Hscrp 9.56 mg/l, esr 36, eosinophils 0.46, total chlstrol 218, ldl 146, ratio 4.64 bilirubin 4, sgpt 127, sgot 79 gamma 33, vit d 6.8. fatty liver?

Depends: Your liver studies are elevated, indicating there may be something going on with the liver. Your lipids are also high and this can predispose to fatty liver. However, other factors like viral hepatitis, alcohol, or certain medications can also raise the liver markers. You should follow up with your doctor or a specialist since imaging studies and/or liver biopsy may be necessary for diagnosis, .