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The automated analysis was incomplete. Based on my direct visual reading of both images, here is the full transcription:

CONTINUATION SHEET — Annexure-B (Page 3)

Patient's Name: Onkar Chugh Age/Sex: 61y / M Serial No.: 92151260009/595 Cr. No.: (listed)

Date: 1/6/26

Daily Progress:
Referral case for AIIMS Bilaspur / Shakere (Shimla)
  • Chief complaints: At ~5:30 PM 20/5/26
    • Sudden onset while he was driving
    • Retrostenal, diffuse
    • Mod to severe intensity
    • Radiating to both arms
    • h/o Sweating / Dizziness / Nausea / SOB / Palpitation / Digging
↓
  • Went to Bethny Eye Bilaspur
    • Was given loading dose of Antiplatelets
↓
  • AIIMS Bilaspur
    • Was managed as NSTEMI
↓
  • Today referred to AIIMS Chandigarh for PCI
  • At present no chest pain / SOB
  • No h/o Fever / Cough / Active bleeding / Urine output ↓ / 1 min
Treatment (right column):
  • Smoker ✓
  • DM ✓
  • HTN ✓
  • CAD ✓
  • CMA ✓
  • CVD ✓
  • AHC ✓

CONTINUATION SHEET (Page 2)

Date: 9/7 (or 9/11) Status: urg (urgent)
Daily Progress:
  • O/h - Calm, oriented
  • GCS: M6/V5/E4 = 15
Vitals:
  • BP: 100/90
  • PR: 64/min
  • SpO2: 96%
  • RR: 18/min
CNS - appear N.P.
  • MPSB / TMDB / R
  • S-(O) S whole found Spein (Spine)
  • RVSO
Rs - BL v/s →
PA / CN wm (within normal?)
Treatment (right column):
  • ECG: ↑
    • LBBB + USR
    • 4- | ST, AVF
    • 7+ |
  • Echo:
    • RV dysfunction ✓
    • RA/RV mildly dilated
    • TAPSE - 15
    • Mild TR A 2c (+) mt
    • No RWMA
    • DWSR (DSSR?)
Bottom notes:
  • IVC: 20mm
  • TS09, RV Non-collapsing
Summary: This is a cardiology referral case - a 61-year-old male, smoker, with history of DM, HTN, and CAD who presented with sudden-onset chest pain (NSTEMI) while driving on 20/5/26, initially managed at Bethny Eye Hospital (antiplatelet loading) and AIIMS Bilaspur (NSTEMI management), then referred to AIIMS Chandigarh for PCI. Follow-up notes show vitals, CNS exam, ECG findings (LBBB), and echo showing RV dysfunction with mildly dilated RA/RV, TAPSE of 15, mild TR, non-collapsing IVC (20mm) - findings consistent with right heart strain / pulmonary hypertension.

Re bl vbse

Rs - B/L vbse is a standard clinical auscultation abbreviation:
Rs = Respiratory system (Breath Sounds) B/L = Bilateral VbSe = Vesicular Breath Sounds with no added sounds (i.e., clear, normal breath sounds heard on both sides)
So the full meaning is:
Respiratory System: Bilateral vesicular breath sounds, no added sounds (crepts/wheeze/rhonchi)
This is a normal lung auscultation finding - it means both lung fields had normal vesicular breath sounds with no crackles, wheezes, or rhonchi. In context of this NSTEMI/RV dysfunction patient, this is a reassuring finding (no pulmonary edema/congestion).
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The AI extraction was cut off. Here is my full direct visual transcription of this PTCA + Stenting procedural form:

PTCA + STENTING FORM

Target Vessel (printed checkboxes):

  • LM-OST/MID
  • LAD-PROX/MID/DISTAL
  • LCX-PROX/OM/DISTAL
  • [✓] RCA-PROX/MID/DISTAL

Loading (printed):

  • 300/600 TICAGRELOR or 180/PRASUGREL 60 / STAIN 40 / ASS

Guiding Catheter:

  • EBU 6/7F 3/3.5
  • JL-6/7F 3/3.5
  • AL-6/7F
  • [✓] JR 6/7F 3.5/3.5
  • AR 6/7F

PTCA Wire:

  • Name: Bmw - PGA
  • Length: (blank)

Handwritten Narrative:

↓
Apex OC ⌀2.5 x 10mm @ 8 ATM x 6S
PTCA Balloon 1 Name: Verce Xpedition 3 x 28mm fred for corr but withdrawal
On apexOC dilated 5 lapes OC ⌀2.5 x 10mm @8S cloatflex 6 OS (multiple)
↓ arcfire ynn@ - mobility
gain tried to cross often but will not seem Xp 2.71 x 53mm
  • I took anther wire sent thru - but still wldnt cross often
  • guideline of Falcon but still could not cross often, gave wire rounded.
So re-tried fullle ⌀2.5 x 12mm @ 12 cloatflex x 3-6S (multiple)
↓
Tried to cross often but still wldnt guideline taken & tried to cross often but wldnt cross despite
multiple attempts - (DILATATION @) ATM / SEC
Procedure abandoned

Intracoronary Drugs:

  • NTG / NICORANDIL / TIROFIBAN

Post Dilatation: (blank)

PTCA MC Balloon Name: (blank)

Dilatation @: (blank) ATM - SEC

Post PTCA + Stenting - TIMI Flow / Residual Stenosis:

8/ (score)
POBA to RCA done (signed)

Complications: Nil

Summary

This is a POBA (Plain Old Balloon Angioplasty) procedure on the RCA in the context of the same NSTEMI patient (Onkar Chugh). Key findings:
  • Target vessel: RCA (Right Coronary Artery)
  • Guiding catheter: JR 6/7F 3.5
  • Approach: Initial pre-dilation with Apex OC 2.5 x 10mm balloon @ 8 ATM
  • Problem: Wire/balloon could not cross the lesion despite multiple attempts with different balloons (Verce Xpedition 3x28mm, Apex OC 2.5x10mm, XP 2.71x53mm, Fullle 2.5x12mm @12 ATM x 3-6s) and guidewires (BMW, PGA, Falcon)
  • Outcome: Procedure abandoned - POBA to RCA done (stenting not achieved)
  • Complications: Nil
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Here is the full transcription of both images:

IMAGE 1 — Provisional Clinical Impression / Progress Report

Top Header:
  • Name/ID: Tej Singh / 941514280043150 — (M) (circled)

Provisional Clinical Impression: (blank)

Differential Diagnosis:

Right column (Risk factors - checkboxes):
  • Smoker ✓ (any)
  • DM ✓
  • HTN ✓
  • CVA ✓
  • CAD ✓
  • CKD ✓
  • AFN ✓
Main text:
h/o Chest pain / ACS on 8/6/26 ↓ Was admitted at Marchowk Mandi Medical College Treated as STREADMS (likely STREADMIS / STEMI)
Today came to AIIMS Chandigarh
h/o Angina on exertion / walking uphill
No h/o SOB / Palpitation / Syncope / Pre-syncope

Treatment Advised (Hindi printed):

(निर्देश - मुक्त दवा नीति के तहत उपलब्ध दवाई का उपयोग/सुनिश्चित करें।) (Instructions: Use medicines available under free drug policy)
No h/o Fever / Cough / Active Bleeding / Thyroid is...
Ph - Neg Fhr - Neg (Family history - Negative)

Progress Report:

O/E: Calm, Oriented GCS: M6 / E4 / V5 / C N (GCS 15)
Vitals:
  • BP: 130/80
  • PR: 80/min (³)
  • SpO2: 96%
Right side:
  • JVP ↑ e
  • PE ✓ e
  • CABRE (CABG?)

IMAGE 2 — Discharge Summary / Outcome (Page 4)

Printed Header: Discharge Summary/Outcome
Case Seen by Consultant: (signed)
(निर्देश - मुक्त दवा नीति के तहत उपलब्ध दवाई का उपयोग/सुनिश्चित करें।)

Progress Report:

Rt, Pr, v VbSe (?) (Vitals/Breath sounds) No crepti

Further Advised Investigations: (blank)

Advised Treatment: (blank)

CVS Examination:

CVS - Apex S1 S2 @ume (normal) non-sustained (rhythm)
No PSM / Thrill / S2
S1-S2 S2 wide       vasale       Spen       A2 > P2
No S3/mm

PA (Pulmonary/Abdo):

RS - PVR | Cm / mother (normal?)

Right Column:

ECG → NER (Normal / No ER?)
  • LCO ✓
  • CXR ✓ (Carvedilol?)
  • EAE ✓ (Echo)

Summary

This is a second patient - Tej Singh (different from Onkar Chugh). A male patient who presented with:
  • h/o chest pain/ACS on 8/6/26
  • Was admitted at Marchowk Mandi Medical College and treated as STEMI
  • Today referred to AIIMS Chandigarh
  • Has h/o exertional angina (walking uphill)
  • Risk factors: DM, HTN, CVA, CAD, CKD, smoker, AF
  • On examination: hemodynamically stable (BP 130/80, PR 80, SpO2 96%), GCS 15
  • CVS: Normal S1 S2, non-sustained rhythm, A2 > P2 (suggesting pulmonary hypertension), wide S2, no S3/murmur
  • ECG, CXR, Echo ordered
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