Hello and welcome to HCM, The interpretation of the blood report is as follows: The hemoglobin levels are low. A peripheral blood film examination is required to look for the type of anemia. Two surgeries could had lead to blood loss and thus anemia, however, peripheral blood examination is mandatory. Presence of reactive lymphocytes suggests viral infection. This finding has to be clinically correlated. The erythrocyte sedimentation rate (ESR) is slightly elevated. This could be due to infection. A history of cold when the test was done could be a possible cause of these results. The cold could be viral in nature and could lead to reactive lymphocytosis. Thanks and take care Dr Shailja P Wahal