Fever Package Advanced (includes Dengue, Malaria & Typhoid Tests) near me in Jaipur
Understanding Fever Package Advanced (includes Dengue, Malaria & Typhoid Tests) in Jaipur
What is Fever Package Advanced (includes Dengue, Malaria & Typhoid Tests) in Jaipur?
The Fever Package Advanced (includes Dengue, Malaria & Typhoid Tests) consists of a series of tests that help detect common fever-causing illnesses. This package includes tests to detect infection due to dengue, malaria, typhoid, urine infection and indicates other seasonal viral/bacterial infections that may be causing the fever. Tests like complete blood count (CBC), erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) provide blood counts and help identify the presence of inflammation related to your fever. Liver enzymes (SGOT, SGPT) help detect liver infection or inflammation (hepatitis). Your doctor may advise urine culture based on abnormal urine findings. It is available at an affordable price in Jaipur with Tata 1mg labs.
Overnight fasting is preferred for this test. A urine sample should be collected into a sterile container provided by the sample collection professional.
What does Fever Package Advanced (includes Dengue, Malaria & Typhoid Tests) measure?
Contains 49 testsThe Fever Package Advanced (includes Dengue, Malaria & Typhoid Tests) is tailored to help detect the potential cause of your persistent fever. This package usually comprises a combination of blood and urine tests that help screen for illnesses such as dengue, malaria, typhoid, and urinary tract infections. It comprises dengue fever NS1 antigen test, malarial antigen (Vivax & Falciparum) detection test, widal test, typhidot IgG and IgM test, complete blood count test, SGOT (Serum glutamic oxaloacetic transaminase), SGPT (Serum glutamate pyruvate transaminase), and urine routine examination. Moreover, it includes a C-reactive protein (CRP) test and erythrocyte sedimentation rate (ESR) test which help identify the presence of inflammation in the body causing fever. Altogether these tests help find the specific infectious agent causing the fever and provide a comprehensive assessment of your health to guide appropriate treatment based on the identified cause of the fever.
ESR (Erythrocyte Sedimentation Rate)
An ESR test measures the rate at which red blood cells (erythrocytes) settle (sediment) in one hour at the bottom of a tube that contains a blood sample.
When there is inflammation in the body, certain proteins, mainly fibrinogen, increase in the blood. This increased amount of fibrinogen causes the red blood cells to form a stack (rouleaux formation) that settles quickly due to its high density, leading to an increase in the ESR.
An ESR test is a non-specific measure of inflammation and can be affected by conditions other than inflammation. This test cannot identify the exact location of the inflammation in your body or what is causing it. Hence, an ESR test is usually performed along with a few other tests to identify or treat possible health concerns.
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Dengue Fever NS1 Antigen
The Dengue Fever NS1 Antigen test measures the NS-1 protein of the dengue virus. This protein is secreted into the blood during the infection; hence, it can only be detected during the early stages of the illness. It is recommended to do the Dengue Fever NS1 Antigen test in the first 5 days of fever. After 7-10 days of continuous fever, the recommended test is Dengue fever antibodies IgG & IgM.
Dengue fever may progress to dengue hemorrhagic fever or dengue shock syndrome if left untreated. Dengue hemorrhagic fever (DHF) includes variable manifestations like bleeding, vomiting blood, passing blood in the stool, difficulty breathing, and cold, clammy skin, especially in the extremities. If progressed, the virus may attack blood vessels, causing capillaries to leak fluid into the space around the lungs (pleural effusion) or the abdominal cavity (ascites).
Dengue shock syndrome (DSS) is a severe complication of dengue fever caused when the body's immune system overreacts to the dengue virus. It can lead to a sudden drop in blood pressure and dehydration; if not managed timely, it may lead to multiple organ failures.
There is no specific treatment for dengue, but early diagnostic testing, such as the Dengue Fever NS1 Antigen test, can prevent the advancement of dengue to its complicated forms.
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CBC (Complete Blood Count)
The CBC (Complete Blood Count) test evaluates red blood cells (RBCs), white blood cells (WBCs}, and platelets. Each of these blood cells performs essential functions–RBCs carry oxygen from your lungs to the various body parts, WBCs help fight infections and other diseases, and platelets help your blood to clot–so determining their levels can provide significant health information. A CBC test also determines the hemoglobin level, a protein in RBC that carries oxygen from the lungs to the rest of your body. Evaluating all these components together can provide important information about your overall health.
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Hb (Hemoglobin)
An Hb (Hemoglobin) test measures the concentration of hemoglobin protein in your blood. Hemoglobin is made up of iron and globulin proteins. It is an essential part of RBCs and is critical for oxygen transfer from the lungs to all body tissues. Most blood cells, including RBCs, are produced regularly in your bone marrow. The Hb test is a fundamental part of a complete blood count (CBC) and is used to monitor blood health, diagnose various blood disorders, and assess your response to treatments if needed.
Platelet Count
The Platelet Count test measures the average number of platelets in the blood. Platelets are disk-shaped tiny cells originating from large cells known as megakaryocytes, which are found in the bone marrow. After the platelets are formed, they are released into the blood circulation. Their average life span is 7-10 days.
Platelets help stop the bleeding, whenever there is an injury or trauma to a tissue or blood vessel, by adhering and accumulating at the injury site and releasing chemical compounds that stimulate the gathering of more platelets. A loose platelet plug is formed at the site of injury and this process is known as primary hemostasis. These activated platelets support the coagulation pathway that involves a series of steps, including the sequential activation of clotting factors; this process is known as secondary hemostasis. After this step, there is a formation of fibrin strands that form a mesh incorporated into and around the platelet plug. This mesh strengthens and stabilizes the blood clot so that it remains in place until the injury heals. After healing, other factors come into play and break the clot down so that it gets removed. In case the platelets are not sufficient in number or not functioning properly, a stable clot might not form. These unstable clots can result in an increased risk of excessive bleeding.
Total Leukocyte Count
The Total Leukocyte Count test measures the numbers of all types of leukocytes, namely neutrophil, lymphocyte, monocyte, eosinophil, and basophil, in your blood. Leukocytes or WBCs are an essential part of our immune system. These cells are produced in the bone marrow and defend the body against infections and diseases. Each type of WBC plays a unique role to protect against infections and is present in different numbers.
Hematocrit
The Hematocrit test measures the proportion of red blood cells (RBCs) in your blood as a percentage of the total blood volume. It is a crucial part of a complete blood count (CBC) and helps in assessing your blood health. RBCs are responsible for carrying oxygen from the lungs to different parts of the body. The hematocrit test provides valuable information about your blood's oxygen-carrying capacity.
Higher-than-normal amounts of RBCs produced by the bone marrow can cause the hematocrit to increase, leading to increased blood density and slow blood flow. On the other hand, lower-than-normal hematocrit can be caused by low production of RBCs, reduced lifespan of RBCs in circulation, or excessive bleeding, leading to a reduced amount of oxygen being transported by RBCs. Monitoring your hematocrit levels is essential for diagnosing and managing various blood-related disorders.
Mean Corpuscular Volume
The Mean Corpuscular Volume test measures the average size of your red blood cells, which carry oxygen through your body. This test tells whether your RBCs are of average size and volume or whether they are bigger or smaller.
Mean Corpuscular Hemoglobin
An MCH test measures the average amount of hemoglobin in a single red blood cell (RBC). Hemoglobin is an iron-containing protein in RBCs, and its major function is to transport oxygen from the lungs to all body parts. This test provides information about how much oxygen is being delivered to the body by a certain number of RBCs.
Mean Corpuscular Hemoglobin Concentration
An MCHC test measures the average amount of hemoglobin in a given volume of RBCs. MCHC is calculated by dividing the amount of hemoglobin by hematocrit (volume of blood made up of RBCs) and then multiplying it by 100.
Mean Platelet Volume
An MPV test measures the average size of the platelets in your blood. Platelets are disk-shaped tiny cells originating from large cells known as megakaryocytes, which are found in the bone marrow. After the platelets are formed, they are released into the blood circulation. Their average life span is 7-10 days.
Platelets help stop bleeding whenever there is an injury or trauma to a tissue or blood vessel by adhering and accumulating at the injury site, and by releasing chemical compounds that stimulate the gathering of more platelets. After these steps, a loose platelet plug is formed at the site of injury, and this process is known as primary hemostasis. These activated platelets support the coagulation pathway that involves a series of steps including the sequential activation of clotting factors; this process is known as secondary hemostasis. After this, there is a formation of fibrin strands that form a mesh incorporated into and around the platelet plug. This mesh strengthens and stabilizes the blood clot so that it remains in place until the injury heals. After healing, other factors come into play and break the clot down so that it gets removed. In case the platelets are not sufficient in number or are not functioning properly, a stable clot might not form. These unstable clots can result in an increased risk of excessive bleeding.
PDW
The PDW test reflects variability in platelet size, and is considered a marker of platelet function and activation (clot formation in case of an injury). This marker can give you additional information about your platelets and the cause of a high or low platelet count. Larger platelets are usually younger platelets that have been recently released from the bone marrow, while smaller platelets may be older and have been in circulation for a few days. Higher PDW values reflect a larger range of platelet size, which may result from increased activation, destruction and consumption of platelets.
RDW CV
The RDW CV test which is part of red cell indices, helps identify characteristics of red blood cells. RDW (red cell distribution width) measures the variations in the sizes of red blood cells, indicating how much they differ from each other in a blood sample. RDW is expressed as RDW-CV, a coefficient of variation. A higher RDW may suggest more variation in red cell sizes, while a lower RDW indicates more uniform red cell sizes.
Differential Leukocyte Count
- Differential Basophil Count
- Differential Neutrophil Count
- Differential Lymphocyte Count
- Differential Monocyte Count
- Differential Eosinophil Count
There are five types of WBCs: neutrophils, lymphocytes, monocytes, eosinophils, and basophils. A Differential Leukocyte Count test measures the percentage of each type of WBC in the blood. Leukocytes or WBCs are produced in the bone marrow and defend the body against infections and diseases. Each type of WBC plays a unique role to protect against infections and is present in different numbers.
This further contains
Absolute Leucocyte Count
- Absolute Eosinophil Count
- Absolute Neutrophil Count
- Absolute Basophil Count
- Absolute Lymphocyte Count
- Absolute Monocyte Count
The Absolute Leucocyte Count test measures the total number of white blood cells (leucocytes) in the given volume of blood. It examines different types of white blood cells such as neutrophils, lymphocytes, monocytes, basophils and eosinophils. These cells tell about the status of the immune system and its ability to fight off infections and other conditions like inflammation, allergies, bone marrow disorders etc.
This further contains
Red Blood Cell Count
The Red Blood Cell Count test measures the total number of red blood cells in your blood. RBCs are the most abundant cells in the blood with an average lifespan of 120 days. These cells are produced in the bone marrow and destroyed in the spleen or liver. Their primary function is to help carry oxygen from the lungs to different body parts. The normal range of RBC count can vary depending on age, gender, and the equipment and methods used for testing.
CRP (C-Reactive Protein), Quantitative
The CRP test measures the levels of C-reactive protein in your body. This test helps detect the presence of inflammation in the body. It is a non-specific test as it cannot diagnose a condition by itself or determine its exact location or cause.
CRP is an acute phase reactant protein produced by the liver in response to an inflammation in the body. This inflammation may be due to tissue injury, infection, autoimmune diseases, or cancer. CRP levels are often increased before the onset of other symptoms of inflammation, such as pain, redness, fever, or swelling. These levels fall as the inflammation subsides.
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Widal Test (Slide Agglutination)
The Widal Test (Slide Agglutination) helps detect antibodies in the blood against typhoid-causing bacteria called Salmonella typhi.
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SGPT
An SGPT test measures the amount of ALT or SGPT enzyme in your blood. ALT is most abundantly found in the liver but is also present in smaller amounts in other organs like the kidneys, heart, and muscles. Its primary function is to convert food into energy. It also speeds up chemical reactions in the body. These chemical reactions include the production of bile and substances that help your blood clot, break down food and toxins, and fight off an infection.
Elevated levels of ALT in the blood may indicate liver damage or injury. When the liver cells are damaged, they release ALT into the bloodstream, causing an increase in ALT levels. Therefore, the SGPT/ALT test is primarily used to assess the liver's health and to detect liver-related problems such as hepatitis, fatty liver disease, cirrhosis, or other liver disorders.
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SGOT
An SGOT test measures the levels of serum glutamic-oxaloacetic transaminase (SGOT), also known as aspartate aminotransferase (AST), an enzyme produced by the liver. SGOT is present in most body cells, most abundantly in the liver and heart. The primary function of this enzyme is to convert food into glycogen (a form of glucose), which is stored in the cells, primarily the liver. The body uses this glycogen to generate energy for various body functions.
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Urine R/M (Urine Routine & Microscopy)
The Urine R/M (Urine Routine & Microscopy) test involves gross, chemical, and microscopic evaluation of the urine sample.
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Gross examination: It involves visually inspecting the urine sample for color and appearance. Typically, the urine color ranges from colorless or pale yellow to deep amber, depending on the urine’s concentration. Things such as medications, supplements, and some foods such as beetroot can affect the color of your urine. However, unusual urine color can also be a sign of disease.
In appearance, the urine sample may be clear or cloudy. A clear appearance is indicative of healthy urine. However, the presence of red blood cells, white blood cells, bacteria, etc., may result in cloudy urine, indicating conditions such as dehydration, UTIs, kidney stones, etc. Some other factors, such as sperm and skin cells, may also result in a cloudy appearance but are harmless.
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Chemical examination: It examines the chemical nature of the urine sample using special test strips called dipsticks. These test strips are dipped into the urine sample and change color when they come in contact with specific substances. The degree of color change estimates the amount of the substance present. Some common things detected include protein, urine pH, ketones, glucose, specific gravity, blood, bilirubin, nitrites, and urobilinogen.
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Microscopic examination: This involves the analysis of the urine sample under the microscope for pus cells, red blood cells, casts, crystals, bacteria, yeast. and other constituents.
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Bilirubin
The Bilirubin test measures the levels of bilirubin present in the urine. Bilirubin is a by-product of the breakdown of old red blood cells, processed by the liver. This test is crucial in assessing liver function and detecting liver diseases.
Normally, the liver converts bilirubin into a form that can be excreted into bile and eventually eliminated from the body. When liver function is impaired, the amount of bilirubin in the urine can change, serving as an important indicator of abnormalities such as liver disease or bile duct blockage.
Urobilinogen
The Urobilinogen test measures the amount of urobilinogen present in the urine. Urobilinogen is a substance formed from the breakdown of bilirubin, a by-product of old red blood cells processed by the liver. This test plays a key role in assessing liver function and detecting liver diseases.
Under normal circumstances, the liver converts bilirubin into urobilinogen. Some of this urobilinogen is reabsorbed into the blood, excreted by the kidneys, and then eliminated from the body through urine. However, when liver function is impaired, the amount of urobilinogen in the urine can change. Hence, the Urobilinogen test serves as an important indicator of abnormalities such as liver disease or blockage of the bile ducts.
Ketone
Nitrite
The Nitrite test measures the presence of nitrites in the urine sample. Nitrites are chemicals formed by the conversion of nitrates by certain bacteria. Under normal conditions, urine does not contain nitrites. However, when bacteria that cause urinary tract infections (UTIs) are present, they convert nitrates (which are normally found in the urine) into nitrites. Thus, the presence of nitrites in urine is an indication of a bacterial infection, making the Nitrite test a key tool in diagnosing UTIs.
Colour
The urine colour test primarily measures the concentration and colour of urine to provide insights into an individual’s overall health. It assesses hydration status, with clear to light yellow urine indicating good hydration and darker shades suggesting dehydration. It can also detect urinary tract infections (UTIs) through unusual colours like cloudy or reddish urine, signaling the presence of blood or pus. Abnormal urine colours, such as dark brown or amber, may indicate liver conditions like hepatitis or cirrhosis, while pink, red, or brown urine can reveal the presence of blood, signaling kidney issues, trauma, or potential malignancies. The test can reflect dietary influences and supplement intake, with certain foods and vitamins causing colour changes. It can also highlight metabolic disorders, such as porphyria, which may cause purple urine. Additionally, medication effects and potential exposure to toxins can be inferred from changes in urine colour, making this test a comprehensive indicator of overall health and potential underlying conditions.
Appearance
The urine appearance test measures:
Colour: The urine colour indicates the presence of substances like bilirubin, blood, or medications in the urine, providing clues about liver function, hydration levels, or underlying health issues.
Clarity: The urine clarity assesses the transparency of urine, which can reveal the presence of cells, proteins, or other particles that may indicate infections or kidney disease.
Odor: The urine odor detects abnormal smells that may indicate infections or metabolic disorders affecting the urinary system.
By examining these aspects, doctors can gain insights into hydration status, kidney function, and potential health conditions affecting the urinary tract. This comprehensive evaluation aids in timely diagnosis and management of potential urinary tract problems.
Specific Gravity
The urine Specific Gravity test measures the concentration of solutes in the urine, reflecting the kidneys' ability to concentrate or dilute the urine in response to varying hydration levels. By comparing the density of urine to that of water, the test provides insights into the balance of fluids and substances like salts, waste products, and other solutes. This test is important because it helps diagnose and monitor various medical conditions, including dehydration, kidney disease, diabetes insipidus, and other disorders affecting kidney function, enabling timely and appropriate medical interventions.
Epithelial Cell
The Epithelial Cell test measures the presence and quantity of epithelial cells shed into the urine. This test helps doctors understand urinary tract health by identifying abnormalities such as infections, inflammation, or damage to kidney tubules. Different types of epithelial cells in urine, including squamous, transitional, and renal tubular epithelial cells, provide specific insights into the nature and location of urinary tract issues. This test aids in diagnosing conditions affecting the urinary system and guides appropriate treatment strategies based on the findings.
Casts
The urinary cast test measures the presence, and quantity of casts in a urine sample. These casts are cylindrical structures formed from coagulated proteins and cells within the kidney's tubules. By identifying and quantifying the different types of casts, such as red blood cell casts, white blood cell casts, granular casts, and hyaline casts, the test provides valuable insights into kidney health. The presence of specific types of casts can indicate underlying kidney conditions, such as glomerulonephritis, kidney infections, acute tubular necrosis, and chronic kidney disease. This test helps doctors diagnose, monitor, and manage kidney-related issues, guiding appropriate medical interventions and treatments.
Crystals
The Crystals test measures the presence, type, and quantity of crystals in a urine sample. Crystals can form from various salts and minerals in the urine, and their identification helps diagnose underlying conditions such as kidney stones, urinary tract infections, or metabolic disorders. The test provides insights into potential urinary tract issues by detecting specific types of crystals, such as calcium oxalate, uric acid, or struvite crystals. By analyzing the crystals, doctors can determine the severity of the condition, monitor the effectiveness of treatment, and guide preventive measures to maintain optimal urinary tract health.
Protein Urine
Ph for Urine
Urine Glucose
Blood
The Blood test measures the presence of blood in the urine sample, indicating potential issues within the urinary system or kidneys. This test is crucial for diagnosing conditions such as hematuria, urinary tract infections (UTIs), kidney stones, kidney disease, or even certain cancers that can cause bleeding in the urinary tract.
Depending on whether the blood is visible to the naked eye (macroscopic hematuria) or only detectable under a microscope (microscopic hematuria), doctors can assess the severity and potential causes of the bleeding. By analyzing the presence of blood in the urine sample, doctors can determine the appropriate course of treatment and management, ensuring timely intervention to address underlying health concerns affecting urinary tract and kidney function.
Bacteria
The Bacteria test measures the presence and amount of bacteria in the urine. Normally, urine is sterile, but the presence of bacteria indicates an infection in the urinary system. This test helps diagnose UTIs, bladder infections, and other related conditions, guiding appropriate treatment plans.
Yeast
The urine yeast test measures the presence of yeast cells in the urine sample. The presence of yeast cells can indicate an infection or an imbalance in the urinary tract's natural microbial environment. Yeast is a type of fungus that naturally resides in small amounts on the skin, in the mouth, and in the intestines. However, when it overgrows, it can cause infections, such as yeast infections in the urinary tract which require medical attention. Therefore this test is crucial for identifying fungal infections, particularly those caused by Candida species, and plays a vital role in guiding appropriate treatment strategies.
Pus Cell
The pus cells test measures the presence and quantity of pus cells in urine samples. This test helps identify urinary tract infections (UTIs) and other inflammatory conditions of the urinary tract. Doctors perform this test to promptly diagnose and manage urinary tract-related disorders, ensuring timely treatment and management.
Red Blood Cells
The Red Blood Cells test measures the presence and amount of red blood cells (RBCs) in a urine sample. The primary purpose of the test is to detect hematuria, a condition characterized by the presence of blood in the urine. Hematuria can be either visible (gross hematuria) or invisible to the naked eye (microscopic hematuria), and the RBC Urine Test is capable of detecting both. It serves as an early indicator of various underlying health conditions ranging from urinary tract infections (UTIs), kidney stones, and kidney disease, to more serious conditions such as bladder cancer or trauma to the urinary tract. Early identification of hematuria through the RBC Urine Test can prompt timely treatment and management of these conditions, which can significantly improve patient outcomes and prevent complications.
Leucocyte Esterase
The Leucocyte Esterase test measures the presence of leukocyte esterase (an enzyme released by white blood cells) in urine samples, which are typically present when there is an infection or inflammation in the urinary tract. Common conditions associated with elevated leukocyte esterase levels include urinary tract infections (UTIs), kidney infections (pyelonephritis), and interstitial cystitis. When the body's immune system detects pathogens such as bacteria, it sends white blood cells to the affected area to combat the infection, leading to an increase in leukocyte esterase levels in the urine. Thus, the Leucocyte Esterase test serves as a marker for these underlying issues ensuring early detection and appropriate treatment.
Typhidot, IgG & IgM
A Typhidot, IgG & IgM test is an important diagnostic tool to diagnose typhoid fever. This test usually shows the infection within 2-3 days and detects IgM and IgG antibodies, illustrating a recent and a past infection respectively. When Salmonella typhi, the causative bacteria from typhoid, enters the body, your immune system, as a response, releases two types of antibodies (specific proteins), IgM and IgG, against the outer membrane protein of Salmonella typhi.
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Typhi Dot, IgG
The Typhi Dot, IgG test is performed to detect the presence or absence of IgG antibodies against Salmonella typhi, the bacteria that causes typhoid fever. IgG antibodies are the most frequent type of antibody, which are developed at a later stage, usually 2-3 weeks after the virus invades the body and causes the infection, and it remains in the body for life. Thus, IgG antibodies indicate if an individual has been infected with typhoid.
Typhi Dot, IgM
The Typhi Dot, IgM test is an important and rapid diagnostic tool to diagnose typhoid fever. This test usually shows the typhoid infection within 2-3 days by detecting IgM antibodies, illustrating an active infection respectively. When Salmonella typhi enters the body, your immune system produces IgM antibodies as the body's first response of defense against the outer membrane protein of Salmonella typhi.
IgM antibodies are usually present in higher concentrations shortly after infection before gradually decreasing and eventually disappearing. Therefore, a positive IgM test for Salmonella Typhi typically suggests a recent or acute infection.
Malarial Antigen (Vivax & Falciparum) Detection
A Malarial Antigen (Vivax & Falciparum) Detection test measures the presence of specific antigens (proteins) produced by Plasmodium vivax and Plasmodium falciparum parasites. These antigens are released into the blood during the lifecycle of the parasites and serve as a marker for the presence of malaria infection. A Malarial Antigen (Vivax & Falciparum) Detection test targets and identifies these antigens, providing a means of detecting and differentiating between these two common types of malaria parasites.
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Answers to Patient Concerns & Frequently Asked Questions (FAQs) about Fever Package Advanced (includes Dengue, Malaria & Typhoid Tests) in Jaipur
Frequently Asked Questions about Fever Package Advanced (includes Dengue, Malaria & Typhoid Tests) in Jaipur
Q. What is the Fever Package Advanced (includes Dengue, Malaria & Typhoid Tests)?
Q. What tests are included in the Fever Package Advanced (includes Dengue, Malaria & Typhoid Tests)?
Q. When is the Fever Package Advanced (includes Dengue, Malaria & Typhoid Tests) performed?
Q. What is the role of the Complete Blood Count (CBC) test in the Fever Package Advanced (includes Dengue, Malaria & Typhoid Tests)?
Q. What is the role of the SGOT and SGPT test in the Fever Package Advanced (includes Dengue, Malaria & Typhoid Tests)?
Q. Do I need a doctor's prescription before taking the Fever Package Advanced (includes Dengue, Malaria & Typhoid Tests)?
Q. Can I schedule the Fever Package Advanced (includes Dengue, Malaria & Typhoid Tests) online in Jaipur near me?
Q. Is home sample collection facility available for the Fever Package Advanced (includes Dengue, Malaria & Typhoid Tests) in Jaipur with Tata 1mg Labs?
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