Haemogram (CBC + ESR) With P/S

A CBC with ESR and PS is a blood panel that combines a Complete Blood Count (CBC), an Erythrocyte Sedimentation Rate (ESR) and a Peripheral Smear (PS). CBC measures red and white blood cell counts, hemoglobin, hematocrit and platelets. ESR detects inflammation. A peripheral smear visually examines blood cell size, shape and maturity to identify anemia types, infections, blood disorders or abnormal cells.

CBC (complete blood count) measures blood components—red and white blood cells, hemoglobin, hematocrit, platelets and indices—to detect anemia, infection, bleeding or blood disorders. ESR (erythrocyte sedimentation rate) measures how fast red blood cells settle in a tube; it’s a nonspecific marker of inflammation or infection. Together they assess general health, detect inflammation or autoimmune disease, and monitor treatment.

Costs vary by country and provider. In India, CBC typically ₹150–600 and ESR ₹80–300. In the UK tests are free through the NHS; private labs charge about £15–40 for CBC and £10–25 for ESR. In the US out‑of‑pocket prices often range $10–50 at discount labs to $50–200 at hospitals for CBC, and about $10–100 for ESR.

The Rule of Three in a hemogram: in normal, normocytic–normochromic blood, hemoglobin (g/dL) is about three times the RBC count (million/µL), and hematocrit (%) is roughly three times the hemoglobin (g/dL). It’s a quick internal-consistency check; marked deviations suggest lab error, micro- or macrocytosis, or other abnormal RBC indices needing further evaluation.

A CBC with PS test combines a complete blood count (CBC) and a peripheral smear. The CBC measures red and white blood cell counts, hemoglobin, hematocrit and platelets. The peripheral smear microscopically examines cell size, shape, maturation and abnormal cells or organisms. Together they help diagnose and monitor anemia, infections, bleeding disorders and blood cancers and guide further testing or treatment.

A high ESR indicates inflammation or an ongoing disease process but is nonspecific. Correlate with CBC: leukocytosis favors infection, anemia can raise ESR, and thrombocytosis often accompanies inflammation. Your clinician may order CRP and targeted tests (cultures, autoantibodies, imaging) or repeat testing. Persistent elevation or symptoms like fever, weight loss, or night sweats warrant prompt medical evaluation.