I, Dilip kumar verma was admit in escort heart delhi for A.V.R surgery 23.11.2011 . my Dr. advice me Tab. ACITROM PT/INR test and show the test report to my Cardiothoracic surgen Dr. Yugal mishra Escort heart Institue delhi Age;41yrs, 57kg, Patient is hypertensive,non diabetic,non smoker and has no family historyof ischemic heart disease. he is a known case of Rheumetic heart disease with sever AR. He was admitted to FEHI for AVR . physical EXamination his pulse 79/min , BP 120/80mmhg