At a Glance
Package: Advance Fever Package. Tests: 70 parameters, 8 components. Price: From 1199. Fasting: Not required. Sample: Blood and urine, single visit. Reports: 12 hours, digital. Home collection: Free across Delhi. Lab: NABL-accredited. Count the days. That is the first thing a doctor asks about a fever in Delhi, because the day of illness decides which test can find the cause at all. This package is built for the first week: it carries Dengue NS1 Antigen (Rapid), Typhidot - Serum (IgG - IgM BY ELISA) in place of Widal, and full Kidney Function Test and Liver Function Test profiles on top of the Basic Fever Package's base — liver because dengue and typhoid both disturb transaminases, kidney because days of poor oral intake move urea, creatinine and electrolytes. Already past day 6? Read the timing section below, then consider the Comprehensive Fever Package, which adds Dengue IgM and Dengue IgG. ## Dengue NS1 Antigen: Why the Day of Fever Decides the Test Dengue NS1 Antigen (Rapid) detects a non-structural protein the dengue virus itself produces — the virus, not your response to it. It is detectable from roughly day 1 to day 7 of fever, which is the window in which most people first see a doctor and in which antibody tests are still blank. That window is also the limitation, and it is the single most useful thing to understand about dengue testing. NS1 fades as antibodies appear. Dengue IgM shows up around day 4 to day 5 and indicates current or recent infection. Dengue IgG suggests past infection, or a secondary infection when it rises alongside IgM. So someone presenting on day 6 of fever can be NS1-negative and IgM-positive, and an NS1-only test would have called them negative. This package carries NS1 alone; the Comprehensive Fever Package carries NS1, IgM and IgG. Within day 1 to day 5, NS1 is the correct test and this package is sufficient. Later than that, the three-marker version has a real advantage. A negative NS1 early in the illness does not rule dengue out, and no antigen or antibody result replaces clinical monitoring: falling platelets, a rising haematocrit and warning signs are what guide treatment. ## Typhidot by ELISA Instead of Widal Typhidot - Serum (IgG - IgM BY ELISA) detects IgM and IgG antibodies specific to Salmonella typhi. It turns positive earlier in the illness than Widal and does not react across other Salmonella species. That is why it replaces Widal here. Widal (Slide Agglutination Test), used in the Basic Fever Package, cross-reacts with other Salmonella, stays positive after past infection or vaccination, is frequently falsely positive in endemic areas, and classically needs paired samples 7 to 10 days apart. Typhidot avoids most of that. One honest caveat: blood culture remains the reference standard for typhoid, and this package does not include it. If your doctor needs certainty before starting or changing an antibiotic, ask for a blood culture — and have it drawn before the first dose, because antibiotics taken beforehand sharply reduce the yield. ## Blood Picture - Peripheral Smear Examination An analyser scores your blood. A pathologist reads it. This component is a slide made from your sample and examined under a microscope by hand, which is why it cannot be automated and why it is usually the first thing cut to hold a price point. Five findings are reported: Red Blood Cells, White Blood Cells, Platelets, Hemoparasites, and a written Impression. Where dengue is in the differential, the platelet assessment is the reason this component matters most. Falling platelets are the key monitoring parameter, and automated counters misread platelet clumping as a dangerously low count — the pathologist catches that artefact before anyone reacts to a false alarm. Hemoparasites means malarial parasites are looked for inside red cells directly, alongside the antigen assay. And where the count shows anaemia, the smear explains it: microcytic cells suggest iron deficiency, macrocytic cells B12 or folate deficiency, sickle-shaped cells sickle cell disease, and blast cells possible leukaemia — worth knowing, since over 50% of Indian women aged 15–49 are anaemic (NFHS-5, 2019–21). ## The Other 5 Components CBC with ESR (21): Haemoglobin, platelet count, haematocrit, the full white cell differential and ESR — the pattern-reading core of any fever workup. MALARIA ANTIGEN -EIA (1): Enzyme immunoassay for malarial antigen; it can stay positive for some days after treatment. Liver Function Test (12): Bilirubin, SGOT, SGPT, GGT, ALP and proteins; transaminases commonly rise in dengue and typhoid. Kidney Function Test (12): Urea, creatinine, electrolytes and GFR, reflecting dehydration and fluid shifts during a febrile illness. Complete Urine Analysis (17): Nitrites, leukocytes, pus cells, protein and casts — the screen that names urinary infection as the fever source. It detects overt proteinuria, not microalbuminuria. ## Limitations No Dengue IgM or IgG, no chikungunya IgM, no scrub typhus, leptospira, COVID-19 or influenza test, no blood culture, no Procalcitonin, no CRP, no imaging. Fever with breathlessness, persistent vomiting, bleeding, drowsiness or falling urine output needs urgent in-person assessment, not a repeat blood test. ## Sources NFHS-5, 2019–21 Content last reviewed: October 2026