indirect Coomb's Test 5 Serum Haptoglobins 6 LE Cell Test 7 Osmotic Fragility 8 Reticulocyte Count 9 Red cell enzyme assays 10 Bone Marrow with iron stain 11 Bone Marrow and cytochemistry 12 Hemoglobin electrophoresis 13 HPLC for HbF, HbA2, HbS 14 Sickle solubility test 15 Kleihauer test COAGULATION PROFILE 16 D Dimer 17 FDP 18 Anti Platelet Antibody 19 APTT 20 Prothrombin Time with INR 21 Fibrinogen 22 Factor Assay- Factor VIII 23 Factor Assay- Factor IX 24 Factor Assay- Others 25 vWF 26 Plasminogen/ Prothrombin levels 27 Platelet function Test 28 Protein C 29 Protein S 30 Antithrombin 31 Factor V Leiden AUTOIMMUNE ANTIBODIES/IMMUNOLOGY 32 ANA

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33 ANA PROFILE 34 Anti Cardiolipin Ab IgM IgG 35 Anti dsDNA 36 Anti Phospholipid Ab IgM IgG 37 Anti SSA/Ro, SSB/La 38 Anti Sm Ab 39 Anti Scl70 40 Anti Jo-1 41 Anti RNP 42 Thyrotropin Receptor Ab (TRAB) 43 Anti and Thyroid Peroxidase Ab 44 Anti Endomysial Ab 45 Anti tissue transglutaminase 46 Acetylcholine receptor (ACR) Ab 47 Anti Sperm Ab 48 Anti β2 glycoprotein IgA, IgG, IgM 49 Anti Smooth Muscle Ab 50 Anti LKM I 51 Anti LKM II 52 Lupus anticoagulant 53 Anti GBM Ab 54 Anti CCP 55 ASCA 56 C ANCA 57 P ANCA 58 C3 59 C4 60 Ig G serum/ CSF 61 Ig M serum/ CSF 62 Ig A serum/ CSF 63 Ig E serum/ CSF 64 Immuno electrophoresis GENETICS 65 Amniocentesis 66 Chorionic Villus Sampling 67 Karyotyping 68 Tandem Mass Spectrometry- IEM screening 69 Fetal lung maturity tests including L/S ratio 70 PAPPA

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71 Triple Test Maternal serum AFP, Beta HCG (Serum), Beta Free Estradiol 72 Double Marker 73 Monosomy -7, -5q 74 t(8;21), inv(16) 75 PML- RARA translocation t(15;17) 76 BCR-ABL translocation t(9;22) 77 t(14;18), t(8;14), t(11;14) 78 del 1p/19q 79 JAK-2 mutation 80 FISH 81 HLA B27 82 Microarray 83 C-Kit, RET/PTC, Bcl2, EGFR, VEGF, p53, C-MYC, RAS, APC 84 Exam sequencing 85 Flow cytometry- CD55, CD59 (PNH); CD34 (Stem cell); CD13, CD33 (AML); CD3, CD10, CD7, CD19, TdT (ALL); CD5, CD19, CD23 (CLL); CD4, CD8 (HIV) HISTOPATHOLOGY 86 Biopsy 87 Immunohistochemistry- ER, PR, HER2/neu, Ki-67, AMACR, PSA, SMA, Chromogranin, , S-100, NSE, Bcl2, CD117, EDFR, VEGF, β- catenin, Ki-67, p53, CK-5/6, Pan CK, , CD15, CD30, CD45, Melan A, CD5, CD20, CD3, CD10,TdT SEMEN 88 Routine Semen analysis 89 Fructose, Zinc, Alpha glucosidase 90 Post Vital semen examination 91 Direct MAR test IgG, IgA 92 Direct IB test IgG, IgA URINE 93 Routine 94 Urine Protein/Creatinine ratio 95 Microalbuminuria 96 BJ protein(qualitative and quantitative) 97 VMA (spot and 24hr) 98 Homo valinic acid (HVA), (spot and 24hr) 99 5-OH Indole ascetic acid (5-HIAA) 100 Serotonin 101 Urinary metanephrines(free and total) 102 Urinary catecholamines 103 Osmolality freezing point

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104 Penicillamine challenge test 105 24 Hrs urinary protein 106 Urinary creatinine 107 Albumin creatinine ratio 108 Calcium creatinine ratio 109 Sodium 110 Potassium 111 Chloride 112 Calcium 113 Phosphorus 114 Copper 115 Porphyrins(qualitative and quantitative) 116 17-ketosteroids STOOL 117 Stool for fat globules 118 D-Xylose Test 119 Composition 120 Fecal fat 121 Zinc 122 Copper 123 Pancreatic elastase 124 Albumin 125 Blood 126 Lactoferrin BIOCHEMISTRY ANEMIA PROFILE 127 Ferritin 128 Iron binding capacity(TIBC and UIBC) 129 Transferrin 130 Folic acid 131 Vitamin B12 FERTILITY PROFILE 132 FSH 133 LH 134 Prolactin 135 β-HCG 136 Estradiol 137 (Free and total) HORMONES

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Thyroid 138 Total T3 139 Total T4 140 Reverse T3 141 Anti-TPO 142 Anti-TG 143 Thyroglobulin

144 Serum PTH 145 Intact PTH 146 PTHrP Pancreas 147 Insulin 148 C-peptide 149 Proinsulin 150 Glucagon 151 S.Insulin like growth factor (IGF 1 &2) Other hormones 152 PSA (free PSA,PSA and velocity) 153 Growth hormone 154 17-OH Progesterone 155 ACTH 156 Aldosterone 157 Sex hormone binding globulin(SHBG) 158 Anti mullerian hormone 159 Cortisol 160 DHEA 161 DHEA-Sulfate 162 Esrtiol 163 Estrogen 164 S. Erythropoetin 165 S.Catecholamines 166 Progesterone 167 Metanephrines 168 VMA 169 HVA 170 5-HIAA 171 Serotonin 172 BNP/Pro BNP

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173 174 Secretin TUMOR MARKERS 175 CA-125 176 CA-15.3 177 CA-19-9 178 Carcino Embryonic antigen 179 Neuron specific enolase 180 Gastrin 181 Alpha fetoprotein 182 S-100 183 β2-microglobulin ENZYMES 184 Cholinesterase 185 S.Acid phosphatase 186 S.Amylase 187 S.Lipase 188 Adenosine Deaminase 189 LDH 190 5’Nucleotidase 191 GGT 192 G6PD 193 Trypsin 194 Chymotrypsin 195 Inhibin A 196 Pseudocholinesterase 197 Transketolase 198 Glutamate dehydrogenase CARDIAC MARKERS 199 Creatine phospho kinase(CPK) 200 CPK-MB 201 cTrop-T 202 cTrop-I 203 Myoglobin 204 LDH 205 Homocysteine 206 hs-CRP 207 Apolipoprotein 208 Lipoprotein(a)

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BONE MARKERS 209 Vitamin-D 210 Vitamin –D3 211 Telopeptides (NTx and CTx) 212 Urinary hydroxyproline 213 Bone ALP 214 Osteocalcin 215 Deoxypyridinoline(Free and total) 216 Pyridinoline (free and total) 217 S.Calcium 218 S.Phosphorus 219 S.Magnesium 220 Calcitonin SPECIAL BIOCHEMISTRY 221 Blood gas analysis 222 S.Bicarbonate 223 S.Chloride 224 Copper 225 Ceruloplasmin 226 Protein electrophoresis (urine & serum) 227 Hb-Electrophoresis 228 Ammonia 229 Anti CCP 230 Pro calcitonin 231 S.Lactate 232 S.Pyruvate 233 Cystatin –C 234 Fructosamine 235 Vitamin-A 236 Vit-B1 237 Vit-B2 238 Vit-B6 239 Vit-C 240 Vit-K 241 Vit-E 242 Renin THERAPEUTIC DRUG MONITORING 243 S. Lithium 244 S. Dilantin (phenytoin)

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245 S. Carbomazepine 246 S.Valproate 247 S. Tacrolimus 248 S. Amikacin 249 S.Digoxin 250 S. Methotrexate TOXICOLOGY PANCA 251 Carbon monoxide 252 Cyanide 253 Blood ethanol 254 Lead 255 Mercury 256 Zinc 257 Nickle 258 Methanol BODY FLUIDS – PLEURAL FLUID, ASCITIC FLUID, SYNOVIAL FLUID 259 Adenosine deaminase 260 LDH 261 Oigoclonal bands in CSF 262 Glucose 263 Protein 264 Chloride MICROBIOLOGY INFECTIOUS DISEASE SEROLOGY 265 Anti HBs antibody titre 266 Anti HBe antibody 267 Anti HBc IgM 268 HBs Ag ELISA 269 HBsAg quantification 270 HBV DNA PCR 271 Anti HAV IgM 272 Anti HCV (ELISA) 273 Anti HCV 274 HCV Genotyping 275 HCV RNA PCR Qualitative/Quantitative 276 Anti HDV IgM 277 Anti HEV IgM 278 Anti Brucella IgM/IgG 279 Chlamydial antibody

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280 CMV IgM/IgG 281 EBV IgM/IgG 282 Campylobacter antigen detection(stool) 283 Clostridium difficle toxin detection(stool) 284 Helicobacter pylori antibody 285 Anti HIV antibody- HIV 1&2 286 HIV viral load 287 CD4 count 288 P24 antigen 289 Western Blot 290 Anti HSV IgM/IgG 291 Anti VZV IgM/IgG 292 Anti measles antibody 293 Anti Rubella IgM/IgG 294 HPV DNA PCR 295 Dengue IgM ELISA 296 Malaria antigen detection 297 Weil Felix test 298 JE IgM detection 299 TB gold (Quantiferon test) 300 Widal test 301 Anti Chikungunya antibody 302 TB DNA PCR 303 VDRL- SERUM,CSF 304 RPR 305 TPHA 306 TORCH IgM/IgG 307 Toxoplasma IgM/IgG 308 Mantoux test 309 Paul Bunnel test 310 Influenza RT PCR(H1N1, H3N2, H5N1) 311 Hydatid serology 312 Cryptococcal antigen detection 313 Cysticercus(Taenia solium) antibody- Serum,CSF MICROBIOLOGY MICROSCOPY 314 Grams staining 315 AFB staining 316 Alberts staining 317 Microscopy for fungal elements

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318 India ink stain for Cryptococcus 319 Stool microscopy for ova and cysts 320 Peripheral smear for malarial parasite 321 Peripheral smear for microfilaria 322 QBC CULTURE AND SENSITIVITY 323 Blood 324 Urine 325 Sputum 326 Pus 327 CSF 328 Body fluids 329 Stool 330 Central line tip 331 BAL 332 Endotracheal aspirate 333 Semen 334 Fungal culture and sensitivity(sensitivity for Candida species) 335 AFB culture and sensitivity 336 AFB culture- BACTEC 337 MDR TB screening by line probe assay Others 338 CD4, CD8 339 IMMUNOGLOBULIN LIGHT CHAIN KAPPA, LAMBDA 340 AFP 341 ALPHA1 – AT 342 p63 343 BETA – HCG 344 C3 345 CHD 346 CA – 125 347 CA – 19-9 348 CALCITONIN 349 CD138, CD1a, CD21 CD22 CD23 CD31 CD34 CD43 CD56 CD57 CD68 CD79a CD99 350 CEA 351 C-erb-B2 352 CK5/6, CK7, CK8, CK10, CK19, CK20 353 DOG-1 354 E – Cadherin

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355 EGFR 356 EMA 357 H – Pylori Antibody 358 Hbs Ag 359 PROLACTIN 360 THYROGLOBULIN 361 TSH 362 TTF 1 363 EBV 364 SDH GENETICS 365 BRAF MUTATION 366 BRCA1, BRCA2 367 C- KIT by PCR 368 CYSTIC FIBROSIS 5 MUTATIONS (AMNIOTIC FLUID/BLLOD) 369 DELETION 5q, 6q, 7q, 11q, 17p by FISH. 370 EGFR MUTATION 371 HFE MUTATION (HEMOCHROMATOSIS) 372 Her 2 Neu gene amplification by FISH 373 KRAS MUTAION 374 EOSINOPHILIA – CBF–BETA, PDGFRA – ALPHA AND BETA, FGFR – 1 by FISH 375 MICRODELETION 22q – Di GEORGE SYNDROME 376 N – RAS MUTATION 377 SICKLE CELL ANEMIA PCR 378 SPECTRAL KARYOTYPING (m-FISH) 379 TRISOMY 13,21,X, Y, 18 By FISH 380 ATP7B MUTATION (WILSONS DISEASE) 381 ACITEST & FIBROTEST ( LIVER FIBROSIS & INFLAMMATION SCORE) 382 ASH/ NASH/ STEATO PROFILE (ALCOHOLIC & NALD) 383 CERVICAL SCREENING – HPV DNA 384 IL- 4, IL-6, IL-8, IL – 10, IL – 5 ----ASSAY 385 SERUM LEPTIN 386 PAS STAINING 387 POLARIZING MICROSCOPY FOR CRYSTALS 388 SUDAN BLACK B STAIN 389 TNF ALPHA 390 SERUM TMP LEVELS 391 TMPA MUTAION ANALYSIS 392 Anti TNF ANTIBODIES LEVELS

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393 INFLIXIMAB LEVELS HEMATOLOGY 394 ABNORMAL HEMOGLOBIN STUDIES 395 ALPHA THALASSEMIA by PCR 396 BETA THALASSEMIA by PCR 397 BETA THALASSEMIA, BETA GLOBIN GENE SEQUENCING 398 BOMBAY BLOOD GROUP 399 PARTIAL D BLOOD GROUP 400 WEAK D BLOOD GROUP 401 C1 ESTERASE INHIBITOR 402 C1q COMPLEMENT 403 CH – 50 (TOTAL COMPLEMENT) 404 CIRCULATING IMMUNE COMPLEX (CIC – Ig M) 405 DCP – DECARBOXY PROTHROMBIN (PIVKA – II) 406 FREE KAPPA 407 FREE LAMBDA 408 HLA TYPING 409 KAOLIN CLOTTING TIME (KCT) 410 LAP SCORE 411 PROTHROMBIN (FACTOR II) MUTATION 412 RUSSELL VIPER VENOM TEST TIME 413 SICKLE CELL ANEMIA – PCR MUTAION ANLYSIS 414 SUCROSE LYSIS TEST (ACIDIFIED SERUM TEST) 415 THROMBIN TIME 416 VON WILLEBRAND ANTIGEN ASSAY 417 HAMS TEST 418 SICKLING TEST 419 CLOT RETRATION TEST 420 ACTIVATED PROTEIN C RESISTANCE 421 HAPTOGLOBULIN 422 COLD AGGLUTININ ASSAY 423 CRYOGLOBULIN ASSAY 424 MPS TYPE I & IV 425 PHENYL ALANINE – SERUM/URINE 426 POMPE DISEASE – ENZYME ASSAY 427 SPHINGOMYELINASE – NEIMAN PICK DISEASE FLOW CYTOMETRY 428 IMMUNOGLOBULIN LIGHT CHAIN KAPPA, LAMBDA 429 CD2 CD3 CD 4 CD8 CD45 CD5 CD7 CD10 CD 13 CD14 CD15 CD16/56 CD19 CD20 CD22 CD23 CD25 CD33 CD38 CD79A CD103 CD117 CD30 Page 18 of 28

CD41 CD64 CD11c FMC7 430 HLA B27 ANTIBODIES:AUTOIMMUNE 431 ANTI CENTROMERE ANTIBODY 432 ANTI U1SNRNP 433 ANTI RNPSM 434 ANTI MICTOCHONDRIAL ANTIBODY 435 ANTI A & ANTI B TITRE 436 ANTI DNASE B 437 ANTI SLA, LIVER CYTOPLASMIC ANTIGEN 438 ANTI PML ANTIBODY 439 ANTI M2, M2-3E 440 ANTI TNF ANTIBODY 441 ANTI GLIADIN ANTIBODY 442 ANTIOVARIAN ANTIBODY 443 ANTI PLATELET ANTIBODY 444 BASAL GANGLION ANTIBODIES 445 BULLOUS PHEMPHIGOID 180 446 GBM ANTIBODY 447 HISTONE ANTIBODY 448 Ig G4 ANTIBODY 449 ISLET CELL ANTIBODY 450 MUSK ANTIBODY 451 PLA2 RECEPTOR ANTIBODY 452 TSH RECEPTOR ANTIBODY NEUROLOGY

453 AUTOIMMUNE ENCEPHALITIS PANEL – SERUM 454 NMDA, AMPA – Glu R1 & R2, GABA B RECEPTOR, CASPR2, VGKC(LG1). 455 PNMA2 (MA2/TA)ANTIBODY ( NEURONAL ANTIGEN IN PARANEOPLASTIC SYNDROME) 456 Ri ANTIBODY (NEURONAL ANTIGEN IN PARANEOPLASTIC SYNDROME) 457 Yo ANTIBODY ( NEURONAL ANTIGEN IN PARANEOPLASTIC SYNDROME) 458 Hu ANTIBODY ( NEURONAL ANTIGEN IN PARANEOPLASTIC SYNDROME) 459 GANGLIOSIDE IgG/IgM IMMUNOBLOT 460 MAG ANTIBODIES (DEMYELINATING DISORDERS) 461 MITOCHONDRIAL MYOPATHY MUTATION – MELAS & MERFS 462 MYOSITIS ANTIBODIES

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463 NEURONAL ANTIBODY PROFILE – AMPHIPHYSIN, PNMA2 (MA2/TA), Ri, Yo,Hu. 464 NMDA RECEPTOR ANTIBODY 465 NMO (AQUAPORIN 4) ANTIBODY 466 OLIGOCLONAL BAND BY IEF (CSF & SERUM) – MS 467 SPINOCEREBELLAR ATAXIA (SCA 1, 2, 3, 6, 7, 12) 468 SPINAL MUSCULAR ATROPHY MICRODELETION BY PCR 469 VGKC (LG1 & CASPR2) ANTIBODY – AUTOIMMUNE ENCEPHALITIS BIOCHEMICAL INVESTIGATIONS 470 TRANSFERRIN SATURATION 471 FREE BETA HCG 472 TSH ULTRASENSITIVE 473 ANTI TPO (SERUM & CSF) 474 ANTI INSULIN ANTIBODY 475 GAD 65 ANTIBODY 476 ESTRADIOL 477 TESTOSTERONE 478 NT – PRO BNP 479 ACID PHOSPHATASE (TOTAL & PROSTATIC) 480 ACETYL CHOLINESTERASE 481 ACE 482 SERUM TRYPTASE 483 SERUM OSMOLALITY 484 SERUM SCETONE 485 BETA 2 MICROGLOBULIN 486 OXALATE 487 17 – HYDROXY CORTICOSTEROIDS 488 17 – HYDROXY PROGESTERONE 489 17- KETOSTEROIDS 490 3- METHYL HISTIDINE 491 ACYL CARNITINE 492 ADH 493 ADIPONECTIN 494 ALDOLASE 495 AMINO ACIDS (QUALITATIVE & QUANTITATIVE) 496 ALKALINE PHOSPAHATASE ISOENZYME 497 ALKALINE PHOSPAHATASE WITH BONE FRACTION 498 AMINO LEVULINIC ACID (ALA) 499 AMYLOID A 500 ANDROSTENEDIONE

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501 APOLIPOPROPTEINS A1, A1B, B, E 502 ARGININE 503 ASPARGINE 504 ASPARTIC ACID 505 BETA 2 TRANSFERRIN – CARBOHYDRATE RESISTANT 506 BETA CAROTENE 507 BILE ACIDS 508 BIOTINIDASE 509 CA – 242 510 CA – 72.4 511 CALPROTECTIN 512 CARBOHYDRATE DEFECIENT TRANSFERRIN (CDT) 513 514 CITRULLINE 515 CK – MM ELECTROPHORESIS 516 CONNEXIN 517 CPK ISOENZYME ELECTROPHORESIS 518 DOPAMINE (PLASMA & URINE) 519 ERYTHROPOETIN 520 ERYTHROPOETIN ANTIBODIES 521 FATTY ACIDS WITH VERY LONG CHAINS 522 URINE GALACTOSE 523 GASTRIN 524 HEPCIDIN 525 HOMA INDEX (INSULIN/C-PEPTIDE RESISTANCE TEST) 526 LEPTIN 527 LIPOPROTEIN 528 MELATONIN 529 METHY MALONIC ACID (QUANTITATIVE/ QUALITATIVE) 530 NEONATAL SCREENING 531 NITOPRUSSIDE TEST 532 PLASMA RENIN ACTIVITY 533 PREALBUMIN 534 PRO GRP 535 PROTEIN ELECTOPHORESIS 536 PYRUVATE 537 QUADRUPLE TEST 538 RBC FOLATE 539 RENIN DIRECT

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540 SOLUBLE TRANSFERRIN RECEPTOR 541 STONE AMALYSIS 542 VITAMIN B12 URINE 543 REDUCING SUBSTANCES IN URINE 544 URIC ACID 545 CHYLOMICRON QUANTITATIVE 546 URINE AMINO ACID QUANTITATIVE 547 CREATININE CLEARANCE (URINE & SERUM) 548 URINARY POSTTASIUM: CREATININE RATIO 549 CORTISOL 550 PBG 551 ALUMINIUM 552 URINARY GAGS MICROBIOLOGY 553 ASPERGILLOSIS Ig G & Ig M 554 ATYPICAL PNEUMONIA PANEL 555 BRUCELLA AGGLUTINATION 556 C3, C4. 557 CHIKUNGUNYA Ig M 558 CMV Ig G & Ig M 559 COOMBS TEST DIRECT & INDIRECT 560 CULTURE AND SENSTIVITY : CONVENTIONAL & AUTOMATED VITEK 2 561 DENGUE Ig G 562 HANGING DROP PREPARATION 563 HANTA VIRUS 564 H. PYLORI: Ig G Ig M & Ig A 565 HAV Ig G & Ig M 566 HbC Ag total 567 HbC Ag Ig M 568 HbE Ag 569 HEPATITIS B PROFILE 570 HBV IMMUNTY PROFILE 571 HCV by CMIA 572 HCV IgG ELFA 573 HEV Ig M 574 HEPATITIS MARKER PROFILE – ACUTE 575 HEPATITIS ATYPICAL VIRUS PROFILE 576 HIV 1 & 2 ELISA

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577 HIV 1 & 2 CMIA 578 HSV 1 Ig G SERUM 579 HSV 1 Ig M SERUM 580 HSV 2 Ig G SERUM AND CSF 581 HSV 2 Ig M SERUM AND CSF 582 IMMUNOGLOBULIN PROFILE 583 LEPTOSPIRA Ig G & Ig M 584 MEASLES Ig G & Ig M 585 MRSA SCREENING NASAL SWAB CULTURE 586 MUMPS Ig G & Ig M 587 MYCOPLASMA PNEUMONIA Ig G & Ig M 588 WATER CULTURE 589 ACTINOMYCETES CULTURE 590 ACUTE ENCEPHALITIS SYNDROME PANEL by PCR 591 ADENOVIRUS DNA PCR 592 Ig G & Ig M 593 AFB – FLUROSCENCE – ( SPUTUM, URINE, TISSUE, FLUID, SWAB) 594 AFB – rRNA TMA 595 AFB – rRNA REFLEX RAPID CULTURE 596 ISOLATION BY RAPID CULTURE MGIT 597 MDR SCREEN 598 MOTT ANTIBIOGRAM 599 MOTT SPECIATION 600 MTB ANTIBIOGRAM 601 XDR SCREEN 602 XPERT PANEL by GENEXPERT COMBO 603 AMOEBIASIS ANTIBODY IgG 604 ASPERGILLOSIS GALACTOMANNAN 605 BK POLYOMA VIRUS 606 BORDETELLA PERTUSIS 607 CANDIDA ALBICANS PCR 608 CANDIDA ALBICANS ANTIBODY 609 CHIKUNGUNYA BLOOD PCR 610 CHLAMYDIA PNEUMONIA : PCR, Ig G Ig M & Ig A 611 CHLAMYDIA TRACHOMATIS: PCR, Ig G Ig M & Ig A 612 CLOSTRIDIUM DIFFICLE PCR 613 CMV : CISH/ PCR, MOLECULAR ANALYSIS. 614 CMV GCV RESISTANCE TEST 615 CMV VIRAL LOAD

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616 COXIELLA BURNETTI Ig & G Ig M 617 COXASACHIE Ig G & Ig M 618 C. NEOFORMANS PCR 619 CRYPTOSPORIDIUM Ig G & Ig M 620 ANAEROBIC BACTERIA CULTURE 621 CYCLOSPORA SMEAR 622 DENGUE PCR 623 DIPHTHERIA 624 E. COLI K1/ N.MENGITIDIS B 625 EBV 626 EBV –IgG: EARLY ANTIGEN /NUCLEAR ANTIGEN/VIRAL CAPSID ANTIGEN 627 EBER:CISH & MOLECULAR ANALYSIS 628 ECHINOCOCCUS (HYDATID CYST) 629 ECHOVIRUS Ig G & Ig M 630 ENTEROVIRUS ANTIBODY PANEL 631 ENTEROVIRUS RNA 632 FLARIAL ANTIBODY SERUM 633 FLARIAL ANTIGEN BLOOD 634 FTA - Ig G & Ig M 635 FUNGAL ANTIBIOGRAM MIC 636 FUNGAL STAIN 637 FUNGAL CULTURE AND SENSITIVITY VITEK 638 H1N1 – PCR 639 Hib Ig G & Ig M 640 H.PYLORI ANTIGEN IN STOOL 641 H.PYLORI CULTURE – TISSUE 642 HAV RNA PCR 643 Hbs Ag CONFIRMATION 644 HEPATITIS VIRUS: QUANTITATIVE VIRAL LOAD 645 GENOTYE & DRUG RESISTANCE, 646 YMDD MUTATION 647 HEPATITIS D RNA PCR 648 HEPATITIS E RNA PCR 649 HEPCIDIN ELISA 650 HISTOPLASMA ANTIBODY 651 HIV 1:: PROVIRAL DNA, RNA, VIRAL LOAD, VIRTUAL PHENOTYPIC DRUG RESISTANCE TEST 652 HIV 1 & 2 WESTERN BLOT 653 HIV 2 : RNA PCR, VIRAL LOAD 654 HIV DUO Page 24 of 28

655 HIV EARLY DETECTION PROFILE 656 INFECTIOUS MONONUCLEOSIS PANEL 657 INFLUENZA A & b VIRUS Ig G & Ig M 658 JC/BK VIRUS DNA PCR 659 JEV DNA PCR 660 LEGIONELLA CULTURE 661 LEGIONELLA Ig G & Ig M 662 LEISHMANIA CULTURE 663 LEPTOSPIRA SMEAR & DNA PCR 664 MALARIA PCR & Ig G ANTIBODIES 665 MENINGOENCEPHALITIS PANEL – PCR 666 MICROSPORIDIUM SMEAR STOOL 667 MRSA SCREENING PCR 668 MYCOPLASMA CULTURE 669 NEISSERIA GONORRHEA CULTURE, PCR. 670 NEISSERIA MENINGITIDIS CSF CULTURE AND PCR 671 PANFUNGAL DNA PCR 672 PARAINFLUENZA 1, 2, 3 673 PARVOVIRUS B19: DNA PCR, Ig G & Ig M 674 PERTUSIS :Ig G & Ig M 675 PNEUMOCYSTIS CARINII 676 PUO PROFILE 677 RABIES VIRUS ANTIBODY 678 RA – Ig A 679 RETINITIS PANEL PCR 680 ROTA VIRUS 681 RSV Ig G & Ig M 682 RUBELLA AVIDITY Ig G CSF & RNA PCR 683 SCRUB TYPHUS Ig M PROFILE 684 SEPSIS PANEL 685 STREPTOCOCCUS GROUP A : THROAT SWAB 686 STREPTOCOCCUS GROUP B : SERUM/CSF 687 STREPTOCOCCUS PNEUMONIA ANTIGEN 688 SYPHILIS ANTIBODY 689 TETANUS TOXOID Ig G 690 TOXOPLASMA: AVIDITY, DNA PCR, Ig g CSF 691 TRANSPLANT INFECTION PANEL – PCR 692 TRYPANOSOMA CRUZI Ig G 693 TZANCK SMEAR

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694 VZV: DNA PCR, Ig G CSF. 695 WEST NILE VIRUS: Ig G & Ig M 696 YERSINIA ENTEROCOLITIS CULTURE: Ig G & Ig M

List of investigations available in the Hospital but done on tie-up arrangement due to emergency/necessity Sl Test Remarks No HAEMATOLOGY TESTS 1 Bleeding Time 2 Clotting Time 3 Group Rh Typing 4 Absolute Eosinophil Count(AEC) 5 Blood Indices 6 Blood Routine 7 CBC 8 Differential Count 9 ESR 10 Haemaglobin 11 Packed Cell Volume (PCV) 12 Peripheral Smear 13 Platelet Count 14 RBC Count 15 Total WBC Count 16 Malarial parasite PATHOLOGY 17 Cervical Smear 18 FNAC 19 Peripheral Smear 20 Bone Marrow Aspiration cytology 21 USG- guided FNAC URINE 22 Acetone 23 Albumin 24 Sugar 25 Bile Salt/ Bile Pigment 26 Deposit 27 pH 28 Pregnancy Test 29 Specific Gravity STOOL Page 26 of 28

30 Occult Blood 31 Routine BODY FLUIDS – PLEURAL FLUID, ASCITIC FLUID, CEREBROSPINAL FLUID 32 Cytology /Cell type/count/malignant 33 Fluid Protein 34 Fluid Sugar 35 CSF- AFB/Fungal stain/culture & sensitivity 36 Cryptococcal Antigen 37 Sputum cytology/Bronchoalveolar lavage cytology 38 Synovial fluid cytology BIOCHEMISTRY 39 Blood Sugar 40 Blood Urea 41 Total Cholesterol 42 HDL 43 LDL 44 Triglycerides 45 S.Bilirubin Direct 46 S.Bilirubin Total 47 AST 48 ALT 49 ALP 50 Total. Protein 51 S.Albumin 52 S.Creatinine 53 S. Calcium total 54 S. Calcium Ionic 55 S.Sodium 56 S.Potassium 57 S.Chloride 58 S.Phosphorus 59 S.Uric acid 60 GGT 61 CRP 62 RA factor SPECIAL BIOCHEMISTRY 63 AFP 64 CK-MB 65 CPK

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66 Glucose challenge test 67 Glucose tolerance test 68 Trop T 69 HbA1C THYROID INVESTIGATIONS 70 Free T4 71 TSH 24 HOURS URINE TEST 72 Creatinine 73 Protein 74 Sodium 75 Calcium SEROLOGY 76 ASLO 77 Anti HIV antibodies 78 HBsAg detection 79 Anti HCV 80 VDRL 81 Salmonella typhi IgM detection 82 Dengue NS1 detection 83 Anti Dengue antibodies 84 Anti leptospira antibodies 85 Anti Chikungunya antibody

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