Hello dear I understand your concern Following are the cause of Presence of the albumin: diabetes, hypertension, glomerulonephritis, auto immune involvement of the kidney. Presence of the Ketone: starvation and uncontrolled diabetes Presence of the bilirubin and urobiliongen: drug induced haemolysis, hemolytic jaundice and obstructive jaundice So your report should be correlated with the blood sugar/blood presssure, lipid profile. RBC and pus cell are in the reference range. So you can ask the doctor for above causes. Drink plenty of water, take healthy diet, do regular exercise and avoid stress. Hope this may help you Contact HCM for further health query Best regards Dr. Sagar